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

Children generally tend to be fairly over active and have lesser attention spans. However, when this tends to get into their performance at school and in general with getting along with other children it may be a sign of ADD or attention deficit disorder. Let's look at some of the common symptoms of this disorder.

Symptoms of ADD

1. Problems in staying focused: One of the very basic symptom is that children will often be very inattentive even during classes and will be easily distracted by small things.

2. Problems in trying to remember things or difficulty in following instructions: Children with attention deficit disorder tend to have issues with remembering things and if given tasks, being unable to complete as they can't remember instructions properly.

3. Issues with organizing, planning and trying to finish tasks: Due to the lack of attention, kids have problems retaining information and cannot plan or finish tasks given to them on a daily basis.

4. Easily bored or loses interest: Even if a child with ADD starts with something they like, interest may wane off quickly. Thus it is difficult to make them stick to a specific work schedule which may require regular practice.

5. Lack of attention to details and making careless mistakes: This is another trait of children with attention deficit disorder. They may be able to complete a task, but it will be fraught with mistakes as they wouldn't have much attention to detail.

6. Has a tendency to not listen when someone is speaking to them: This is also very common and is usually tied to being easily distracted and thus will drift off or not listen to when someone is speaking to them.

Some Myths about ADD

a. All kids with ADD are hyperactive
b. They will eventually grow out of it
c. Medication is the only option to treat ADD
d. ADD is not really a disorder and kids need to be trained better

Most of these are half truths and the extent of the problems varies from child to child. Only proper counseling will be able to diagnose the extent of the problem and what needs to be done.

How to spot ADD in Children

ADD can be spotted in children aged below 7 years via certain symptoms. Apart from the ones mentioned above, children generally tend be abrasive towards others and can make embarrassing comments quite often. They also change tasks very quickly without completing any of them. Any distraction would force them to change their track. It is best to go to a child specialist to get your child checked out for possible symptoms.

Symptoms and Myths About Attention Deficit Disorder (ADD) and How to Spot Them in Children

You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.

Signs and symptoms

The early-stage symptoms of hearing loss in children are as follows:

No reaction to extremely loud noises

No response or reaction to your voice

The child makes some sounds, which taper off

The other symptoms which follow include:

He may pull and rub his ears.

He may act cranky constantly without any proper reason.

He might stop paying attention.

Low energy levels are indicated.

He may find it hard to follow directions.

He may ask you to increase the volume of the radio or TV.

Fever and ear pain are also likely symptoms.

Treatment

Early hearing loss can affect a child s language learning skills. If the problem is diagnosed and treated soon, the problem with language can be avoided. The method of treatment depends on the cause of hearing loss in your child and the severity of hearing loss.

There are certain medicines for hearing---prescribed by your ENT Surgeon. Please take the point watchful waiting. Even, if you have the slightest doubt of hearing loss contact ENT immediately.

The primary treatment methods of hearing loss in children include the following:

Watchful waiting: Sometimes, the condition may resolve on its own and the treatment involves simple monitoring of your child for positive changes.

Medicines: There are certain medicines for hearing loss in children, which may be prescribed by your pediatrician.

Ear tubes: Ear tubes may be recommended if medicines and monitoring do not work. The tubes allow fluid to drain and help in preventing infections. A minor surgery has to be undertaken on your child for getting the ear tubes placed. This will solve hearing loss and other related issues.

Hearing aids: Hearing aids may be used to allow your child to hear better. It is safe for children to use ear tubes after the age of one month. For the right hearing aid for your child, you need to consult a hearing specialist.

Implants: Cochlear implants are used to treat hearing loss in many children. These are electronic devices that are put in the inner ear to benefit hearing. These should be used only if hearing aids did not succeed and these are meant to be used only in the case of children with serious hearing problems.

There are several other devices, which can help your child with hearing loss. For suggestions and recommendations, you must take your child to a hearing specialist.

Hearing Loss In Children - Signs And Treatment Of It!

Parents sometimes tend to neglect their children due to various reasons. However, this negligence influences the children severely. It can affect the development, personality, relationship traits of the children. Every child needs care and love. Parents are naturally the closest people in a child s world. Negligence from the closest people can lead to destructive character traits in their personality.

1. Attachment problems: One of the primary and direct effects of parental negligence towards children can lead children to be less attached with family. If a child does not get the warmth and care from parents, he automatically detaches from the family bonding and even does not develop the love and compassionate feelings for the family. This pattern hardly changes over time, and it can even lead to problematic relationship of the child in the future. The child may not be able to be close to his own children later.

2. Brain development: Children are tender and sensitive, just like floral buds. Every stimulus has an action. For instance, a child who is affected by malnutrition suffers from weak neural cells. This can be a reason behind weak brain functions. The basic pillars of brain processes, that is, thinking and logical thinking, everything is affected due to parental negligence. It may lead to low level of self-confidence, depression, frustration, anxiety, troubled thoughts and emotional distortions.

