EVA

Health · Pain & Red Flags

Chest Pain: When Is It Serious?

By the eva team · · 2 min read

Chest pain can feel frightening, but in teenagers it is more commonly related to the chest muscles, ribs, coughing, asthma, reflux or another non-heart cause. Even so, pain that happens during exercise, does not go away or appears with fainting, breathing difficulty or an unusual heartbeat needs prompt medical attention.

When Is Chest Pain More Serious?

1. When Is Chest Pain More Serious?

Chest pain is common in children and teenagers and is rarely caused by the heart. However, the way the pain begins and the symptoms happening alongside it can show when medical assessment is important.

Chest Pain Can Have Many Causes

2. Chest Pain Can Have Many Causes

Chest muscles and rib cartilage are common sources of pain in teenagers. Coughing, asthma, lung infections, acid reflux and stress can also create chest discomfort. A healthcare professional can help identify the cause.

Movement Or Touch Can Point To The Chest Wall

3. Movement Or Touch Can Point To The Chest Wall

Pain from the muscles, ribs or cartilage may become worse when you move, breathe deeply, cough or press a particular area. This pattern is usually different from pain caused by the heart, but recurring or severe pain should still be checked.

Breathing Symptoms Need Attention

4. Breathing Symptoms Need Attention

Chest discomfort with coughing, wheezing, fever or shortness of breath may be related to the lungs or airways. Get urgent help if breathing becomes difficult, very fast or too breathless for you to speak normally.

Pain During Exercise Is A Red Flag

5. Pain During Exercise Is A Red Flag

Chest pain that begins during running, sports or another physical activity should be assessed promptly. It is especially concerning when it happens with an unexpected drop in exercise ability, dizziness, fainting or nearly fainting.

Persistent Pressure Or Palpitations Should Be Checked

6. Persistent Pressure Or Palpitations Should Be Checked

Seek medical advice for chest pressure that does not go away or pain that happens with a very fast or irregular heartbeat. Also mention any known heart condition or family history of cardiomyopathy, abnormal heart rhythms or unexplained sudden death.

Chest Pain With Fainting Or Severe Breathing Trouble Is Urgent

7. Chest Pain With Fainting Or Severe Breathing Trouble Is Urgent

Get emergency help when chest pain happens with fainting, confusion, severe dizziness, blue or grey lips, extreme breathing difficulty or being unable to speak in full sentences. Tell a trusted adult immediately and do not stay alone.

Notice The Pattern And Ask For Support

8. Notice The Pattern And Ask For Support

Record when the pain begins, where you feel it, how long it lasts and whether it happens with exercise, breathing difficulty, coughing, palpitations or dizziness. This can help a healthcare professional assess the cause, but urgent warning signs should not be tracked at home.