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

Sometimes children suffer from conditions where their feet may not be in proper shape or size, something that can affect their posture. Most of the times the disorders get corrected themselves as children grow up, but there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should, causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually, the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually, treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.


Common Orthopedic Disorders In Children

Benefits of breastfeeding 

Breast milk contains the right balance of nutrients for your baby. Breast milk is easier to digest than is commercial formula.
The antibodies in breast milk boost your baby's immune system. Breastfed babies get fewer colds and sinus and ear infections. They also have less diarrhea and constipation and a decreased chance of having allergies.
Helps to increase the bonding with your baby
Helps to reduce the risk of breast cancer in the mother
No frantic runs to the store. No bottle cleanup. Many moms just roll over (especially if their baby is in a co-sleeper) and nurse in a sleepy state. Breast milk is instantly available and delivered warm.
If you mostly breastfeed, you save money on formula
Breast-feeding might even help you lose weight after the baby is born.
Its tough in the begining
Consider a breastfeeding class while you're pregnant. Getting baby to latch on may not feel natural. Ask for help in the hospital. Those first days, you might feel what experts call extreme tenderness -- and what we call pain. But once your baby is properly latched, discomfort should diminish during each nursing session and go away completely with time. Don't ignore shooting pain; a knot in the breast accompanied by soreness and redness could be a plugged milk duct, which can lead to mastitis, a nasty infection that requires antibiotics.

Start by getting comfortable. Support yourself with pillows if needed. Then cradle your baby close to your breast rather than learning forward to bring your breast to your baby. Support the baby's head with one hand and support your breast with the other hand. Tickle your baby's lower lip with your nipple to encourage your baby's mouth to open wide. Look and listen for a rhythmic sucking and swallowing pattern.

If you need to remove the baby from your breast, first release the suction by inserting your finger into the corner of your baby's mouth. If your baby consistently nurses on only one breast at a feeding during the first few weeks, pump the other breast to relieve pressure and protect your milk supply.

You're the food supply, so mother yourself

The nutrient needs of a woman are at an alltime high during breastfeeding. Keep taking prenatal vitamins, get ample calcium. By weight, 88% of breast milk is water. Breast milk volume increases from as little as 50 ml on the first day, to as much as 750 ml a day, when breastfeeding is well established. So, the most critical nutrient needed for the production of ample breastmilk to meet a suckling baby s demand, is water. Aim to drink at least 1.5- 2 litres/day.

You'll also need to learn to relax, however you can -- stress might affect letdown (the start of your milk flow). Take a warm shower, sink into a chair, and remember to breathe as you help your squirmy baby latch on. 

Select wholesome food such as wholegrains, fruit, vegetables, low fat dairy products, lean meat, fish, poultry, eggs, beans, nuts and seeds to maximise the overall nutrient quality of your diet.If you need medication (for anything from a cold to a chronic condition), check with your doctor. Most meds -- but not all -- are fine in breast milk. 

Breastfeeding - Why Is It Advocated & Tips For Moms

Homeopathy is a natural and mild form of medication. The remedies are natural substances, which have been diluted and potentized. Homeopathic medicines are best applied during childhood and work very effectively with children. A child's self-defense or immunity gets stimulated naturally towards a healthier state without any kind of side effects. Homeopathic remedies are very safe, effective and mild. They are especially effective for children, on the grounds that the remedies work by stimulating vitality of a child's body. Children have a higher vitality naturally and thus, homeopathic medicines are extra effective during childhood. Moreover, homeopathic medicines are soft globules, which dissolve in the mouth. They are easy to take and have a sweet, pleasant taste as well.

Here is a list of diseases and disorders, which are common during the childhood along with their homeopathic remedies.

Teething
1. Chamomilla is used in case of painful teething during childhood. It is used when a child has got one hot cheek and one cold cheek.
2. Coffea cruda may be used to treat restlessness in teething children.
3. Calcarea phosphorica is another homeopathic remedy used for delayed and difficult teething in children.

Colic
1. Dioscorea is the common homeopathic medicine for treating colic cramps in the abdomen.
2. Colocynthis is also used to relieve intense cramps and pain in children. The irritability factor of the pain is treated.
3. Magnesia phosphorica treats colics with spasmodic or intermittent characteristics.

Fever
1. Aconite is an effective homeopathic remedy for treating sudden fever. The child's skin is likely to be hot, and the temperature of the cheeks may differ.
2. Ferrum phosphoricum is used for treating fever that occurs due to inflammatory problems. This kind of fever gives you pale, red cheeks.

