Call 911 Now- Severe trouble breathing (struggling for each breath, can barely speak or cry)
- Passed out (fainted)
- Bluish lips or face
- Not moving or too weak to stand
- You think your child has a life-threatening emergency
Call Doctor or Seek Care Now- Your child has heart disease
- Trouble breathing, but not severe
- Taking a deep breath makes the pain worse
- Heart is beating very rapidly
- After a direct blow to the chest
- Your child looks or acts very sick
- You think your child needs to be seen, and the problem is urgent
| Contact Doctor Within 24 Hours- Fever is present
- Cause of chest pain is not clear. Exception: pain due to coughing, sore muscles, heartburn or other clear cause.
- You think your child needs to be seen, but the problem is not urgent
Contact Doctor During Office Hours- Chest pains only occur with hard exercise (such as running)
- Sore muscles last more than 7 days
- Heartburn lasts more than 2 days on treatment
- Chest pains are a frequent problem
- You have other questions or concerns
| Self Care at Home- Normal chest pain from sore muscles
- Normal chest pain from heartburn
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