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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.
Diagnosis of Valvar Aortic Stenosis:
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:
- Feeling breathless
- Angina or chest pain with a feeling of pressure or tightness
- Syncope of fainting
- Palpitations and enhanced heartbeats
- A steady decline in regular activities and energy levels
- Fatigue due to little exertion
- Not gaining weight
- Poor eating patterns
- Problems in breathing
The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.
Echocardiogram: The initial test that is recommended for patients with symptoms of valvar aortic stenosis is Doppler Echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.
Other major tests which help in the diagnosis of valvar aortic stenosis include:
- MRI or magnetic resonance imaging, which provides images of internal body structures with great detail.
- CT scan or computed tomography where three-dimensional images are extracted.
- Chest X ray
- Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.
Treatment: Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.
Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.
Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.
He is 7 years old . And the problem is .he is doing bed wet when he sleep 3 or 4 times in night. So please suggest .
Hello my son is 4 months old. He sleeps at night for 7 to 8hrs in one stretch but he does not pee while sleeping. Do I need to worry?
My 2months baby girl has been coughing for almost a week, no fever but with her cough, i'm worried something might be wrong with her? She coughs when she tries to burp or when she gets choked and it worries me. Now, when she coughs, i've now noticed that she is starting to have short breaths. Her nose was blocked, took her to the health centre, they gave her saline drops. I discussed with them about her cough also, I was told when I reach home to steam her. This is the 4th day I have been steaming her. I feel she is getting worse, since she is starting to have short breaths. Please help. Need advice.
We welcome our bundle of joy with old, washed, sun dried clothes as they are almost sterile. New clothes are probably handled by many and may be infected. The breast feeding is started with the help of young unmarried girl. This educates the girl about this AMRIT SAVEN. Mother is given ajwayan water which helps to lactate. On the sixth day bua does the ceremony of chatti by giving bath and putting on new clothes to baby. By sixth day the umbilical cord falls and there after the baby should be given a bath. On the occasion of chatti mother is given all kind of foods and after that she is supposed to have everything including all fruits, vegetables and dal, then ladoos or panjiri rich in ghee, dry fruits. These help mother for extra calories and minerals especially calcium and iron required postpartum. In this ceremony Bua plays an important role and rewarded with lots of gifts by bhabhi for the hard work she has been doing and will do after that, till 45 days. During these crucial 45 days outsiders are not allowed to get in mother?s room as people coming from outside may infect the child . The child is never left alone, a knife or a match boxes is kept besides baby, it is a primitive method to save the baby from animals and strangers. The God (baby and mother) has come and the duo should be prayed (taken care) and not do pooja or attend functions