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If a child has been diagnosed with transitory benign chest wall pain (TBCWP), family members are generally encouraged to:
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Believe that the child’s pain is real. Although harmless, TBCWP is real and can sometimes cause a child to cry – partly from fear and partly from pain. Adults who have experienced this pain agree that it is not at all imaginary, but a definite sensation that occurs for no apparent reason. In rare instances, a young child may imitate someone they know who has chest pain. However, in general, this type of chest pain is not caused by psychological factors or an attempt to avoid school or work. A child who experiences TBCWP may be frustrated if told that the pain is only in the mind or made up to get out of some chore or school work.
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Explain to the child that that even though the pain is present, it is harmless. TBCWP occurs in many normal, healthy people and does not require medical attention. If the condition occurs, the child should understand that it will pass but may recur. No matter how often it recurs, it does not cause any medical problems and they should do their best to carry on normally. The child will be relieved to hear this, especially if the pain has occurred several times and continually causes concerns.
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Listen to the child if he or she wants to express feelings about the pain. However, do not encourage the child to dwell on the condition. Continue to offer reassurances about its harmlessness.
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