### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My son is 14 he has a severe petus. 3.5 which was a year ago. In the last year he has developed heart puputation he has a very rapid heart beat to the point he feels in his ears and very noticeable in his chest when it happends sometimes during sleeping which wakes him up at night. He is having a lot of chest pain which takes him to his knees but only last for few seconds to couple mins he said it feels like a very bad leg crap or stitches. Is petus was not notice a birth he was born at just under 34 weeks old he had bad yellow jaundice and was keeped in chamer for 2 weeks getting a tan..... He started puberty at 11 and half years old and we notice the hole in chest about 2 mouths into puberty. He was very active kids played hockey loved sports.. Now he is pulled out of all sports and even gym class, he is always out of breath talking meds being treated for very bad asthma. Any flu virus that he comes in contact with, he needs steroids to open his winds pipes. His X-rays shows his heart is on his left the doctor is very worried that his heart is being smashed from his petus we are waiting for his new X-rays to confirmed. I have been told he will need nuss surgery but they have to wait for 16 years of age. I m very worried and feel very strongly that he needs this surgery before 16 years of age?

### output:

Hello, Palpitations are common among teens. Most commonly due to anxiety.  However, if he is also having pain, then he ought to be seen by his pediatrician who may order an EKG to make sure your grandson does not have a heart rhythm disturbance which can also cause palpitations.  While you are at the doctor's office inform the doctor about your grandchildren difficulty breathing and ask the physician if your grandsons' asthma could be better controlled.  The doctors who will know the best time to perform your grandsons' chest surgery for rectus excavated are a pediatric cardiothoracic surgeon and pediatric general surgeon.  You might consider contacting one of these pediatric surgeons for a second opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 