June 30, 2023

Chest Pain in Children: When Should You Worry?

Most chest pain in kids isn’t worrisome, but there are some symptoms that deserve attention

child having chest pain

Your child approaches you with a hand on their chest directly over their heart. The look on their face says that something is very, very wrong. “It hurts,” they say between painful gasps. “It hurts a lot.”


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Moments don’t get more terrifying for parents. But here’s something to put your heart at ease: Chest pain in children is typically NOT a sign of a serious health condition — and rarely does it have anything to do with their heart or lungs.

So, what’s probably causing that scary chest pain? Let’s get some answers from pediatric cardiologist Kenneth Zahka, MD.

How children may describe chest pain

Let’s start with an uncomfortable reality. Chest pain in children can be stunning in its intensity. Kids may describe a stabbing pain — and it’s frequently felt on the left side of their chest over their heart.

This unexplained pain is often diagnosed as precordial catch syndrome, or PCS. (It’s also known as Texidor’s twinge, with the name referencing one of the physicians who first identified the syndrome in 1955.)

Aside from intensity and location, other common symptoms of PCS include chest pain:

  • Lasting only seconds or minutes before suddenly disappearing.
  • Getting worse when your child inhales, exhales or moves.
  • Affecting children and adolescents who are otherwise healthy.
  • Not being triggered by physical activity.
  • Often occurring while your child is at rest.

Now the good news: The most harm PCS typically does is cause worry. “It isn’t dangerous or life-threatening and usually resolves by adulthood,” states Dr. Zahka.


What causes precordial catch syndrome?

What causes PCS in children isn’t known for sure, but some believe the pain involves a compressed nerve or muscle cramp, says Dr. Zahka.

What’s agreed upon, though, is that the chest pain is not due to a heart issue.

Treatment for PCS

What can you do about PCS if it suddenly appears in your child? Basically, wait it out. Remember, the pain usually only lasts for a few minutes before vanishing.

If the pain recurs, you may want to try an anti-inflammatory medicine like ibuprofen.

Other typical causes of chest pain in children

PCS is just one explanation for chest pain in children. That hurt also could be due to:

  • Muscle or joint strain. Kids might get chest pain from doing different or more strenuous-than-normal activities, says Dr. Zahka. With a muscle or joint strain, pain often comes with a certain movement or by pressing on a certain area.
  • Inflammation. If your child’s ribs are tender adjacent to their breastbone, it may be a case of costochondritis (a type of inflammation). In adolescents aged 12 to 14, costochondritis accounts for up to 30% of chest pain complaints.

Pain from either of the above typically fades within a few days of rest and staying away from activities that aggravate the pain. Taking over-the-counter pain relievers can help reduce any discomfort.


When to be concerned about chest pain

Concerning pain related to the heart typically radiates out from within the chest, clarifies Dr. Zahka. Indications that chest pain in children may involve a more serious issue include pain that’s:

  • Very intense and long-lasting.
  • Triggered by physical activity.
  • Accompanied by fever, dizziness, shortness of breath or fainting.

Bottom line? When in doubt, get chest pain checked out.

“It’s never wrong to consult a healthcare professional if you are worried about your child’s chest pain symptoms or heart health,” reassures Dr. Zahka. “A pediatrician or pediatric cardiologist can help get to the bottom of it.”

Related Articles

Baby receiving a shot in their leg by healthcare worker in pink
December 7, 2023
COVID-19 Vaccines for Kids: What To Know and Why It’s Important

Children as young as 6 months should get vaccinated

Pregnant person with yellow glow emanating from them.
December 6, 2023
Is Pregnancy Glow a Real Thing?

More radiant skin may appear due to physiological responses to pregnancy

Natural antibiotics, pills and herbs, displayed on bamboo spoons on wooden table.
December 5, 2023
Why You Shouldn’t Self-Treat With ‘Natural Antibiotics’

Natural doesn’t mean they’re safe or effective

Female swimmer in the water at edge of a pool
December 1, 2023
Can Exercise Reduce Your Risk of Breast Cancer?

Physical activity and weight management can minimize your chances of getting the disease

Two people standing in the cold.
November 29, 2023
10 Colds Not To Catch This Winter

The flu, RSV, COVID-19, pneumonia and more typically circulate during cold weather months

Parent breastfeeding baby on bed, against the headboard.
November 27, 2023
Looking for Foods To Increase Your Milk Supply? Think Big Picture

No single food will increase your milk, but an overall healthy diet will help

Parent uses manual baby aspirator to open up nasal passages of baby.
November 22, 2023
Prevent Phlegm in Your Baby’s Throat With a Nasal Aspirator

Keeping your baby’s airways clear of mucus helps with breathing and feeding

Two different vaccines and needles displayed in foreground.
November 22, 2023
Which Vaccines Can You Get at the Same Time?

Getting routine vaccinations together can save you time and may be more effective

Trending Topics

group of hands holding different beverages
November 14, 2023
10 Myths About Drinking Alcohol You Should Stop Repeating

Coffee won’t cure a hangover and you definitely shouldn’t mix your cocktail with an energy drink

Person applies moisturizer as part of their skin care routine after a shower.
November 10, 2023
Korean Skin Care Routines: What You Need To Know

Focus on the philosophy — replenishing and respecting your skin — not necessarily the steps

glass of cherry juice with cherries on table
November 8, 2023
Sleepy Girl Mocktail: What’s in It and Does It Really Make You Sleep Better?

This social media sleep hack with tart cherry juice and magnesium could be worth a try