Irritability and restlessness
1. Passiflora is an ideal homeopathic relaxant for children.
2. Avena sativa is used when a child cannot sleep due to restlessness.
3. Kali phosphorica treats restlessness in children occurring because of over stimulation.
4. Magnesia phosphorica and natrum phosphoricum are other homeopathic medicines, which act as relaxants.

Cough and cold
1. Ipecac is the best homeopathic remedy for constant coughing along with nausea.
2. Aconitum napellus is used when a child wakes up from sleep with a dry, hoarse cough.
3. Spongia tosta cures cold, croup and cough which start from the throat.
4. Antimonium tartaricum is the homeopathic medicine used when mucous accumulates in the chest, giving rise to coughing.

Homeopathy is best applied in childhood as a child is at risk of developing a number of diseases. A child's body is delicate and much more sensitive than adults and is prone to getting affected easily. Moreover, homeopathy is natural and is the safest form of medicine for children.

Why Homeopathy Is Best Applied in Childhood?

Measles or rubeola as it is also known is one of the leading causes of children s death around the world. This viral infection is communicable through the air and spreads through contact with infected saliva and mucus. Thus sharing cutlery or glassware with an infected person can increase a person s risk of suffering from this disease. Thankfully measles can be prevented through vaccination known as MMR. This vaccination is given to infants and also protects them against mumps, rubella and chickenpox. The first dose of MMR vaccination is given when the child is about 1 year old and a booster dose is repeated when the child is 4-6 years old.

One of the most characteristic symptoms of measles is a reddish rash that begins inside the mouth and later erupts all over the body. This is usually preceded by a high fever, cold, cough, sore throat and swelling of the lymph nodes. Fatigue, diarrhoea and redness of the eyes are other symptoms of this disease. Measles symptoms are not apparent the moment a person is exposed to the virus. It can take 7 to 18 days for symptoms to become visible after catching the infection, this is known as the incubation period. Measles affects adults is a more severe way than children.

Children and adults with a weak immune system are highly susceptible to complications associated with measles. In some cases, it can lead to life threatening conditions, such as pneumonia and encephalitis or inflammation of the brain. Other complications associated with measles include ear infections, bronchitis, blindness and a sharp fall in platelet count. A pregnant woman suffering from measles also has a high risk of miscarrying the baby or preterm labour.

There is no definitive form of treating measles and doctors typically address the symptoms while prescribing medication. In most cases, the symptoms and the virus should disappear in two to three weeks. Some of the common forms of medicine prescribed to deal with measles are:

Medication to relieve fever
Antibiotics to prevent or treat accompanying bacterial infections
Vitamin A supplements to reduce the severity of measles symptoms
Pain relievers to deal with muscle pains
In addition, the patient needs plenty of rest and fluids to strengthen the immune system. The use of a humidifier can also help treat a sore throat and cough. Bright lights can aggravate headaches and irritation and hence should be avoided. Hence, avoid watching television and activities like reading.

Measles - How They Affect You? + Treatment

Behavior of a child should always be closely monitored during his/her early development. Sometimes signs of several personality disorders tend to show up early in life. Proper monitoring of the child's behavior helps to identify the signs and properly diagnose the condition if the child is suffering from any potential personality disorder. 

Here are a few facts you should keep in mind:

1. You might often find it difficult to differentiate between the normal and abnormal behavior of your child. You might consult the pediatrician in this case to compare the child's general behavioral patterns with that of other children in the same age group.

2. It is very important to understand your child's development process. It helps you to interpret his/her behavior and to identify signs of personality disorder.

3. There are a few common behavior patterns, which tend to act as a guide to understanding the behavior of your child. Some of these patterns should be encouraged as they lead to proper behavioral development of your child while patterns of negative behavior should be discouraged. 

4.  You should also consult a doctor if your child shows negative behavior persistently even after disciplining measures.

5. Being polite, doing chores on a regular basis, following instructions should be encouraged and rewarded as it helps in the proper personality development of your child.

6. Behavioral patterns like an inclination towards defensive, regressive and aggressive behavior should not be encouraged but can be tolerated in certain situations like illness or in times of stress.

7.  Behavioral patterns like an increased inclination to violence or an excessive competitive attitude towards their siblings should never be allowed. 

8.  Prejudice or racism, stealing or inclination towards substance abuse, angry outbursts point towards problems in the child's mental, physical or social well-being. You are also advised to take your child to a psychological expert to find out whether he/she is suffering from any sort of behavioral disorder. 

9.  Your behavior also plays a major role in development of your child and his/her behavioral patterns. It is often seen that if a child is subjected to excessive physical, mental or emotional abuse or is engaged in too many curricular and extracurricular activities, he/she is likely to develop several behavioral disorders over time.

Child Development and Behavior

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