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

The tooth is made of 3 layers, each with unique characteristics and specific function, the enamel, dentin, and pulp. The enamel is the outermost layer of the tooth and gives the tooth it's hard and lustrous appearance. The enamel is thicker on the crown than the root and is the first one to be affected by tooth decay. The only symptom when the enamel is decayed is food lodgment and discoloration.

The dentin is the next layer, which is composed of minute fine tubules leading from the enamel to the living portion of the tooth, which is the pulp. Once decay progresses from the enamel, the dentin is affected, and this leads to sensitivity in the teeth. When the root portion is exposed to the oral environment, because the root is covered by a more delicate substance called cementum, more severe dental sensitivity ensues.

There is a sharp, shooting discomfort through the tooth to specific foods, such as sweet, acidic, or hot or cold foods.  The main reasons for tooth sensitivity include:
-  Tooth decay, both crown and root caries
-  Periodontal disease and gum recession
-  Tooth erosion 
-  Aggressive tooth brushing
-  Mouth breathing
-  Bruxism or night grinding 

However, there are some simple ways to manage sensitivity, which can be done regularly at home.
1. Toothpaste made for sensitive teeth: Potassium nitrate has been shown to block the tubules and has been included as an active ingredient in toothpastes. These are very effective, and if you are brushing twice, this can be used instead of the regular paste once.
2. Brushing: Both the type of toothbrush and the brushing technique can have an impact on sensitivity.  Change to softer brushes and learn the ideal way to brush your teeth. A lot of times, rough brushing can lead to erosion and subsequent sensitivity
3. Rinsing: Fluoride containing rinses have been proven to reduce sensitivity 
4. Food habits: Even before sensitivity sets in, being cautious to avoid acidic fruits and juices can help prolong the onset of sensitivity. If possible, consuming these food stuffs should be followed by brushing or at the least a thorough rinsing
5. Sealants: If a person is prone to caries (deep pits and fissures, for instance), then it is advisable to get sealants applied on the teeth. This can reduce the instance of wearing of the enamel which then leads to sensitivity
6. Mouth guard: If you are a night grinder, then a mouth guard can help curtail this habit and thereby reduce sensitivity.
There you go with how to reduce sensitivity. Try these simple, easy measures and go on to enjoy the sweets or hot or cold foods that you have always craved for.

Ways to Reduce Teeth Sensitivity

Child sexual abuse is a pressing issue in society today. Statistically, there has been a considerable increase in the number of cases related to juvenile sex abuse over the past decade. Most of the cases report the abuser to be a close family member or a family friend rather than a complete stranger.
Future Consequences-
A sexually abused child may develop severe mental health conditions and have major difficulties coping with as an adult. One of the most common disorders affecting survivors of child sexual abuse is Post-Traumatic Stress Disorder (PTSD). This involves the individual reliving the trauma all his/her life, thus leading to panic, stress and difficulties in living a healthy life in the longer run.
The individuals who were abused as a child normally suffer from a very low self -esteem. They continue to blame themselves for the events that occurred and hence have a rather demeaning view of themselves, leading to adjustment issues in the future.
They may also be diagnosed with clinical depression owing to the previous trauma. This hampers the everyday functioning of the individual. The individual may continue to relive the past traumatic events in the mind that further fuels their depression and contribute to the vicious cycle, eventually.
Most often, survivors of child sexual abuse have a rather impulsive nature owing to the hampered functioning of impulse-control. They have lesser control over their emotions, especially anger and are rather quick to act on it.
Because of all the complications, they might be less socially competent and thus fail to build firm peer relationships. They grow up to be adults with severe trust issues; they are hence, often side-lined because of their cynicism which leads to further depressive symptoms.
Genophobia or the fear of sex is another complication that they may experience as adults. They may avoid sex altogether or engage in sexual activities that are rather violent in nature. Some survivors may develop certain sexual fetishes that can be rather dangerous; the most common being  paedophilia  or the sexual arousal involving prepubescent children.
Conclusion-
The seriousness of the condition is often undermined. In treatment, various therapeutic techniques are used according to the need and age of the patient. Therapists work to promote positive thinking among the sufferers so that it becomes easy for them to accept their past and move on in life with a better outlook. With proper guidance and help, the individuals are able to overcome their mental health issues and live a wholesome life.


Sexual Abuse -  Mental and Psychological Effects on Children

Raising a child with dyslexia can stir up a lot of emotions. You may look ahead and wonder if this learning issue will affect your child's future. But dyslexia is not a prediction of failure. Dyslexia is quite common, and many successful individuals have dyslexia.

Research has proven that there are different ways of teaching that can help people with dyslexia succeed. There's a lot you can do as a parent too.

What are the symptoms of dyslexia?

Because dyslexia affects some people more severely than others, your child's symptoms may look different from those in another child. Some kids with dyslexia have trouble with reading and spelling. Others may struggle to write or to tell left from right.

