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. 12yrs old boy,complaining of pain on left side below ribs. Does not have it when sitting only standing ,walking and running. Complained about it a few months ago but it went away. Started back after football training. He is a worrier and prone to wind pain. Eats well but thin and small for age. Any idea what could be causing this pain.

    Lynda - June 10, 2015 at 7:26 pm Reply
  2. My 7 year old was kicked in chest by another kid at a party…now he said his chest hurts. I don’t notice any signs of discomfort only spread to touch.?

    Shannon - June 14, 2015 at 1:00 am Reply
  3. Hi…. I am 14 years old… From Nepal …. I have been chest pains in the left side of my body…below my breasts usually where people say the heart is… I am a boy and its been two months of these attacks now… I haven’t consulted a doc yet. My parent s say that it is because of gastric problems and make me drink soda… The pain varies … Some thing the pain is minor and sometimes I can’t bear the pain … Please help me… I have history of getting tired on assembly lines and going blue

    Aryan - June 15, 2015 at 9:45 am Reply
  4. Right now this is the first time but in the middle of my chest just below my breast is a sharp pain it does not hurt that bad but it’s been going on for about 7 minutes all I was doing was watch tv by the way I’m 12

    Josie - June 18, 2015 at 11:19 pm Reply
  5. Thank you so much for the information. My son had chest pain over the weekend, and it was very frightening. He had been sick recently, and the doctor said the pain was caused by all the coughing he did. That being said, I wonder, what other kind of things should I be aware of to look for that might indicate heart disease?

    Virginia Davis - June 22, 2015 at 6:33 pm Reply
  6. i am 17yr old and have chest pain since 4 months it is painful n occurs anywhere above below breastbone and at random times it has reduced a little since 3 months but when it comes it is sharp stabbing pain . ekg and ecg is normal . i don’t know what to do its been 4 months . what to do ?

    nams - June 24, 2015 at 11:05 am Reply
  7. Hi my son who is 10 in August2015 he is a little over weight I am doing every thing I can to change that, he was in bed and started saying he had pain in his left side just under his left Breast , I checked his pulse straight away and it was 70 beats per minute , I’m a nervous wreck do I take him hospital or make a Dr appointment tomorrow please help.

    Annette - June 24, 2015 at 5:02 pm Reply
  8. my 15 year old niece is complaining of chest pain, it was so bad that she said it feels like her heart is being crushed she took a bath and it sort of helped but the pain hasn’t completely gone away. I checked her pulse and its 64. Her pulse is slow and it skips beats a lot. Should I take her into the hospital?

    Selena - June 28, 2015 at 12:21 am Reply
  9. i am 18yr old and have chest pain at random places at random times and quite sharp and stabbing .my fear took me to the cardiologist who laughed it off saying it was muscle pull but can a muscle pull continue this loong ? i have been suffering since 3-4 months now and all the doctors take it lightly saying there is no medicine for it… how long can unexplained chest pain continue? and is it harmful ? and why does this happen ? will yoga help ?

    maheeja - June 28, 2015 at 5:34 am Reply
  10. i am 17 yr old and have vibrations in my right chest where the breast part starts like as if a phone is vibrating. it is very frequent n started about a day ago . it is insanely annoying though not painful . is it harmful ? could it be a muscle spasm?

    nami - June 30, 2015 at 11:58 am Reply
  11. hi,
    Iam 16 year old
    I have chest pain from last one month it is mild pain and it occurs in my left chest, sometimes in hand and at back please help.shuld I go to cardiologist


    jimmy - July 1, 2015 at 10:27 am Reply
  12. my six years old son sometimes says that he has pain in chest since many months. He was h pylori positive 7 months before. He took medicines. Today he told my chest hurts. He is weak, cant play like his friends. He felt tired soon.. Cry everytime.everytime he s angry and crying and fighting.. I m very worried about him i m tired of trying to make him happy. I feel angry at him. Please help a mother worry about his child health

    Usman ghani - July 1, 2015 at 12:51 pm Reply
  13. My 5 year old son started complaining of his chest hurting. When I put my hand on his chest it was beating very hard and fast. This happened a few times and I called his doctor. Has EKG done and they said it looked good. Now they are wanting him to wear a heart monitor just to make sure. I am very worried. When he runs and plays he said his heart don’t hurt but he said he can feel it with out touch his chest my guess he means its beat faster and hard. Should I be very concerned.

