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

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don t come up to irritate your throat.
Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don t have asthma as steam can prove harmful for you.
Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.
By following these few tips every day, you can manage the night time cough and have a good night s sleep without any interruptions.

Night Time Cough - 5 Tips to Manage it

You often get into this mess of losing part or whole of the tooth, and this is actually a nasty situation in several ways. You may get severe pain there, or the sharp edge of the broken tooth may cut the cheek and other areas of the skin in the mouth white chewing or biting. Besides, if left untreated the broken part may accumulate dirt and food particles and can later form serious infections in the gum too. It looks bad too when a front tooth is broken, and often leaves your inner mount with cuts and abrasions when the sharp edge of the broken tooth rips of skin inside the mouth as you chew.


The first aid part


There are several ways to manage the broken tooth, and the first steps of first aid after the incident are as follows:
-  To control the acute pain after the tooth break, you may take a painkiller like acetaminophen. This will soothe the pain, and make it much easier and bearable.
-  You must try sticking some sugar-less chewing gum on the tooth to prevent cutting inside the mouth. In case a gum is not available, you may try putting some simple wax in there.
-  Try gulping the food and chew less, or go on a liquid diet to avoid touch of much food with the broken tooth unless it gets the first treatment.


Filing and Bonding- the initial treatment
On going to the dentist based on the tooth break condition, you will be suggested various remedies. A tooth filing or bonding is the general remedy. If a small portion of the tooth is broken, then the tooth can be simply filed in case it is one of the rear teeth. The tooth will be chipped and filed to smoothen the cut edge so that it never again pokes the skin around. 
If the break is not small, then bonding is a good option. The dentist fills the rest of the tooth space with a resin or porcelain material to make it look whole and natural again, and this solves the problem both physically and cosmetically.


Crowning the tooth
If the tooth is damaged more than a root canalling may be needed, and thereafter a cap or crown will be worn over the broken teeth so that it gets a natural look and the hardness to chew. You may lose sensations permanently on the tooth if the root nerve is blocked during the process. Else you will have a cosmetically working tooth for a few years until the crown wears off and needs a re-crowning.

How To Repair Chipped Front Tooth In Child

Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong. 
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

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Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

When it comes to babies and their sleeping habits, you have to understand that every baby is different and has different needs. Thus, certain things that may work for one set of parents may not necessarily work for the other. Thus, here are a few tips that will ensure that your child gets ample of undisturbed sleep and stays healthy and fit: 

1. Learn to distinguish when your baby starts feeling tired: Once your child starts feeling tired, he/she will definitely show specific signs that he/she requires some sleep. Some common signs  are:
a) The constant eye rubbing 
b) Yawning
c)  Getting a bit fussy and cranky 
Put your baby to sleep as soon as possible when he/she starts showing such signs. If your baby gets overtired, it will be all the more difficult for him to fall asleep. 

2. Set a proper sleep cycle: Ensure that you set a suitable sleep cycle for your baby. Train your child to sleep during the night and play during the day. Ensure that you keep your kid busy during the day, ensuring that he/she stays awake even after a feed, so that he is tired by night time and sleeps properly all throughout the night. At night, when your child gets up for a feed, ensure that you do not turn on the lights. Instead, make sure to keep the room in semi-darkness so he/she goes back to sleep effectively. 

3. Ensure that your baby is full: If your baby is hungry and has not had his fill, it will tend to disrupt his sleep. Thus, ensure that your baby is well fed before you put him to sleep. For example, if during the day you feed the child after every three hours, as evening approaches feed him every two hours. This will ensure that he is well fed before he goes to sleep.

4. Let go the burping occasionally: Babies do not avidly breastfeed at night. Thus, it is not essential that you wait for him to burp every time he feeds.  

5. Give a Massage: Another way to ensure that your baby sleeps properly is to give him a good massage. A massage will help the child to relax and thus sleep better.

Tips To Ensure Regular Sleep For Your Baby

There is always a sense of anxiety, whenever we tend to start off with something new, as people are resistant to change. It is more so in the case of young children. School refusal refers to the refusal of children to attend school as a result of emotional distress. This school refusal can wreak a kind of havoc on families.

Elaborate on symptoms a little more and causes

Symptoms

There are certain symptoms related to the refusal of children to attend schools. They include:

Often it comes in the form of tantrums
Frequent complaints of stomachaches, vomiting, nausea, exhaustion, headaches or diarrhea
There could be loud meltdowns in an overwhelming manner, which include their refusal to leave the house, running down the street to avoid getting inside the car or on the school bus
Children might even become aggressive and lash out at their parents with physical blows
Child feeling fearful of being alone in a room or dark


Causes

Some of the primary causes include:

It arises out of students having a feeling of separation from their parents and homely atmosphere, hence, leading to anxiety
It comes out of an emotional attachment which children tend to have with their parents, especially mothers
Children tend to feel scared with the thought of getting into an unknown atmosphere all of a sudden.
Consistent fear of criticism, ridiculing, confrontation or punishment by the teacher or any other person in the school
Having learning difficulties
Being afraid of qualifying the tests
Not feeling comfortable with school activities like singing, playing or attending school assembly
Fear of being ridiculed due to appearance, clothes, weight, etc.
Fear of being bullied by a class or schoolmate
How Can Children be Helped to Get Rid of this Problem?

The ideal treatment to help all those children struggling with school refusal includes a team approach. It will be beneficial to have a strong team which includes the class teacher, family and if possible, a mental health professionals. The steps include:

1. Assess: The very first step is to complete medical and psychological examination. Given the fact that school refusal is usually linked to an underlying anxiety or depressive disorder, it is necessary to get to the root of the problem and begin there. This would include both family and teacher questionnaires for interviews.

2. Cognitive Behavioral Therapy: This is a very structured form of therapy, which helps children to identify their maladaptive patterns of thought and also learn replacement behaviours. It would help children to confront and work through their anxiety.

3. Desensitization in a Systematic Manner: Those children who struggle with school refusal, need a graded approach to return to school. They can return for a some increased amount of time and then gradually build upon it.

4. Training for Relaxation: This is extremely essential for all those children who struggle with anxiety. Some of the relaxation strategies include deep breathing, guided imagery and mindfulness, which kids practice at home and also utilize in school.

5. Plan for Re-entry: The treatment team even creates a plan to help children re-enter the classroom. The plan includes contingencies to help the student during anxious moments throughout the day.

6. Routine and Structure: Children who are anxious can even benefit from routines at home that are predictable. Establishing healthy sleeping habits and a regular sleep cycle during holidays and on weekends can yield positive results.

School Refusal - Symptoms, Causes & Treatments Of It!

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