Hello!
Welcome on HCM!
I would explain that there are many causes of this clinical symtomatology (musculo skeletal issue, esophageal spasms, gastroesophageal reflux,
anxiety, etc.) and a careful differential diagnosis should be done.
What is her previous medical history?
A cardiac disorder can not be excluded, even considering her young age.
I would recommend consulting with her GP for a careful physical examination and some tests :
-resting ECG
-chest
X ray study
-lab blood tests (
complete blood count, inflammation tests, blood electrolytes,
kidney and
liver function tests)
A fibrogastroscopy should be done to exclude possible esophageal spasms or gastroesophageal reflux.
If all the above tests result normal, anxiety should be considered as the main possible cause.
Hope to have been of help!
Kind regards,
Dr. Iliri