    Carrie - July 2, 2015 at 6:32 pm Reply
  14. My five year old came up to me the day before yesterday crying and said her chest hurt. She pointed to the area right her right breast. She seemed to be in extreme pain. I asked if she had an accident at school, just been doing some active play, she said no. Yesterday about the same time while sat next to me she started crying again and said her chest was hurting in the same place. The pain lasted about a minute or less.

    I am concerned because that was the second time she was complaining about chest pains. Please advice. Thank you.

    Anita - July 4, 2015 at 8:27 pm Reply
  15. My 5 year old son was complaining with chest pains yesterday, he suffers with muscle spams in his legs and arms for the past 3 years I was told it’s grown pains and now in his chest on the left side don’t know what to do, had him in hospital and was told it’s muscle spams. Been told by one person it’s spams and another it’s grown pains.

    karen - July 6, 2015 at 6:21 am Reply
  16. I have a bit of chest pain right now, it’s been going on for a minute or so. My dad says it could be caused by carrying my little sister, and it pulled on the muscles in my chest. I feel the pain somewhere in the middle of my chest, and it feels like it’s just moving around to different parts of my body and back. My age is 13.

    Diego - July 7, 2015 at 11:28 am Reply
  17. My son is 17yrs old and he plays basketball he’s 6’7 and sometime gets a sharp pain in his chest. I’ve taken him to a cardiologist since he played basketball just for precaution. I also taken him to the ER and they stated its in his muscle and the cardiologist stated he’s healthy. It’s not an on going pain it only comes every several months. I have to take him again to get checked My questions should I be concerned. If he takes an aleve or motrin hes fine.

    Angela - July 7, 2015 at 6:01 pm Reply
  18. My 6 year old Granddaughter complains of pain in her heart. It is right in the center. She was born with trechamayalisia (sp). Could this be a carry over from that even though she is no longer symptomatic for it? It is random, but it does slow her down when it’s happening. Thank-you for you help? Sometimes Tums helps.

    Karen - July 7, 2015 at 10:11 pm Reply
  19. My daughter is 17 and gets chest pain around the breast bone area. She describes it as feeling really tight and achy. If she trys to stretch out it really hurts. It comes at anytime and seems to last on and off for a few days then goes away for a few weeks then comes back again. She is tired a lot too. But not sure if that’s normal teenager tiredness and staying up till 3am on her phone. She has had some problems with stress and anxiety. She’s also had a few viral colds, throat infections recently, not sure if it’s linked to that. Any advice is much appreciated. thanks

    tarn - July 8, 2015 at 8:29 pm Reply
  20. Hi, My 8 year old daughter has been having heart palpitations on and off for almost 3 years. She saw a cardiologist 2 years ago who put her on a 30 day heart monitor. He told us that since her resting heart rate “only” went up to 180 beats/min that he wasn’t willing to do anymore testing. He said that she might out grow it. For the past 2 years about once or twice a month she will palpitations for a few days and then it stops again. She will be playing or even sleeping and she will wake up and tell us that her heart is “booming”. After a few minutes it stops. For the past couple of days the palpitations have become very constant – every hour or so. This hasn’t happened before. We brought her to the ER two nights ago and they did blood work and e.k.g. but of course when hooked up she didn’t have the palpitations. Yesterday we brought her to her pediatrician who recommended we bring her to another cardiologist. Unfortunately when I called to make an appt. they don’t consider her to be urgent so she has to wait until Sept for an appt. My concern is that the palpitations are becoming more often and she also is complaining about a “tight” chest. Any advice or suggestions would be greatly appreciated as I am very concerned as my family has a history of heart problems -heart murmurs, genetic high cholesterol and micro valve prolapse. Thank you for any advice!

