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Forum Name: Chest symptoms

Question: chest pain


 nikko - Fri Dec 02, 2005 2:54 pm

Hello,
My son is 15 and about 2 weeks ago he started having chest pains that he described as stabbing pain. We went to the ER. He does have a history of Acid Reflux. All test came back normal, but still in major pain. He was admitted and they did a scope to check his stomach and esopagues. All fine. Still pain. We are scheduled for a Esophageal Manomentry next week, but the doctor does not feel this is causing the pain. The doctors recommend a day program to find a stressor that may be causing the pain because all test given are negative. The pain has added to going up his back like an electric shock. The pain does increase in frequency and intensity with playing basketball.
We have him in the day program, and are still looking for any medical reasons as well. Several months ago with some stomach cramps(after we had him not to eat salad everyday they went away) a CT scan found that his spleen was swollen. No one had any concern of this. Could this be causing pain like this? Also no pain medicine or anti inflamatory medicine helps.

It is so hard to watch you child hurt in this much pain and be able to help.

Thank you for your help
 Dr. Safaa Mahmoud - Thu Jul 06, 2006 3:30 pm

User avatar Sometimes chest pain is not originating from the chest itself; instead it is due to problems in the digestive tract. When you have pain in your abdomen, this pain can radiate into the chest, and become confusing of primary chest pain. In that case careful history and examination will help define the diagnosis. For example, Pain due to gastritis increase either after fasting or after meals, while pain due to gall bladder disorder is associated with fatty meals.
Since he has his GI checked and no abnormalities till now have been found to explain that pain it is convenient to keep him on the daily medical program to check for the possible stressor and to wait for the manometric results. However, I would like to know to what extent his spleen is enlarged. Abdominal organs that are kept in their anatomical place with ligaments, when organomegally occurs this leads to a dragging pain due to stretch on these ligaments and the pain might be of increasing intensity or frequency when the person moves, runs, or exercises. I assumed that the pain is felt mainly on his left side since his doctors were checking for stomach problems.
This possibility as well as the cause or splenomegally should be discussed with his consultant.

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