Jul, 14
Dr. Nicolas Madsen

About the Author Dr. Nicolas Madsen

Nicolas Madsen, MD, is a cardiologist at Cincinnati Children’s Heart Institute, with special interest in the prevention of cardiovascular disease. He is focused on research and community outreach programs to find better ways to screen and educate children and adolescents regarding their risks for heart disease or sudden cardiac arrest.


  1. Thanks so much doctor…I really appreciate it!

    Mike - April 8, 2015 at 8:50 am Reply
  2. Hi,
    My 14 year old son was ready to get on the school bus this morning when he complained of overwhelming tiredness (which he feels before a seizure…he has epilepsy). He also stated he had pain and pressure under his sternum, dizziness, headache and numbness over his entire body. He has been ill since August with strep, has bbeen hospitalized at CNMC in D.C. , has Sydengams Chorea, autism, and other health problems. Yesterday his eyelids were swollen. He did not seize but. Is still in bed with the same complaints. Should I wait this out or have him evaluated. He did have diarrhea once this morning.

    Lori - April 8, 2015 at 12:58 pm Reply
  3. This is a continuation of my post above. My son’s BP’s are 98/58 in his LA and 96/56 in his LA. His HR is 56. He said the things that bother him the most is the h/a at the top of his head, the “cold-numbness” all over his body and the overwhelming tired feeling. His face and lips were pale but pinkened up when he started to talk. I asked again about the chest pain and told him to point to the pain. He actually pointed to his stomach. The area of pressure is under is sternum. His temperature is normal. I see no rashes. I asked him if he wants to see the doctor and he said not yet. We only have one car which my husband drove to work. I would appreciate your advice. Thanks, Lori

    Lori - April 8, 2015 at 1:27 pm Reply
  4. Hi there

    My 12 year old daughter has had chest pains for over four weeks now, they are very random and only a few a day at the most. They seem to be to the left of her sternum (almost beside her sternum) just a shooting pain. Not debilitating, but it is now concerning her.
    They last no time at all and then she is fine but she does mention tightness on taking a breath in after.

    Does this sound worrying? She had a cold but we visited the Dr who said her chest is clear, she did however give her antibiotics to help clear any infection as the cold had been dragging on for literally 6 weeks!

    Sue - April 8, 2015 at 6:30 pm Reply
  5. My 7 year old daughter is very active and fine but a few months ago she started with cramps and pain under her ribs and btween them in the chest area. She gets it when we walk to school or back home about twice a week today was the first time she had it for longer and when we walked home she cried so much I had to give her half a panado she’s sleeping now. She doesn’t get it when she runs or plays netball.

    nadia - April 15, 2015 at 9:15 am Reply
  6. Thank u doc I took her to the doctor today as she was crying a lot yesterday walking from school and last night about nauseousness he says it looks like dyspepsia and recomends me trying buscopan says if it doesn’t improve to take her back

    nadia - April 16, 2015 at 9:38 am Reply
  7. Hello,
    My 14 year old year girl has been having chest pain for several months now. It’s a daily pain with it hurting various times during the day. It hurts in various places in her chest. We have visited the doctor who took x-rays and said nothing was wrong. We waited and when she kept complaining we took her to the doctor again and she said it was normal for her age. But the pain doesn’t affect her if she moves or touches her chest. She says that sometimes the pain is more in the middle in the inside, if that makes any sense, and lasts a couple of seconds. She says the pain is sometimes moderate, and sometimes a bit more stronger. She is healthy doesn’t eat junk food, and is a moderate active person. She also hasn’t been sick or anything. Should I be worried?

    Jackie - April 16, 2015 at 9:28 pm Reply
  8. Hi my 8 year old daughter started complaining that her heart was hurting about 4 days ago and it’s still going on now she’s also been complaining of head aches and feeling sick and just dose my seem her self should I b worried

    Melanie - April 19, 2015 at 4:48 am Reply
  9. Hi my 14 year old daughter complains of chest pains she says she has them at least one to three times a day and they last for up to two to three minutes she explains them to be a very hard stabbing pain which makes it hard for her to breath until they are over afterwards she feels slightly light headed should I be worried about this

    Klaudua - April 19, 2015 at 5:32 am Reply
  10. Hello, my 10 yr. old son was born with a murmur. For about a year now my son complains that his “heart” hurts. I took him to his Pediatrician’s Office who told me it is very common for kids his age to suffer from Heartburn. However, a lot of the times the pain will come when he hasn’t eaten anything at all. Last night he went to bed w/tremendous pain in his heart (As he describes it) and what concerned me is that he awoke with the same pain if not worse. He was pale as a ghost and hot. He got extremely sweaty and started to throw up. He says his pain feels as if someone punched him in the heart. I don’t know if this concerning or not but he’s in so much pain he is crying from it. Please help me put my mind at ease whether it means to investigate further or not.. thank you.

    Omy - April 19, 2015 at 6:28 pm Reply
  11. Dr.,
    My 8 year old lil boy came home today and said his chest started hurting. His exact description was “it was beating so loud then started to hurt”. He was sitting at the reading table when this occurred. So what exact category does this fall into and what would be the best course of action?

    Concerned Mother,

    Heather - April 21, 2015 at 9:32 pm Reply
  12. Hi, I’m 12 years old and very randomly when I stretch, my chest will get a moderate pain that lasts for a few seconds. This just started today and I don’t know if I should be worried. It happens like 3-4 times a day at most. I think it might be growing pains but I’m not sure and I read that if you have stress this happens and I’m a little stressed about school tests. Should I be worried because I’m getting scared because my cousins friends dad had a pain in his chest and he was having a heart attack and then he died…I’m scared, should I be??

    Elaina - April 22, 2015 at 11:37 pm Reply
  13. My daughter is 12. She’s been having left side chest pain for two months. A few days ago she felt faint while on a field trip. The school called and I had them take her to the er. While there they discovered that her blood sugar was low. She also has numb tingling feelings in her hands and legs at times. They did an EKG in the er. Also I took her to see her pediatrician yesterday. They did another EKG and blood work. All these test came back fine. Her thyroid is fine as well. Still they can’t tell me what’s wrong with my baby. This morning while preparing for school, she began crying about the pain again. So back to the er we went. Another EKG was done. And that was clear also. Please help me! I’m so worried!

    Mary - April 23, 2015 at 9:17 pm Reply
  14. My daughter is 15 she complaint about chest pain an pain ribs adge an that heart hurt causing her feel that she can breath.she just mention to me That started 2weeks ago I took her to accident and emergency hospital after she told me .doctors did ECG an heart xray every thing came back normal. But still complaint about the pain. Doctor provided something for pain an inhaler med .my daughter mention pain still hurt last 10mins or less some time. Then 5 days after she had emergency after school walking from school with friends to catch the bus .friends my daughter pass out for about 5mins after come to she told then she can breath they offering her med inhaler in her bag. Until ambulance came. 5days before doctor mention it may be astma too. But chest pain still there. So again doctor did ECG an blood testing an urine every thing came back normal but my daughter still complaint about the chest .doctor give pandol 500gm for pain an she said mommy my chest still hurt an breath still cutting make her not able to breath .told me she have tighNess in her chest. Would do you recommend.

    Makia - April 26, 2015 at 3:09 am Reply
  15. Quick question can this occur in a 4.5 year old too my son was getting dressed and studding started crying that his chest really hurt right in the center part. Bathroom doesn’t seem to be the cause. So I’m just wondering if he’s issue is the same and not to worry or take him to the emergency room? And if I have questions maybe someone else does too.

    Maureen webber - April 27, 2015 at 7:53 am Reply

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