Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. 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.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Early childhood is a time when the brain develops rapidly and nutrition is an important part of healthy brain development. It is important for children to eat a variety of foods that can provide them with the proper intake of carbohydrate, protein, good fats, minerals, vitamins and antioxidants. There is a very strong mind-gut connection; therefore focusing on the food you choose to complete the nutritional needs of your child can make a great difference in their brain function.

Certain foods are better for our brains than others, these brain foods may help boost a child's brain growth and even improve the memory and cognitive development.

During infancy, the amino acids and fatty acids in breast milk are ideal for optimal brain development. The brain continues to grow throughout early childhood and children who do no consume a balanced diet are at risk of developing mental retardation and behavioral problem.

10 brain foods to feed the mind and body properly:

1. Whole grains: Brain needs a consistent supply of glucose, thus foods those are high in refined sugars and carbohydrates leads to rapid fluctuation in blood glucose levels and the brain doesn't get the steady fuel supply and energy for proper functioning, therefore to nourish the most active part of body include whole-grain breads, oatmeal, roasted grains in the diet of children for regular release of glucose in body. Oats are also rich in vitamin-B, Vitamin-E, potassium and zinc.

2. Eggs: The protein and nutrients in eggs help kids concentrate because the egg yolks are packed with choline which boosts memory. Eggs are also rich in protein, which provides energy to help the brain stay alert longer.

3. Fish: Fish is a good source of vitamin D and omega-3s, which protect the brain from declining mental skills and memory loss. Salmon, tuna, and sardines are all rich in Omega-3s. The more Omega-3s we can get to the brain, the better it will function and the better kids will be able to focus.

4. Seeds: Packed with protein, essential fatty acids, vitamins and minerals. Seeds may boost mood and keep your nervous system in check. For example sunflower seed butter as they are rich in folate, vitamin E and selenium and are safe for nut-free zones.try to include seeds directly to the meals.

5. Iron is important for brain development: Preschoolers and toddlers typically eat less iron-rich foods than they did in infancy. In addition, the iron that children get is usually non-Heme iron (from plant sources,) which has lower availability than heme iron (from animal source).sources beef, nuts and dark leafy vegetable (spinach) and tofu.

6. Milk and Yoghurt: Milk and yoghurt contains healthy fats and proteins those are important for brain health. The majority of the brain is made up of fat, so it is no wonder healthy fat is important to feed the developing brain. Protein is important as it can help brain cells send and receive information effectively. Yoghurt also contains good bacteria that will help boost your child's immune system as well as aid digestion, children need higher dose of vitamin D, which is present in dairy and its products.

7. Organic Foods and leafy vegetables: These organic foods are free from pesticides and insecticides and preservatives and do not cause neurodevelopment problems in children, which will impair proper brain functioning. Green leafy vegetables are loaded with vitamin A and K; these keep inflammation at bay .e.g. Spinach, kale, lettuce.

8. Walnuts: The high level of antioxidants, vitamin and minerals in walnuts improves the cognitive health of kids and improve their mental alertness also.

9. Colorful veggies: Vegetables with a rich, deep color such as tomatoes, sweet potatoes, pumpkin, carrots, and spinach are the best sources of antioxidants that support brain health and keep brain cells strong. These foods can be given from weaning age.

10. Berries: The color of the food tells the nutritional value of it. All the berries like strawberry, cherries, blueberries and blackberries have intense color are especially rich in vitamin C and high levels of antioxidants. Blueberries have high levels of Gallic acid, which boost memory by preventing degeneration of brain cells.

So, go ahead and try to include different food group to your Child's plate for a better performance.

Must Have Brain Foods for Your Kids!

When you become a mother for the first time it is a completely new experience which may often leave you feeling exhausted and wondering whether all the things are being done right. First time motherhood is a beautiful as well as a harrowing experience at the same time. Although there are many important things to keep in mind, you can keep the responsibilities simple and streamlined in order to remember them. 

