Questions & Answers about У него болит грудь.
Because Russian often expresses physical states like something hurts with a structure that is closer to at him than to he.
So:
- он = he
- у него = literally at him / he has
In sentences about pain, Russian commonly says:
- У меня болит голова. = I have a headache / literally At me, the head hurts
- У него болит грудь. = His chest hurts
So у него marks the person experiencing the pain, not the grammatical subject of the verb.
The basic genitive form of он is его, but after many prepositions, Russian adds н-:
- у него
- к нему
- с ним
- для него
So after у, you must say у него, not у его.