Signs of parental negligence in children

1. Eating Disorders

2. Disrupted Sleep

3. Withdrawal from family bonding

4. Aggressive attitude

5. Bed wetting

6. Missing out school

7. Obsessive traits in behavioural patterns

8. Nightmares

9. Sudden change in attitude and behaviours

10. Depression

11. Violence

Every child seeks complete attention and love of his or her parents. However, parents may neglect them due to work stress, social obligations, personal problems and other such reasons. But parents should be considerate about the developmental barriers that could be posed due to this type of negligence. Some children also show eating habit changes, abusive attitude, violence or sometimes even plunge into complete isolation. While children require free scope to let their emotional and mental development boost with social activities, neglected children can withdraw themselves from social activities.

This means no friends, no social activity in life. This is a major reason for depression, suicidal attempts, deformed thought processes and misled lifestyle. As a parent, you can offer your optimum care and affection to your child to avoid such mental distortions, which can be avoided with love and warmth.

How Neglect from Parents Affects Your Child?

If your child has become increasingly addicted to sweets and other sugary items, this addiction can lead to certain behavioral problems (like mood swings, irritability, anger, etc) in children. Moreover, a high sugar intake can lead to your child falling prey to serious diseases and conditions, including diabetes, obesity and cardiovascular diseases. 

Here's what you can do to break your child's indulgent habits and wean him from ill-health causing culprits like cakes, ice creams, candies, chocolates and rich and creamy desserts etc.

1. Practice what you preach -
In order to develop healthy eating habits in your child, it is imperative for you as a parent to lead by example. When it comes to weaning your child from sugary foods and sweets, you yourself should limit your intake. So, if you tell your child to avoid sweets but love sweets yourself, you'd be setting a bad example by eating them yourself and not letting your child have them. The best thing to do is to be a role model to your child as children learn everything from their parents. 

2. Curb consumption of sugar by deferring intake to a later date -
Instead of depriving your child completely, it would prove to be more useful to tell them that they could have sweets on some other day. This is because if you deny him his indulgence, your child would invariably go on an eating spree the moment an opportunity arises. A study on a group of restrained eaters and non-diet individuals revealed that restrained eaters were found to consume more food than the non-dieting individuals. Not knowing when they could have their favourite foods again, they went on an eating spree.
Make frequent yet small offerings of sweets while explaining to him the importance of moderation and why he/she shouldn't overindulge but space out sugar intake.

3. Try the 90/10 rule - 
Teaching older children the 90/10 principle is another sure-shot way of breaking your child?'s addiction to sweets. The rule calls for 90% of the diet to be made up of healthy food with the remaining 10% being devoted to foods your child wants to indulge in such as junk food, sweets or foods with high sugar content. The total calorie intake that arises from consumption of about 10% or 1-2 fun foods is only about 100-200 calories everyday. 

4. Present your child with healthy alternatives to sugary items -
The next time your child wants to indulge in his sugar craving, instead of giving a processed sugary food, give healthier sweet foods like dates, honey or a fresh sweet fruit. 



4 Excellent Ways to Break Your Child's Addiction to Sweets

Everybody desires to possess a beautiful smile but poor lifestyle and dietary habits tend to damage the natural white hue of your teeth and add a yellowish tinge to it. Yellowish and dull teeth are among the major factors that cause embarrassment and affect the quality of your beautiful smile.

The following are some foods that tend to damage your teeth:

1. Potato chips- potato chips are high in starch content and have the tendency to get stuck in your teeth. Floss thoroughly after eating potato chips to ensure effective removal of the food particles that get stuck in your teeth to lessen the risk of plaque build-up in it.

2. Sticky food- food which is sticky in nature often has the tendency to stick on to your teeth for longer than most other foods. Most dried fruits also fall under the category of sticky foods that can damage your teeth to a great extent. Rinse and floss on a regular basis after eating these foods to ensure protection of your teeth against damage.

3. Wine- according to studies, wine has positive effect on your health when consumed moderately; however, it is also responsible for damaging your oral health. If you intake a glass of wine at night on a regular basis, it increases the risk of damaging your tooth enamel and leads to its discoloration. Wine can also affect the calcium content of your teeth, cause bad breath and may result in the imbalance of your mouth's ph level. It is advisable to drink small sips of wine without swishing it for a long time.

4. Coffee and black tea- black tea and caffeinated coffee tend to dry your mouth. Frequent consumption of tea and coffee tend to stain your teeth and it is responsible for the discoloration of your teeth. Make it a point to drink plenty of water to minimize the risk of teeth staining.

5. Carbonated drinks- most carbonated drinks, including diet soda and soft drinks are acidic in composition and therefore, harmful for the health of your teeth. Caffeinated beverages tend to dry out the mouth, therefore, ensure to drink adequate water to balance out the negative impact of the caffeine.

6. Sports drinks- most energy drinks and sports drinks are high in sugar content and thus, have the tendency to damage your oral hygiene; ultimately affecting the appearance of your teeth. Replace your sports drinks with fresh natural juice to lessen the risk of teeth damage.

Foods That Are Ruining Your Perfect Smile

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