Persistent Chest Pain in Teens: Causes and Concerns - Breast and Thyroid

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Persistent chest pain?


I am 16 years old and have been experiencing chest pain for a few weeks.
It feels somewhat hard to the touch and is painful.
I have searched online but am unsure if it's due to an ill-fitting bra or another reason, as I have never experienced pain like this for such a long time before.

Ouyang Qi, 10~19 year old female. Ask Date: 2015/08/15

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello: Chest pain is mostly caused by mammary duct hyperplasia.
Pay attention to whether it is related to the menstrual cycle.
Additionally, any dietary or lifestyle factors that can affect hormone secretion and balance may lead to discomfort.
As long as no lumps are found during examination, there is no cause for concern.
However, if the symptoms persist, it is still advisable to seek outpatient evaluation.
Wishing you peace and health.
Sincerely, Dr.
Chou Chia-Cheng, Chief of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/15

More Info


Persistent chest pain in teenagers can be concerning, especially when it lasts for several weeks. At 16 years old, it's important to consider a variety of potential causes for your symptoms. While it’s understandable to look for answers online, it’s crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment.


Possible Causes of Chest Pain in Teens
1. Musculoskeletal Issues: One of the most common causes of chest pain in adolescents is musculoskeletal pain, which can arise from muscle strain or inflammation of the cartilage connecting the ribs to the breastbone (costochondritis). This type of pain is often sharp and can worsen with movement or palpation.

2. Costochondritis: This is an inflammation of the cartilage that connects a rib to the sternum. It can cause localized pain that may feel worse when you touch the area or take deep breaths. This condition is often benign and can resolve with rest and anti-inflammatory medications.

3. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause a burning sensation in the chest, often mistaken for heart pain. This is usually accompanied by other symptoms like heartburn or regurgitation.

4. Anxiety and Stress: Emotional factors can also manifest as physical symptoms. Anxiety can lead to chest tightness or pain, often accompanied by rapid heartbeat or shortness of breath.

5. Cardiac Concerns: Although rare in teenagers, it’s essential to rule out any cardiac issues, especially if the pain is accompanied by other symptoms like shortness of breath, dizziness, or radiating pain to the arms or jaw. Conditions like myocarditis or pericarditis can occur, particularly following viral infections.

6. Pulmonary Issues: Conditions affecting the lungs, such as pneumonia or pleuritis (inflammation of the lining of the lungs), can also cause chest pain. This type of pain may be sharp and worsen with breathing or coughing.

7. Breast Tissue Changes: As a teenager, your body is still developing, and changes in breast tissue can sometimes cause discomfort or pain. This is often hormonal and can fluctuate with your menstrual cycle.


Recommendations
Given that your chest pain has persisted for several weeks, it’s advisable to seek medical attention. Here are some steps you can take:
- Consult a Healthcare Provider: A doctor can perform a physical examination, take your medical history, and possibly order tests (like an ECG or chest X-ray) to rule out serious conditions.

- Keep a Symptom Diary: Note when the pain occurs, its intensity, duration, and any accompanying symptoms. This information can help your doctor in diagnosing the issue.

- Evaluate Your Lifestyle: Consider factors such as stress levels, physical activity, and any recent changes in your routine. If you suspect your bra might be contributing to discomfort, try wearing a different style or size to see if it alleviates the pain.

- Avoid Self-Diagnosis: While it’s tempting to search for answers online, many conditions can present similarly. A healthcare professional can provide a more accurate diagnosis.

- Practice Relaxation Techniques: If anxiety is a contributing factor, techniques such as deep breathing, meditation, or yoga can help manage stress levels.


Conclusion
Persistent chest pain in a teenager should not be ignored, especially if it lasts for several weeks. While many causes are benign, it’s essential to rule out any serious conditions. A healthcare provider can guide you through the diagnostic process and help you find relief. Remember, your health is paramount, and seeking professional advice is the best course of action.

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