Some of these are mentioned below

Properly handling your baby   New mothers tend to be very careful anyway with their new born children. However, first time inexperience may cause harm to your baby inadvertently. Some of the things you need to be careful about while handling you baby are
Supporting and cradling the head and neck of your baby, especially while handling them is very important.
When you handle your baby, be careful enough to ensure that you don t shake or jerk them too hard. Always be very mindful of the fragility of your baby s body.
Keeping your hands clean every time before you handle your baby is extremely important.
Keep a hand sanitizer handy for this reason. Also, if you have to attend to your baby in the middle of house chores, such as kitchen work, wash your hands thoroughly with soap and wipe clean before handling your baby.
Perfecting your breast feeding technique is very important   One of the more important things to consider is getting attuned to your lactation cycles; either storing the excess milk for later or ensuring your baby is fed properly according to your cycles as well as his or her demand. Some of the points that need to be kept in mind are
It is important to know how to improve and make the best out of your breast milk through improved breast feeding techniques. Thus, visit a lactation consultant who can easily formulate a plan for you and optimize your breast feeding techniques.
Although breast milk is very important, some minerals can only be supplied by specialized formulas. The best way to balance between breast milk and formulas and you lactation consultant along with your doctor should be able to give you some pointers.
Your breasts will become sore after repeated feeding or suction. It is important to perform warm compress and heat massages to ensure that they don t hurt.
Soothing your baby   The only way your baby can communicate with you is via sounds such as crying and babbling. Thus soothing and comforting the baby is something which you may already do instinctively, but you may have to fine tune your technique slightly. Some of the things to keep in mind would be  
Swaying or swaddling you baby in a way that mimics the coziness of your womb
The baby can be kept entertained with sound and lights
Keep your baby warm, but not too warm depending on the season. Striking the correct balance is very critical.
Try to make the cleaning and changing process enjoyable for your baby by integrating play and fun into it.
Sleep for the mother and the baby   The priority at this point in time is to ensure your baby s growth and health. Thus, live by the principle that you sleep when your baby sleeps. Ensure that you adjust your routine to get the best results to minimize feeling tired all the time. New mothers tend to lose a lot of sleep and thus have interrupted circadian rhythms that affect their body. It is very important to maintain your mental composure and also be able to focus on your baby better.

First Time Mothers - Things You Should Take Care Of!

Scabies is a highly infectious disease, which is caused by very tiny wingless insects called the Human itch mite or scabies mite. The insect lays 1 to 3 eggs daily after burrowing into the skin. A small, almost invisible blister is formed on the area. You might also feel an urge to itch especially at night, which would likely cause a red rash to form on the scratched area. Sides of fingers, in between the fingers, the back of your hands, the wrists, elbow, and armpits are the common areas where scabies affect. It is generally spread when you come in close contact to any infected person or their belongings. Scabies can occur at any age, but is most common among children.

Treating scabies with homeopathy:

Homeopathy, due to its safe and natural medicines are the best alternative in treating scabies. It attacks the infection at the roots and does not let it reappear. Here given below are some of the best homeopathic remedies:

    Sulphur: If you are suffering from a recurrent or suppressed form of scabies, Sulphur is one of the best remedy for you. You might feel an intense urge to scratch the area, which worsens with when washed and exposed to heat. Your skin might be extremely sensitive to air, wind as well as washing.
    Causticum: If you have scabies in the folds of the skin and between the thighs, causticum works well for you. Intense itching, scratching and soreness are some of the symptoms you experience.
    Arsenic Album: The infection occurs in the bend of your knees and it could be dry as well as full of small pustules. You may experience itching and a burning sensation around the area. Application of cold water may also make you feel better. These symptoms are well treated with Arsenic Album.
    Sepia: It is one of the best homeopathic remedy if you have scabies, and scratching the area as much as it feels, would not give you any kind of relief. Your skin might turn pinkish and the condition worsens when exposed to open air. You may also feel better in a warm room.
    Psorinum: You can opt for this medicine if you have any past history of scabies. If your infection has not been properly cured, it can result into internal infection e.g., asthma, heart ailments etc. You might not want to stop itching until your skin starts bleeding. You may feel better if you lie down for some time.

How Best to Treat Scabies with Homeopathy

The primary or milk teeth begins to erupt at about 6 months of life with the complete set in place by 2.5 years of age, and the entire set is replaced by the age of 14. The benefits of some of the preventive dental measures are outlined below.

Maternal care during pregnancy: the teeth begin to form during the second trimester of pregnancy. It is very important that the maternal diet includes sufficient amounts of calcium, potassium, and fluoride for optimal tooth mineralization. Good tooth structure has greater resistance to decay than hypomineralized teeth.

Routine oral hygiene: for the first 6 months, though there are no teeth, after each nursing, end it with a spoonful or two of water to wash down the milk. Gradually, the gums can be just wiped with a gauze pad or soft cotton to remove any residual bacteria. The baby also gets used to this habit, and once the teeth are in, there are lesser bacteria for the decay process to begin.

