Conversation: The conversation between human and AI assistant.
[|Human|] I have a tall slim 12yr old boy, which has been suffering from irregular chest stabbing pains on and off for over 18mths. Gp put it down to growing pains, but now thepain is occurring more frequently and ware as before it was bearable it is now very painful that it stress him out when they occur. It has gone from being once a week to at least once a day. Please tell me what you think
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, stress and anxiety can cause stabbing pain in the center of chest. Stress actually causes HERD (gastroesophageal reflux disease). This HERD cause acid reflux in the esophagus and symptoms. But better to get done ECG and 2d echo to rule out heart diseases because valvular heart diseases in child Chat Doctor.  If ECG is 2d echo are normal than stress is the cause for his pain. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic