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

Hearing loss is experienced by millions of people these days. Ageing is not the only factor that brings hearing impairment. The causes are many. Certain medications, continuous exposure to loud noise, genetic involvement, injury and some medical conditions may cause hearing loss.

There are quite a few myths that people have come to believe about hearing loss over the years. Since it is such a common phenomenon, here we take a look at the common myths surrounding hearing loss.

Myth no. 1: Hearing loss is exclusive to elderly.

Fact: As said before, hearing loss can be an outcome of various causes. Nearly half of the people suffering from the same are below the age of 55 years. No matter what your age is, you must always get your ears checked, especially if you are feeling that are you missing things.

Myth no. 2: Diagnosing hearing loss is easy.

Fact: Most people do not come to know about the condition until it gets worse. Also, your physician never really checks for hearing loss symptoms in a general check-up unless you ask for it specifically.

So, always get a check-up done, like you do for other probable diseases.

Myth no. 3: There's no effective solution for hearing loss.

Fact: Like there have been advancements in the medical field for everything else, there are aids available these days that improve your hearing and have finer adjustments for noise adaptation. Also, there are certain other procedures and surgeries that have proved to improve the condition in many.

So, seek help as soon as possible.

Myth no. 4: The sounds aren't loud enough; my ears are healthy and fine.

Fact: If there is a problem you're experiencing with hearing, you have got to accept that and get it treated. Avoiding a certain condition will only get things worse for you.

Also, hearing aids are no more a stigma. Ear aid devices have designs similar to earphones these days, which are comfortable enough to wear. Ignoring a medical condition or inability to accept the same would only do more harm instead of making things fine.


Common Myths About Hearing Loss

Typhoid is an infectious bacterial fever with an eruption of red spots on the chest and abdomen and severe intestinal irritation, brought about by the Salmonella typhi bacteria. It can also be brought about by Salmonella paratyphi, a related bacterium that generally causes a less extreme sickness. The bacteria are stored in water or in the food by a human carrier and are then spread to other individuals around them.

Multiple Ways to Prevent Typhoid Fever

Vaccination: Take one dose of the vaccine one week before travelling. The other is given orally in four cases, with one container to be taken every alternate day. Neither one of the vaccines is 100% effective. Both require repetitive immunisation since the effect of vaccines diminishes over time.
Washing your hands: Frequently washing your hands in hot, soapy water is the most ideal approach to control contamination. Wash before eating or cooking food and after using the toilet. Use a hand sanitiser in cases where water isn't accessible.
Drinking clean water: There are a few ways in which you can avoid getting typhoid fever spread by contaminated water.
Abstain from drinking untreated water.
Contaminated drinking water is a specific issue in areas where typhoid fever is endemic. Thus, drink only boiled or filtered water, or canned or packaged carbonated drinks.
Carbonated filtered water is more secure than non-carbonated filtered water.
Request drinks without ice.
Use filtered water to brush your teeth and try not to swallow water in the shower.
Clean water can get contaminated again in case it is not put away securely.
Store the clean drinking water in a container with a little opening and use it within four hours.
Staying away from raw fruits and vegetables: Maintain a strategic distance from crude foods grown in the ground. Since crude produce may have been washed away in water, maintain distance from products of the soil that you cannot peel, particularly lettuce. To be totally protected, you might need to stay away from street food completely.
Cooking: Pick hot foods. Keep away from food that is put away or served at room temperature. Steaming hot nourishments are ideal. Also, in spite of all precautions, there is no assurance that the food served at the finest restaurants is safe for your health. It is best to stay away from foods served by street side vendors. Completely cook all meats, fish and vegetables. Eat them while they are still hot.
Washing: Wash your dishes and utensils with proper dish washing soap and water. Wash your cutting board particularly well with a cleanser and water.
Peeling: Peeling fruits and vegetables protects you from typhoid. Eat natural products that have been freshly washed and peeled, for example, oranges and bananas.

Typhoid Fever - Follow These Steps and Prevent It!

Asthma is a respiratory disorder, which is characterized by the narrowing down and inflammation of the inner lining of the airways of the lung, resulting in excessive secretion of mucous. The airways are responsible for the passage of air from and to the lungs. Asthma can affect any person of any age group; however, the symptoms of the condition can vary. The symptoms of asthma include severe pain in the chest, coughing and problems in breathing, interruption in sleep due to breathing problems and a croaking sound during exhalation. Asthma, in most cases, tends to be chronic and can exist throughout your life with eventual changes in the nature of attack.

The most common causes of asthma are:

    Common cold and allergies from dust particles, smoke and minute insects might be catalysts for asthma.
    Suffering from severe anxiety might also cause asthma.
    Asthma might occur as a result of physical exercise and as a side effect of some medications such as ibuprofen and aspirin.

As of now, asthma is incurable. But medications can control the symptoms. Homeopathic preparations can also be useful for the treatment of asthma. Some common homeopathic remedies are as follows:
1. Arsenic album: If the symptoms include severe episodes of stress and nervousness, immense thirst but the inability to drink much water, severe attacks at night and intense pain in the upper right portion of the chest, Arsenic Album might be very useful to cure the problem.
2. Nux Vomica: If the attack is primarily caused because of gastric disorders or sudden outbursts of anger along with symptoms of dry cough, headaches and stomach aches, Nux Vomica might be used as a remedial medicine.
3. Carbo Veg: Carbo veg can be recommended if the symptoms include a pale face at the time of attack along with cold feet and hands and an itchy sensation in the larynx.
4. Kali bichromicum and Moschus: If the attacks become worse in the morning accompanied by yellow mucus discharge, the above mentioned homeopathic preparations are recommended.

