Suggest treatment for chest pain and shortness of breath in teens
Patient: My 13 year old sister has been having symptoms of strange behavior that started with her having chest pains and saying she can t breathe. My parents took her to the er where a brain scan was done and also a look at her heart. Everything came back normal. Today she is acting very slow and strange. She can t sleep. She says she s too hot one minute and then she gets cold a little while later. She says her feet and hands feel like pins and needles and that light is too bright and that her hair is too heavy. She talks slowly and can t seem to think clearly and answers to questions are unorganized or not relevant to the question. I am very scared for her. I asked my parents to take her to a psychiatrist but they are waiting to see if she gets better. I don t know what to do. Doctor: Your sister is likely suffering from Conversion Reaction. This is common in this age group specially in girls. Something has happened which is sub conciously causing problem to her. She is not able share the problem to any one and that is increasing her distress. There may be any problem starting from onset of periods, any bulling or teasing in school, any love issues... any thing. Ask your parents to talk to her regarding any problem giving assurance that they will be by her side. Once she starts communicating things will resolve. . Tab clonazepam can give her some relieve. As weight is not mentioned cant give you the dose. Hope this helps.