Why does my heart hurt when I laugh at 15 years old?

Heart pain when laughing at the age of 15 may be caused by conditions such as pleurisy, intercostal neuralgia, or coronary artery stenosis. Specific details are as follows:

1. Pleurisy

Pleurisy refers to an inflammation occurring in the pleural cavity, characterized by chest pain, coughing, fever, and difficulty breathing. Symptoms often worsen during laughing or strenuous exercise. Under a doctor's guidance, medications such as penicillin capsules or cephalosporin tablets can be taken to alleviate the condition.

2. Intercostal Neuralgia

Intercostal neuralgia is primarily caused by damage to the intercostal nerves due to various factors. It manifests as persistent or episodic pain in areas innervated by these nerves, mainly affecting the abdomen and heart region. Following medical advice, medications such as carbamazepine tablets or phenytoin sodium tablets may help improve symptoms.

3. Coronary Artery Stenosis

When suffering from coronary artery stenosis, intense laughter or significant emotional fluctuations may trigger vascular spasms, worsening myocardial ischemia and hypoxia, leading to symptoms such as chest pain and shortness of breath. Treatment under medical supervision may include medications like pravastatin sodium tablets or benazepril hydrochloride tablets.

In addition to the above causes, rib fracture, congenital heart disease, or coronary atherosclerotic heart disease cannot be ruled out. It is essential to visit a hospital for proper examination, confirm the diagnosis, and receive appropriate treatment accordingly.