Which Specialist to Consult for My Daughter's Chest Pain? - Pediatrics

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Growth and Development


Hello Doctor: I have a daughter in the fourth grade who recently mentioned that her chest hurts when pressed.
I would like to take her to see a doctor.
Which specialty should I consult? Thank you for your response.

pinggu, 40~49 year old female. Ask Date: 2016/08/31

Dr. Lin Yishou reply Pediatrics


Hello, Pediatric Endocrinology.
Thank you.

Reply Date: 2016/08/31

More Info


When it comes to your daughter's chest pain, it's important to approach the situation with care and consideration. Given that she is a fourth grader, the first step is to consult a pediatrician. Pediatricians specialize in the health of children and can provide a comprehensive evaluation of her symptoms. They will be able to assess her condition, take a detailed medical history, and perform a physical examination to determine the underlying cause of her chest pain.

Chest pain in children can arise from various sources, and while it can be concerning, many cases are not serious. Common causes of chest pain in children include musculoskeletal issues, such as muscle strain or costochondritis (inflammation of the cartilage connecting the ribs to the sternum), which are often benign and self-limiting. Other potential causes could include respiratory issues, such as asthma or bronchitis, or even anxiety-related symptoms, especially if the pain occurs during stressful situations.

If the pediatrician finds it necessary, they may refer your daughter to a specialist. Depending on the findings, the following specialists might be consulted:
1. Pediatric Cardiologist: If there are any concerns about her heart, such as irregular heartbeats or other cardiovascular issues, a pediatric cardiologist would be the appropriate specialist to evaluate her heart health.

2. Pediatric Pulmonologist: If her chest pain is suspected to be related to respiratory issues, a pulmonologist who specializes in children's lung health may be consulted.

3. Pediatric Orthopedist: If the pain is determined to be musculoskeletal, an orthopedist specializing in children's bone and joint issues may be involved.

4. Child Psychologist or Psychiatrist: If anxiety or emotional factors are suspected to be contributing to her symptoms, a mental health professional specializing in children could provide support and treatment.

In the meantime, it is essential to monitor her symptoms closely. Note any specific triggers for the pain, such as physical activity, deep breathing, or emotional stress, and communicate these observations to the pediatrician. Additionally, ensure that she is comfortable and not engaging in activities that exacerbate her pain.

Lastly, while it is natural to feel anxious about your child's health, try to remain calm and supportive. Reassure her that you are seeking help to understand and alleviate her discomfort. Early intervention and a thorough evaluation can lead to effective management and peace of mind for both you and your daughter.

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