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A 44-year-old female asked about a 16-year-old female:

My daughter aged 15yrs has type 1dm, recently she has complaints about chest pain sometimes, she feels like her head is spinning, when she shakes her feet, she feels dizziness. done ecg and 2d echo which is normal. please guide what can be done?

3 doctor answers6 doctors weighed in
Dr. James Ferguson
Pediatrics 46 years experience
Chest pain at that age is most often due to indigestion/reflux of stomach contents in the swallow tube. The junction with the stomach is located just behind and left of the heart. It is often a gnawing or sudden pain & can sometimes be recreated if you press over the site. Avoiding caffeine & not laying down after feeds helps. Discuss this with her docs.
Dr. Clarence Grim
Endocrinology 57 years experience
You did not say how long she has had DM 1. My hunch is she has neuropathy. Check monofilament test with her Drs. Also check seated standing and exercise BP.
Dr. Amrita Dosanjh
Pediatric Pulmonology 36 years experience
A neurology evaluation may be indicated. Monitor her temperature, screen for COVID-19, and keep her well hydrated. A metabolic panel may be ordered by your Watch for shortness of breath.

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Last updated May 30, 2021

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