Adolescent Pericardial Paroxysmal Pain: What's the Cause and What to Do

Apr 17, 2025 Source: Cainiu Health

Dr. Tian Hongbo

Introduction

In general, chest pain in adolescents may be caused by factors such as muscle injury, gastroesophageal reflux disease (GERD), myocarditis, hyperthyroidism, or cardiac neurosis. Symptoms can be improved through general treatment and medication. If adolescents experience any discomfort, it is recommended to seek timely medical evaluation and complete necessary examinations for appropriate diagnosis and treatment.

In general, intermittent chest pain around the heart in adolescents may be caused by factors such as muscle strain, gastroesophageal reflux disease (GERD), myocarditis, hyperthyroidism, or cardiac neurosis. Symptoms can be improved through general treatments or medication. A detailed analysis is as follows:

1. Muscle Strain

When muscles are overused during exercise or other activities, it can lead to muscle pain that may manifest in the chest and the area surrounding the heart. It is important to rest adequately and avoid excessive physical activity to prevent localized muscle injury.

2. Gastroesophageal Reflux Disease (GERD)

GERD can cause stomach acid and digestive fluids to flow back into the esophagus and chest cavity, leading to radiating chest pain. Patients can take medications such as hydrotalcite tablets, Xiaor Gubei tablets, or Xiaor Jianshen pills under a doctor's guidance to alleviate symptoms.

3. Myocarditis

Inflammation caused by myocarditis may damage or swell the heart muscle. This damage can lead to insufficient blood supply from the heart, resulting in intermittent chest pain around the heart. Patients can take medications such as Shenqi Yangxin Granules, Danshen Dropping Pills, or Wenxin Granules under medical supervision.

4. Hyperthyroidism

Hyperthyroidism causes excessive release of thyroid hormones, increasing the heart's metabolic rate. This may lead to a significantly increased heart rate, known as tachycardia. Tachycardia can increase the heart's workload, causing intermittent chest pain or discomfort. Patients can take medications such as propylthiouracil tablets, enteric-coated propylthiouracil capsules, or methimazole tablets as directed by a physician.

5. Cardiac Neurosis

Cardiac neurosis is thought to be related to genetic and environmental factors. Hormonal and nervous system imbalances caused by personality traits or environmental influences may lead to localized pain and anxiety. Patients can use medications such as sertraline hydrochloride tablets or fluoxetine hydrochloride capsules under medical guidance.

If adolescents experience any physical discomfort, they should promptly visit a hospital for a complete evaluation and appropriate treatment according to the diagnosis.

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