    Heather - July 9, 2015 at 10:00 pm Reply
  21. .hello my name is Jennifer my 13 year old daughter has been having pain left upper underneath breast hard to breathe sometimes when she breathes in. this has been going on for a couple of months now comes and goes quite frequently she was feeling the pain last night and got sickthis is starting to worry me I looked at her stomach and it looks like it is swollen on the left side what should I do

    Jennifet jaquish - July 10, 2015 at 8:56 pm Reply
  22. My 5 yr old was watching tv a few minutes ago and suddenly came up to me and said her chest was hurting but was holding on to where her heart is and when I asked her if it hurt a little bit or a lot she said a lot. I asked hurt what did it feel like and she said a thunderstorm? She seems fine right now but she asked me if she felt hot which she doesn’t, I told her no why do u feel hot and she said yes in the inside. Should I be more concerned than I am?

    Natessa Ramirez - July 15, 2015 at 5:25 pm Reply
    1. Hello, I’m 13 about to turn 14 in January and I have asthma I’m having pain in my heart but the doctors said it’s fine and I’m having problems with my chest pain and arm and shoulder and left leg it feels like I’m week I thought I’m having a heart attack I’m very scared and it hurts under my breastbone to and top pain and side in my left area it’s spread sometimes in my body to my neck or back when I sit down or lay down please help I’m scared to die and I’m kinda overnight I’m not fat and my left ribs will hurt also and a aches in my heart sometimes am i going to die :(

      Joshua - July 20, 2015 at 5:48 pm Reply
  23. Hi,
    My daughther is 11 months old. We have observed that she frequently puts her hand on the left side of her chest. We checked and noticed that there is some hardness under the breast area. We are not sure what exactly could be the reason of that hardness but we think that she is not feeling any severe pain as she is not crying due to that.
    Please suggest is this something to worry or we should consult a doctor?
    Thanks for any advice.

    Ankur - July 16, 2015 at 3:15 am Reply
  24. Hello- I am a 17 year old female. For the past three days I have been suffering with a pain on the right side of my chest. It tends to be sharp and very painful, this only lasts for a few seconds and can have large gaps between them. Although I have also had a dull pain in the same area. The pain tends to occur more when I am moving around e.g. bending down but does hurt when I am just sitting. I have not had any illness or accident recently. I am unsure what the cause is and was wondering whether I should see my GP.

    Jade Meyirck - July 19, 2015 at 3:26 pm Reply
  25. My 15 year old son is a long distance runner, in very good physical condition. About 3 weeks ago he began saying that he had trouble breathing when running hard. From what we can gather by that he means his chest feels tight when taking a big breath. He has had allergy/cold symptoms for almost the same amount of time. Nasal congestion and plugged ears, some throat clearing coughs but not a severe cough. He has continued to run but has reduced his normal pace. Soreness is in the center of his upper chest and sometimes felt at rest, worse the harder he is working out. Does this sound like muscle soreness or asthma related, or should we be thinking heart also?

    Jill - July 20, 2015 at 4:35 pm Reply
  26. Hi,

    My 8 years old son, he always complains the rapid heart beat trouble breathing, but now he is complaining severe chest pain couple of times in last 2 days. He come to me with holding his left breast. By the way I am an Echocardiographer, and have Sonosite at home. Yesterday I did the echo and found out mild regurgitation in Tricuspid Valve. Would you please give me any advise what I have to do, should I take to the cardiologist at this point or not. I heard it’s normal for kids & teens.

    Thanks so much

    Syed - July 21, 2015 at 1:45 am Reply
  27. Hi, my 10 year old daughter has been complaining about chest pain when she is actively running or doing sports at school. She first mentioned it a couple of weeks ago and it has come to the point that she refuses to participate in any physical activity because it gives her pain. She is slightly on the higher end of a normal weight range and has never been very active, should I worry or can these pains be associated with not being very fit?

