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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.
Hi will be 4 years old this month end, shud I gv her any iron or calcium supplement as her weight is low than average, she is 13 kgs at this age. Also her feeding habits r vry forcefully done including milk. please advice.
My grand son is hyper active. He is 5 years old. All the time he does some thing without caring for its consequences. Please advice what do we do to change him.
I have again done the stool test of my child. My child is 1 month 22 days old. The stool test report is as under: Colour- Yellow with Reddish streak. Consistency: Semisolid, Odour: Offensive, Mucus (), Reaction: Ph 6.0, Occult Blood: Positive (ve), RBC: 6-8/Hpf, Pus Cells: 2-3/ Hpf, Bacteria flora: Normal, Veg Cells, Starch, Fat globules are Nil. We see some little drops of blood in his stool when he passes stool most of time. Dr. (Pediatrician) advised us to go surgeon for checking the cause of stool. What can we do now? Why there is blood in his stool and what is his problem. My child is normal habitual and his body temperature is also normal. He is only breastfed.
My son is almost 4 & 1/2 years old. From past 2 months he has been complaining about stomach pain. since two weeks ago he was suffering from loose motions and I consulted a doctor and also told about his frequent stomach pain. She prescribed Normet and Zinconia and also told to deworm him with Zentel syrup. Now its very frequent and he complains every time whenever he eats something. I also feels that his stools are smelly from past two days. Kindly advice on the same. Could you please suggest any specific diet. Thanks.
My baby who is 3 months old keeps crying even when she is not hungry or for no reason. continuous crying for so long without any reason. Please suggest the possible reason and do we have any solution for the same. How long this crying activity last.
Umbilical stump of my new born daughter (7days old) is removed. But I still see a small wound around the area, is this normal? do I need to apply any cream or ointment to heal the wound.
My daughter is about to be 9 years old. Since the age of 5/6 years she has been seen rubbing her genital portion. What could be the likely cause and what as a parent should we do?
My 14 month daughter is on breastfeed and don't take anything else and looks weak, when we try give any eatables to her she simply deny ,she don't even drink cows milk, need expert opinion as we are very anxious for her.
Hi doctor my son is 22 months old. He s very stubborn. And he crying and achieve in the things wat ever he wants. Can I send him to play group now so tat he can talk well and will b able to learn things. I feel like tat. Give a good idea. He s so stubborn.
My 5 years old daughter is having burning sensation while passing urine? Does she have a urine infection? Also she is having frequent urination with only drops of urine coming out?
My child date of birth is 09/09/2012, but yet he is not speking, rest growth is ok. Please suggest the treatment.
My baby is 3 months old and sometimes makes sound while breathing. Especially after she cries or while taking top feed. Deep impressions between stomach and rib cage while breathing. Visited three paeditrition. All confirmed that it is normal. Can you please help.
Hello doctor, my baby boy of 3 months and 10 days is not take sufficient Brest milk. Though we are trying to feed him several times. In this situation last Monday and Tuesday day I also feed him Nestle Nan pro stage 1. But he is not interest to feed the artificial milk and also suffering constipation. Should I continued to feed him the Nestle Nan Pro 1 or only feed him mothers breast milk.
According to research published in October in the journal Electromagnetic Biology and Medicine, children absorb significantly more cell phone radiation than previously thought.
This is because children have smaller heads and thinner skulls than adults, which means their bone marrow can absorb up to 10 times the radiation that an adult's might.
While this doesn't tell us if phones are more dangerous for children, it does suggest that there's a need for caution with children regarding phone usage until more research is done.
What are temper tantrums?
Temper tantrums are a way a young child lets out strong emotions before he or she is able to express them in socially acceptable ways. Although a child may seem totally out of control, these fits of rage, stomping, screaming, and throwing himself or herself to the floor are a normal part of childhood development. Temper tantrums often happen only with a parent. They are a way a child communicates his or her feelings. Parents can learn from their child by understanding the situation that caused the temper tantrum to erupt.
Temper tantrums often begin at about 1 year of age and continue until age 2 to 3. They begin to diminish as a child becomes more able to communicate his or her wants and needs.
What causes temper tantrums?
As a young child learns more and becomes more independent, he or she wants to do more than he or she can physically and emotionally manage. This is frustrating to the child and the frustrations are expressed in a variety of ways. Temper tantrums are worse and happen more often when a child is hungry, tired, or sick. Some reasons children have temper tantrums include the following:
Want to be on their own, and get upset when they can't do what they want
Are in a transition (such as from day care to home)
Are trying to get attention to test the rules
Have something taken away from them
Have not learned all the words to tell you what they are feeling or want and this upsets them
Do not understand what you want them to do
Are tired or hungry
Are worried or upset
Feel stress in the home
How to prevent temper tantrums
Although temper tantrums sometimes happen without warning, parents can often tell when a child is becoming upset. Knowing the situations when your child is more likely to have a tantrum and thinking ahead may help. An example is not letting your child become overtired or hungry. Some suggestions for preventing or minimizing temper tantrums include the following:
Stick to routines for meals and sleep times. Avoid long outings, delayed meals, and naps.
Distract your child with a toy he or she is allowed to have.
Be reasonable about what to expect from your child, and do not expect your child to be perfect.
Help your child to avoid frustration. Prepare your child for changes or events by talking about them before they happen.
Let your child know your rules and stick to them.
How to respond during a temper tantrum
The following are helpful hints regarding the most appropriate ways to respond during your child's temper tantrum:
Ignore the child until he or she is calmer. Keep doing whatever you were doing before the tantrum happens.
Do not hit or spank your child.
Do not give in to the tantrum. When parents give in, children learn to use inappropriate behavior to get their way.
Do not bribe your child to stop the tantrum. The child then learns to act inappropriately to get a reward.
Remove potentially dangerous objects from your child or your child's path.
Use time-out for a short period to allow the child to get back in control.
What else should parents know about temper tantrums?
Temper tantrums generally happen less often as children get older. Children should play and act normally between tantrums. However, talk with your child's healthcare provider if any of the following happen:
Temper tantrums are severe, last long, or happen very often.
Your child has a lot of trouble talking and cannot let you know what he or she needs.
Temper tantrums continue or get worse after 3 to 4 years of age.
Your child has signs of illness along with temper tantrums or holds his or her breath to cause fainting.
Your child harms himself or herself or others during tantrums.