Asthma: Breathing Made Easy with Homeopathy

Bathing  the newborn baby is a pleasurable experience both for the mother and the baby. It can also be defined as a process through which the mother and child bond. A mother understands the requirements of the child and the baby adapts itself to the cleanliness regime of the mother.
When should I start bathing my new born baby?
According to guidelines of WHO, initial bath for a term newborn weighing more than 2.5kg should be given 6 hours after birth. In the term low birth weight babies weighing less than 2.5kgs, only sponge bath is to be given, till the weight crosses 2.5kg.
Dip baths can be given once the umbilical cord falls off i.e. by 7 -10 days. Till then sponge baths are to be given.
How should I bathe my baby?
The room should be warm and free from draught of air as a wet baby can easily catch the chill. Check the temperature of the bath water before placing the baby in the bath tub. The depth of the water should be 5 cms upto the hip of the baby. Eyes can be cleaned by using one sterile water-soaked cotton swab for each eye. The Head should be washed last and dried first to prevent exposure due to large surface area. Pay special attention to skin folds of the neck, behind the ears, underarms, and diaper area. Also wash between the fingers and the toes.
What cleanser/ soap should I use for my baby?
Do not use soap for the first 1 month of life. After that, use any mild unmedicated soap or liquid cleanser with acidic/ neutral pH, that maintains the pH of the baby's skin. Avoid scented soaps and bubble baths.
How frequently should I bathe my baby?
In summer months, daily baths can be given. In winters, dip bath may be given twice/thrice a week and rest of the days, it is preferable to sponge the baby.
Hair wash can be given twice  a week.
A word of caution:
Never leave your baby unattended  to in the bath tub.Bath tub should be disinfected after use.

How Should I Bath My Baby

As a parent, we all love our children deeply. And most of us will agree that these days parenting is very demanding and exhausting instead of pleasurable and joyous process. What has changed? It is not that children are any different. The difference is in the environment around them with stronger social influences; and this also affects the way we parent. In today's more democratic and egalitarian world; 'Do as I say and not as I do' style of parenting does not work. But, 'I will do as I see you doing' phrase from kids define our parent child relationship.

With change in social environment and influence, our strategies for correcting their behaviour and impart discipline has to undergo adaptation! When there are so many confusing and conflicting signals reach to our kids from their environment, whether we like it or not, we are still their role models. How positive parenting style will help? The core principle of positive parenting is to accept your child as an individual. We are in a democratic society and family is a small yet important part of society. Democracy does not mean allowing disrespectful and irresponsible behaviour; rather to effectively help kids change their behaviour and create harmonious and cooperative relationship with them. It also means that we as a parent need to learn to think, act and react in a different way.

Through, positive parenting, you will learn respectful disciplining methods, which would work better than demanding compliance. Through these principles and tips you will get your child to listen without screaming, nagging, reminding or evoking rebellious behaviour. More importantly this is all about building stronger relationship bond with your children and nurture them through early childhood to teen age years as they become independent, responsible, capable, kind, happy and successful young adults.

Tips to get you started:

1. Everyone deserves to be treated with respect and dignity, including children.

2. When your kid misbehaves instead of shouting or hitting, control your anger and respond in a calm and respectful way. Calmer but firmer tone and lower voice, yet not giving into their repeated demand, is much more effective as a discipline tool compare to nagging.

3. Understandable that you have a lot on your plate, such as work, managing and keeping the home in order, managing meals and other outside responsibilities, kids sports or extracurricular activities, family obligations and so on. It is easy to get lost in all these 'have to do' activities. Parenting shouldn't be just one more task to deal with. Reconnecting with your parenting goals and aspirations periodically will help take the stress out of it and add fun into it. Spend some time daily (10 minutes will do as well!) to just listen and enjoy your child (without correcting them or giving them suggestion to improve!).

4. Let your love for them be the driving force. Shift your internal conversations from 'have to' to 'Want to'. As you do enormous things for your child each day, think how you are supporting their ambitions. How you are helping them become independent and strong. How you are nurturing qualities like compassion and deep listening by extending yourself.

5. Give promises and keep them. As your children grow they need much more than your words to trust and rely on you. Keeping your promises, letting them know if you need to change the plan, taking their opinion in appropriate matter will go a long way.

6. Seek to understand and do not impose yourself on your child. Especially when they are in their teenage, as a parent you have lot of worries, you are afraid of them making mistakes and of course you want to protect them from vices. Listening to them while keeping your focus on genuinely understanding them is the only way to go, when they know you understand them and they can trust you, the street between both of you turns two way street! They will be open to your wisdom and suggestion when they are at the cross road.

7. Last but not the least, 'be a role model'. Don't preach. If they see you disrespecting others, they will not respect you. If they see you hooked on your smart phone; that is their license to keep theirs in front of their eyes 24/7. If you are hooked in front of the TV till late night and haven't picked up a book in last 6 months. Advice about reading is going to fall on dumb ears. In short, be the change you want to see in your children.

8. Have family nights at least once in a week, play cards, board games or go for a walk together. Talk and listen. Just be there and listen without judgement and criticism, without thinking about how to correct them. Just enjoy each other's company and see how they are changing their opinion about you. Positive parenting doesn't mean you will never have problems in your family. You will? if you are alive and growing family. Positive parenting style will open up the avenues to keep communication alive; it will open your children to your influence. Isn't it something that we all wish for!!

Positive Parenting

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