    Donna - July 21, 2015 at 5:31 am Reply
  28. My 8yr old son is complaining of a sharp pain right at the sternum every time he eats or drinks. The pain stops about a minute after he has swallowed food or liquid. Then it returns as soon as he eats or drinks something else. What could be the cause?

    Keri - July 21, 2015 at 10:09 am Reply
  29. My daughter is 7 and has randomly came up to me in the last week whining her chest hurts. She acts as though she has a painful bubble she has swallowed. She then cries telling me it’s in her back. She grabs her back in the same place it hurts in the front. It only last less than a minute. She is very tall for her age and does get growing pains in her legs. Should I chalk it up to growing pains or worry about her gull bladder?

    Kyrah - July 21, 2015 at 12:29 pm Reply
  30. Hi, my younger brother is 12 years old and he has been suffering from sharp pains in his chest these past few nights. He is asthmatic and we thought it was an asthma attack. We took him to the doctors and they let him use the nebulizer. it seemed to help, but the doctor then told us that is was very minor.

    However, the pain is sharp enough for him to start crying, and last for hours. His puffer doesn’t seem to help either nor does our the nebulizer we have at home seem to help anymore. He had an infection in his stomach a few weeks ago, but has been better for quite some time.

    Is this normal? I don’t really know what to do.

    Aiman - July 22, 2015 at 4:07 pm Reply
  31. I have a son who takes a very low dose of ritilin just for school. He has commented in the past saying he can feel his heart pounding in his chest numerous times I’ve taken him to his Dr to get checked out and they said he’s fine he has these feelings even being months off of any medication. My question is can medication cause heart damage?

    Kathy - July 23, 2015 at 1:02 am Reply
  32. My son is underweight, barely eats and doesn’t drink a lot he has autism and struggles with food textures and getting him to eat enough is a battle, he is asthmatic, very unfit and although he never really sits still he doesn’t play sport. He has been getting dizziness, nausea and pain in his chest accompanied by a rapid heart rate. Sometimes it is when he is sitting down watching TV sometimes it is when he is running around. He is currently doing cross country training at school and they have to run every afternoon. He is finding this very difficult and says he’s getting dizzy a lot and has a sore chest. He had a normal ECG 6 months ago when at rest and asymptomatic. Should I stop him training and request further investigation or encourage him to carry on training. Is he just in fit or does this warrant further input from the dr?

    heather - July 23, 2015 at 3:51 am Reply
  33. Hello, I am 16 years old. Just today, I was sitting down watching television and the middle of my chest had this really painful crushing sensation. I changed positions, got up and walked around, but I felt weak and the pain was still there. It would stop around two minutes later and start up again. I tend to get stressed very easily, but also my mother has heart problems such as heart attacks and also has a heart murmur. I used to get a lot of migraines, and just started coming back recently. I had a migraine when the pain started. Is it totally unrelated? I doubt it is anything serious, but what, is it just a normal thing in teenagers?

    Roxana - July 25, 2015 at 5:44 pm Reply
  34. My 14 son he claiming his chest hurt and it hurts when he walks he said it hurt bad he didn’t do no sports but he does carry a heavy back pack to summer school he gets chest pain he it randomly happens when I brought him to doctors before they said it was in the chest wall cavity they ask him questions too but he said this time it hurts worser he said his body aches too

    Melissa - July 27, 2015 at 7:29 am Reply
  35. My 8yr old daughter has been complaining of chest pain for the last few weeks – short duration and mildly intense. She complained again today evening, and I noticed she had tried to lift me during the day, to impress her friend. She actually keeps trying this stunt very frequently, and I suspect the pain may be a result of this. Her schoolbag doesn’t seem that heavy. Anyways, I will take her to a paediatrician tomorrow. Meanwhile, felt reassured by the information shared by the good doctor on this site, and his detailed answers. You are a good man doctor, best wishes from India!

    Bhuvan - August 18, 2015 at 1:13 pm Reply

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