Dyslexia can also make it difficult for people to express themselves clearly. It can be hard for them to structure their thoughts during conversation. They may have trouble finding the right words to say.

Others struggle to understand what they're hearing. This is especially true when someone uses nonliteral language such as jokes and sarcasm.

The signs you see may also look different at various ages. Some of the warning signs for dyslexia, such as a speech delay, appear before a child reaches kindergarten. More often, though, dyslexia is identified in grade school. As schoolwork gets more demanding, trouble processing language becomes more apparent.

Here are some signs to look out for:

Warning Signs in Preschool or Kindergarten

Has trouble recognizing the letters of the alphabet

Struggles to match letters to sounds, such as not knowing what sounds b or h make

Has difficulty blending sounds into words, such as connecting C-H-A-T to the word chat

Struggles to pronounce words correctly, such as saying 'mawn lower' instead of 'lawn mower'

Has difficulty learning new words

Has a smaller vocabulary than other kids the same age

Has trouble learning to count or say the days of the week and other common word sequences

Has trouble rhyming

Warning Signs in Grade School or Middle School

Struggles with reading and spelling

Confuses the order of letters, such as writing 'left' instead of 'felt'

Has trouble remembering facts and numbers

Has difficulty gripping a pencil

Has difficulty using proper grammar

Has trouble learning new skills and relies heavily on memorization

Gets tripped up by word problems in math

Has a tough time sounding out unfamiliar words

Has trouble following a sequence of directions

Warning Signs in High School

Struggles with reading out loud

Doesn't read at the expected grade level

Has trouble understanding jokes or idioms

Has difficulty organizing and managing time

Struggles to summarize a story

Has difficulty learning a foreign language

Skills that are affected by Dyslexia-

Dyslexia doesn't just affect reading and writing. Here are some everyday skills and activities your child may be struggling with because of this learning issue:

General

Appears bright, highly intelligent, and articulate but unable to read, write, or spell at grade level.

Labelled lazy, dumb, careless, immature, "not trying hard enough," or "behavior problem."

Isn't "behind enough" or "bad enough" to be helped in the school setting.

High in IQ, yet may not test well academically; tests well orally, but not written.

Feels dumb; has poor self-esteem; hides or covers up weaknesses with ingenious compensatory strategies; easily frustrated and emotional about school reading or testing.

Talented in art, drama, music, sports, mechanics, story-telling, sales, business, designing, building, or engineering.

Seems to "Zone out" or daydream often; gets lost easily or loses track of time.

Difficulty sustaining attention; seems "hyper" or "daydreamer."

Learns best through hands-on experience, demonstrations, experimentation, observation, and visual aids.

Vision, Reading, and Spelling Skills

Complains of dizziness, headaches or stomach aches while reading.

Confused by letters, numbers, words, sequences, or verbal explanations.

Reading or writing shows repetitions, additions, transpositions, omissions, substitutions, and reversals in letters, numbers and/or words.

Complains of feeling or seeing non-existent movement while reading, writing, or copying.

Seems to have difficulty with vision, yet eye exams don't reveal a problem.

Extremely keen sighted and observant, or lacks depth perception and peripheral vision.

Reads and rereads with little comprehension.

Spells phonetically and inconsistently.

Hearing and Speech Skills

Has extended hearing; hears things not said or apparent to others; easily distracted by sounds.

Difficulty putting thoughts into words; speaks in halting phrases; leaves sentences incomplete; stutters under stress; mispronounces long words, or transposes phrases, words, and syllables when speaking.

Writing and Motor Skills

Trouble with writing or copying; pencil grip is unusual; handwriting varies or is illegible.

Clumsy, uncoordinated, poor at ball or team sports; difficulties with fine and/or gross motor skills and tasks; prone to motion-sickness.

Can be ambidextrous, and often confuses left/right, over/under.

Math and Time Management Skills

Has difficulty telling time, managing time, learning sequenced information or tasks, or being on time.

Computing math shows dependence on finger counting and other tricks; knows answers, but can't do it on paper.

Can count, but has difficulty counting objects and dealing with money.

Can do arithmetic, but fails word problems; cannot grasp algebra or higher math.

Memory and Cognition

Excellent long-term memory for experiences, locations, and faces.

Poor memory for sequences, facts and information that has not been experienced.

Thinks primarily with images and feeling, not sounds or words (little internal dialogue).

Behavior, Health, Development and Personality

Extremely disorderly or compulsively orderly.

Can be class clown, trouble-maker, or too quiet.

Had unusually early or late developmental stages (talking, crawling, walking, tying shoes).

Prone to ear infections; sensitive to foods, additives, and chemical products.

Can be an extra deep or light sleeper; bedwetting beyond appropriate age.

Unusually high or low tolerance for pain.

Strong sense of justice; emotionally sensitive; strives for perfection.

What can be done at home for dyslexia?

Helping your child with dyslexia can be a challenge, particularly if you're never been confident in your own reading and writing skills. But you don't have to be an expert to help work on certain skills or strengthen your child's self-esteem.