Once the teeth begin to erupt, the nursing habits also need to be modified to ensure the baby is not allowed to go to sleep with a bottle. This is a common practice to put the baby to sleep and should be avoided to reduce the occurrence of nursing bottle caries.

Fluoride application: fluoride has been shown to have significant benefits in preventing caries. Once routine dental visits begin, then the dentist will be able to tell if fluoride needs to be applied. This can happen either in the form of a gel or varnish that is applied in the dental office or as a paste that is used at home. This helps in building resistance to decay.

Pit and fissure sealants: the tooth has a number of pits and fissures which are 8 times more vulnerable to decay than other surfaces. Deep pits are shown to harbor more bacteria and thereby greater incidence of caries. There are sealants which are thin resins that can be applied on the tooth, which can reduce bacteria accumulation and further decay.

Space maintainers: in the event that a child has lost a tooth, either due to trauma or decay and subsequent infection, then a space maintainer should be placed within the next 3 months. This helps in maintaining the space and establishing a good bite during the transition phase and later, once the permanent teeth are in place.

Orthodontic treatment: if there is malocclusion, then early intervention helps by reducing treatment time and getting better results as the teeth and periodontium are still very elastic and are more malleable to movement.

By doing these preventive measures early in life, the result is a child who has healthier teeth, less decay, less pain, and a happy smile all the time!

Benefits of Preventive Dental Treatments in Children

Child nutrition from age 6 months to 5 years Growth and development of a child depends on the nourishment received by the child right from birth. Healthy diet and proper eating habits are essential to be inculcated in a child as early as possible. A balanced diet given to the child at the earliest provides all nutrients required for adequate growth and development. Nutritional value of every food item introduced in the child s diet should be gauged prior and then given to the child. 

Nutritional requirement of children varies in accordance to the age group. It is necessary that the parents should have knowledge about the age-specific requirements of the diet, which will benefit the child in their growing years. 

Following is the ideal child nutrition ranging from the age group of 6 months to 5 years. 

1. 6 months to 12 months

A. Right from the birth of a newborn child, it is necessary to begin breastfeeding for the baby. It should begin within an hour of the child s birth. It is the ideal way of providing proper nutrition to the child. 

B. Breastfeeding is beneficial by providing nourishment and also by improving the immunity of the baby. 

C. From birth to 6 months, only breastfeeding is advised. It is a critical source of nutrition for the child even during illness. 

D. After the baby turns 6 months old, solid food can be introduced in the child s diet.

E. Breastfeeding can be continued and supplemented with other food items.

F. Usually, fruit juices are introduced first in the diet.

G. Feeding bottle should be avoided and the child should be fed with a spoon and cup. Proper hygiene and good handling of the food is required. 

H. It is necessary to wipe the gums and developing teeth clean with a wet gauge to prevent any decay that can be caused by sticking of the food on the teeth surfaces fed to the child.

2. 1 year to 3 years

A. Children in this age group can tell when they feel full after feeding. It is necessary to listen to their demand for food and also avoid overfeeding children.

B. This age group requires children to eat all types of nutrients, so parents should focus on providing a variety of food items to replenish their child s nutritional requirements.

C. Children in this age group require fat-rich foods and should be given dairy products for calcium requirements.

D. Processed foods should not be given to children in this age. Calories intake should be monitored to the optimum level. 

E. Since children at this age are involved in activities like walking, running around and playing it is essential to keep feeding them at regular intervals to maintain the energy levels of their bodies.

3. 3 years to 5 years.

A. Children belonging to this age group require to eat a well-balanced, nutrient rich diet. 

B. Grains should be included on a routine basis. They provide the child with carbohydrates, fibers and minerals. All these nutrients provide energy to the child s body. 

C. Inclusion of whole wheat grains provides fibers in adequate quantity. 

D. Refined foods should be avoided, whole grain breads should be included in the diet. 

E. Fruit intake should be increased, as they are an important source of various vitamins. Fresh fruit should always be preferred over juices for growing children. 

F. Sugar intake should be kept to a minimum quantity, since refined sugars do more harm to the child s health than any good. 

G. Vegetables should form a considerably greater part of the child s daily diet, with the inclusion of a variety of vegetables. 

H. Protein sources of food include meat, poultry, pulses, beans and nuts. Along with protein, these food items also provide iron, zinc and minerals to the body. 

Apart from the above specified food items, daily intake of milk is necessary for children of growing age. It provides the body with sufficient calcium to facilitate bone growth in growing children. Also, nuts like walnuts, almonds, cashews are advised to be given to the children daily.

Nutrition Tips For Children From Age 6 Months To 5 Years!

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