Chest Pain: How to Care for Your Child

Chest pain in kids and teens often is caused by an injury or strain to the muscles, bones, or cartilage (bendable material that cushions bones). It may happen after exercising very hard or carrying something heavy, like a backpack. It also can happen after coughing a lot. Kids usually do not have pain caused by a heart problem. There are comfort measures you can offer at home.

• If your child has chest pain, a medicine may help. You can give:

  • acetaminophen (such as Tylenol® or a store brand) 

  • ibuprofen (such as Advil®, Motrin®, or a store brand). Don't give to babies under 6 months old.

• Do not give aspirin to your child or teen as it has been linked to a rare but serious illness called Reye syndrome.

• Let your child rest as needed.

• If your health care provider said it's OK, your child can go to school and do regular activities unless the pain gets worse.

Your child:

• has chest pain that is getting worse

• has chest pain when exercising

Your child:

• is breathing fast or has trouble breathing

• has a feeling of fluttering or pounding in the chest

• feels faint, dizzy, or weak

If your child passes out while having chest pain, call 911.

Can other things cause chest pain? Yes. Chest pain can happen in some kids if they have: 

• pneumonia (an infection in the lungs)

• gastroesophageal reflux (heartburn)

• asthma 

Sometimes, it's not clear what's causing the chest pain.

Can stress cause chest pain in older kids? Yes. In older kids, stress may lead to chest pain. If you think stress may be causing your child's chest pain, ask about what's bothering them and suggest ways to deal with stress. This can include deep breathing, yoga, and doing relaxing, enjoyable activities.