Keep in mind that kids (and families) are all different, so not all options will work for you. Don't panic if the first strategies you try aren't effective. You may need to try several approaches to find what works best for your child. Here are some things you can try at home:

Read out loud every day

Tap into your child's interests

Use audiobooks

Look for apps and other high-tech help

Focus on effort, not outcome

Make your home reader-friendly

Boost confidence

What can make the journey easier?

Dyslexia can present challenges for your child and for you. But with the proper support, almost all people with dyslexia can become accurate readers. Your involvement will help tremendously.

Wherever you are in your journey, whether you're just starting out or are well on your way, this site can help you find more ways to support your child. Here are a few things that can help make the journey easier:

Connect with other parents. Remember that you're not alone. Use our safe online community to find parents like you.

Get behavior advice. Parenting Coach offers expert-approved strategies on a variety of issues that can affect children with dyslexia, including trouble with time management, anxiety and fear, frustration and low self-esteem.

Build a support plan. Come up with a game plan and anticipate what lies ahead.

Understanding dyslexia and looking for ways to help your child is an important first step. There's a lot you can do just don't feel you have to do everything all at once. Pace yourself. If you try a bunch of strategies at the same time, it might be hard to figure out which ones are working. And do your best to stay positive. Your love and support can make a big difference in your child's life.

9 Dyslexia Signs & Symptoms - Your Kid is Suffering from it!

Concentration problems and trouble in focusing on one task at a time can be termed as Attention Deficit Hyperactivity Disorder or ADHD, in rare and severe cases. While most of the cases are identified in one's childhood, it has been seen that many cases persist into adulthood while still others go completely undiagnosed. This mental health disorder comes with a number of symptoms and management methods. Read on to know more.

Symptoms: While many patients suffering from this disorder may not display any obvious symptoms at a young age as children are supposed to be brimming with energy, the symptoms for adult ADHD, start to show up in a more obvious fashion. Wavering concentration and low levels of focus along with disorganised living with impulsiveness are the first signs of adult ADHD. Such adults also have trouble when it comes to finishing one task at a time, or even focusing on a task for a prolonged period of time. Bouts of impatience and excessive activity can also show up as symptoms, while restlessness is a quality that most of these patients seem to possess.

Diagnosis: The diagnosis of this condition is slightly difficult because most adults may complain of some or the other symptoms related to this condition at some point in their lives. Anxiety and mood swing related symptoms can help in diagnosing the condition in a better manner. If the condition ends up disrupting your normal life, work, socialising and behaviour in general, then you may want to see a doctor regarding the same, so that proper diagnosis may take place.

Causes: While genetic predisposition is said to be the foremost cause of this condition, especially when it continues well into adulthood, there are various environmental factors that may also have a significant bearing on the onset of the condition. Exposure as a child increases the risk of falling prey to this condition. Also, when there are problems with the central nervous system during the developing years, the patient may start to develop symptoms connected with this disorder later on.

Treatment: Stimulants and other medication like anti-depressants, nonstimulant amphetamine are also used for treating this condition along with therapy and psychological counselling for better organisation in life.

ADHD in Adults

The habit of thumb sucking is very common in many toddlers and babies, but often disturbs the parents to a great extent. Before dealing with this habit, it is very imperative for parents to understand the cause of this behavior. The tendency of thumb sucking is quite normal for the babies as it makes them feel comforting.

Problems that occur with thumb sucking
There are certain problems that occur if the baby develops the habit of prolonged thumb sucking. The problem that occurs mainly on sucking the thumb for longer time is with the teeth of the toddlers which may result in speech problems. Some babies get over this habit of thumb sucking on their own without any adverse after affects. However, sometimes prolonged thumb sucking may result in irritation on the skin or lead to peeling off of the skin, causing discomfort and pain to the child. There are chances that even the nails on the fingers grow in a crooked manner because of infection caused by thumb sucking.

How to get your child to leave thumb sucking habit?

Parents must in any case not force their toddlers to stop this habit or get upset with them, as it can cause the toddler to develop this habit all the more.
A child mainly sucks his thumb for comfort, and the habit can be stopped by diverting their mind and offering the child a soft toy or giving them a special blanket.
It is better to give the toddler something to hold which makes him feel secure and comfortable.
It is very important to assess whether it is a problem before stopping the habit of thumb sucking. But if the habit continues, it may affect the alignment of the teeth.
It is always better to make use of ways like positive reinforcement and encouraging behavior change in your child. Parents must set up a reward system and take a note of the days the child does not suck his thumb. It is important that parents praise their child verbally and give them some reward at the end of the month.
The best and simple way to quit the habit of thumb sucking is to cover the thumb with a thumb guard or mittens.
The best way to help your child quit the habit would be to distract him or her and involve them in activities that would require the use of both the hands. Parents can keep their child busy by giving them puzzles or blocks to play.

Thumb-sucking Habit - 7 Things to Keep in Mind!

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