13 year old (healthy) dd just said she has a pain when breathing in what do i do with this at this hour!

[9peoplecalling]

13 year old dd is autistic so can just blurt things out at odd times but she has just walked into my bedroom (where i was asleep) flicked the light on and said that one side of her chest is aching when she breathes in maybe up into her neck. She said its not a serious pain but its been doing it since yesterday so she thought she should tell me. She said “it doesnt normally take effort to breathe”She isnt great at describing feelings so thats really all ive got.

she seems well , no temp doesnt really seem breathless at all dug out the finger monitor oxygen seems fine? She has now gone back to bed but im obviously wide awake wondering and worrying!

if she is still saying it monday i will call gp but do i need to do anything before then ? Its confusing because she has no signs of illness?

I’d call 111 although you will need to wake her for it.

Maybe the start of a chest infection? I’d give her paracetamol (placebo?) and see how she is tomorrow morning. Pop to a walk in clinic if required

Is she slim and tall? Maybe spontaneous pneumothorax?

Asthma?

I agree give 111 a shout.

DS had mild pericarditis earlier this year, could be that? Increased number of cases in terms, probably linked to COVID / COVID vaccine

Ok ive given her paracetamol ill give her an hour if that eases it ill leave her until morning if not ill do 111.

She says it only hurts when she takes a deep breath.

She isnt massively tall although she is taller than me (not hard im 5 foot 2 😁)

I'd contact 111 and ask for advice.

Trapped wind? Not being sarcastic, it can be horrifically painful!

@IndiganDop cite sources please

https://www.gov.uk/government/publications/myocarditis-and-pericarditis-after-covid-19-vaccination/myocarditis-and-pericarditis-after-covid-19-vaccination-guidance-for-healthcare-professionals

World health organisation https://www.who.int/news/item/11-08-2022-interim-statement-on-covid-19-vaccination-for-children see relevant para in image attached.

It was DS' GP who said not to have any further Pfizer vaccines; his pericarditis followed his second Pfizer.
He has a history of vaccine reactions, having had ITP after a flu vaccine too. Immune system is a bit overenthusiastic.

Obviously could be any number of things in your daughters case but I had a pain like this at a similar age and it turned out I had pleurisy. Felt well enough in myself, just hurt to breathe deeply, especially at night. A sharp “catching” pain. Cleared up quickly with antibiotics from the GP.
Sounds like you’ve got a sensible plan to try paracetamol and then 111 or GP. Definitely don’t do what my parents did and ignore it for several days because they thought I was being dramatic 🙄

Trapped wind? Constipated? Constipation pain can be felt surprisingly high up.

Should have said increased number of cases in teens in my first post - autocorrected.

Here's a BMJ study for you too
https://www.bmj.com/content/378/bmj-2021-069445

@IndiganDop none of these prove your assertion. None. One of them even states it is a "very rare condition". They all state that their findings are not conclusive. This isn't helping anyone.

Was she on a trampoline the past couple of days by any chance?
It could be muscular pain, it often feels worse at night.

This last dose of covid started as chest pain for me. It was very uncomfortable but I didn’t test positve until the cold symptoms appeared a few days later. Loads of people are getting the chest pain with this variant and covid isn’t the first thing people are thinking of anymore.

If you have any covid tests let her check for that but call 111 for reassurance and advice

We have had various instances of this in our family prior to covid which leads me to believe it's a virus. Both DC had it about 2 weeks apart. Anything deeper than shallow breathing was hugely painful. One DC had chest X-ray & ECG 2 weeks in a row. They have had it a few times over probably a 4 year period. It has gone away reasonably quickly but it is a pretty scary feeling. It can be hard to describe - I got a phone call from DD asking me to pick her up "because my heart hurts".

I recommend reading the entire source articles you post as they don't support what you suggest. Below is part of the conclusion of the BMJ article:

"Male adolescents and male young adults are at the highest risk of myocarditis after an mRNA vaccination. Pfizer over Moderna and extending dosing interval to more than 30 days might be preferred for this population. As the incidence of myocarditis after mRNA vaccination is a rare adverse event, the findings must be considered alongside the overall benefits of vaccination and with detailed risk-benefit analyses to support policy recommendations for optimal dosing intervals and vaccine products for different populations."

You'll see the authors absolutely recommend vaccination. They go on to advise Pfizer over Moderna for the discussed population, and note that myocarditis/pericarditis is a rare adverse outcome. In the article body myocarditis is described as commonly mild and self-limiting.

Otherwise, OP, I'd suggest your DD's pain is muscular. Try a heat pack on it and see if that helps.

It is very rare. The incidence was noticed to increase in young men especially around COVID and was reported as a rare complication of COVID and of vaccination.

It's also not, usually, very serious, as long as you get peri and not myocarditis. My son had 4 days off school and a check up 3 weeks later.

Why are you being so hostile and prickly, a couple of you? It's a rare possibility but it's a possibility.

You'll see the authors absolutely recommend vaccination. They go on to advise Pfizer over Moderna for the discussed population, and note that myocarditis/pericarditis is a rare adverse outcome. In the article body myocarditis is described as commonly mild and self-limiting

Wtf? Where did this turn into a vaccine debate? Where have I told anyone not to get vaccinated? Where have I said anything other than it being mild and self limiting?

I said that our GP said on balance they thought DS pericarditis was a vaccine reaction because it occurred days after his second vaccine and that for him having had this reaction and given that at his age the risk of death from COVID is so low it would on balance be better for him to have no more. Of course people should get vaccinated. Ridiculous to suggest I said otherwise. I have had 5 of them.

British Heart Foundation extract on pericarditis.
The association with covid and COVID vaccs is well established. Initially, Israel noticed an uptick (if you recall, they got the population vaccinated very fast) and subsequently other countries too. The occurrence is still very rare and of course people should get a bloody COVID vaccine.

Pleurisy is very much pain on breathing in. Normally described as very sharp pain, but you really can't trust us NDs to describe sensation the way the books do.

I very much doubt that cardiac maladies are in the top ten of likely causes for a healthy teen. Let's not all panic and flap. More likely respiratory. Quite possible it can wait until the morning or Monday.

You were the one who brought it up.

I can't think of a more inappropriate thread for covid theorising and point scoring. FGS knock your heads together.