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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Heart And Insomnia In A 15-year-old?

Yes, my 15 year old daughter is complaining that her heart is hurting. It started yesterday and she even had trouble falling asleep last night because of it. Today she told me she thinks she needs to go to a doctor. Which she hates doing. What could it be? What should I do? She does not want to go to ER right now
Thu, 31 May 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. It can be a gastritis and reflux disease. Does she upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. And she ll antacids like ranitidine. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged NSaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs, usually due to viral infection and needs NSaids treatment and evaluation. This may be associated with upper respiratory tract infection.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Pain In The Heart And Insomnia In A 15-year-old?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. It can be a gastritis and reflux disease. Does she upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. And she ll antacids like ranitidine. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it s a musculoskeletal type of pain and needs prolonged NSaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs, usually due to viral infection and needs NSaids treatment and evaluation. This may be associated with upper respiratory tract infection. Hope I have answered your query. Let me know if I can assist you further.