Brief Answer: give Tylenol for pain relief Detailed Answer: Hi, Thank you for your query on Healthcare Magic. Pain in the centre of the chest in children is most commonly due to a musculoskeletal origin such as arising from the rib cage. Ask him for any history of injury. Some times acidity or heart burn also present with a central chest pain behind the sternum. Examine the child chest for any redness, swelling or tenderness which are indicative of injury. Ask for any burning in stomach or belching or fullness of stomach which are suggestive of acidity or gastritis. Some times inflammation of ribs or rib junctions also present with pain and it can be known by the presence of tender points on touching chest wall. For pain relief, I suggest you to give Tylenol (paracetamol) or Ibuprofen in prescribed dose if the pain looks like of arising from rib cage. If the pain persists, I advice you to consult the doctor for physical examination and further management. Hope I have answered your query, if you have any clarification please let me know. Regards.

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