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Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow (know Main Indicators of a Heart Disease in a Child). 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.
Hi sir My kid s 4 years old baby girl. She s having sleeplessness. By birth she s like that. It s very difficult maintain my kid to sleep. Bt she's very active. We also facing like sleeping problem by her. Cani get any ayurvedic medicine for my child.
Meri daughter wo 5+ ki hai pr bahut weak hai sab, khati hai pr growth bilkul nahi hai, weight 10 kg, hai. please ap koi tonic bataye.
Sir my son has one problem. He is 7 years old. He always going motion in his pant in lightly. Weekly once I gave dulcolax tab then only he go to toilet. He has this problem last four months but I don't have any worry about that. Now last one month he lost more weight and he don't like to eat anything. So I was scared about him. What's the reason for that.
Hello my son has been prescribed augmentin 5 ml for 7 days by a ent specialist. earlier he was prescribed augmentin 2 months back by pediatrician. This year alone my son has taken augmentin thrice. Does it have any impact on the lung run. I am hearing a lot about antibiotic abuse and that taking antibiotics for minor illness causes it to not show any improvement. Is it correct. What to do when in future he is prescribed augmentin again.
The stress of a modern lifestyle have taken a toll on the mental health of the population all over the world. Earlier, it was adults who were mostly affected by the problems of depression, anxiety and stress. However, with the passage of time, even children are also suffering from major mental health problems, the roots of which again are anxiety, stress and depression.
Reasons behind it
Be it adults or children, the major cause of health issues is stress. Stress doesn’t only cause mental health problems, but serious physiological disorders as well such as hypertension, diabetes, heart diseases, sexual problems as well as other issues. If the anxiety or stress persists, it would then slowly develop into a pattern of the mind and then become conditioned, thus leading to depression. Nowadays, children are also being afflicted by depression. Similar to adults, depression in children is caused due to any combination of factors that are related to life events, physical health, family history, genetic vulnerability, environment and biochemical disturbance. It should be noted that depression is not just a passing phase. The symptoms are often left undiagnosed as well as untreated. This is because they are passed off as normal psychological and emotional changes that occur naturally during growth.
Some of the typical symptoms are:
1. Loss of interest in pleasurable activities such as hobbies or crafts which were pursued earlier eagerly
2. Loss of concentration
3. Sudden outbursts
4. Sleeping too much or sleeping too little, suddenly waking up early in the morning
5. Constant fatigue, decreased energy and being slower than usual at tasks
6. Excessively low appetite or increased appetite which would thus result in weight loss or binge eating resulting in weight gain
7. The development of physiological disorders which may stop responding to treatment. Many children develop headaches or digestion problems which aren’t resolved by medication.
8. Always sad or irritable or in a depressed mood
9. May find it difficult to sleep or concentrate on work and thus, studies and grades may suffer
10. Extreme and sudden mood changes accompanied by incessant crying
11. Suicidal thoughts
12. Loss of energy as well as lowered self esteem
With children, you have to be extra careful not to ill-diagnose the problems and if they persist for more than a few weeks, you should seek professional help. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My baby feeding lactogen .In what color does baby pass the motion. My baby passing the motion in cement color nd sometimes yellow.
My daughter is 3 months old. She vomits out milk at an interval of 2- 3 days. Its not spitting up digested milk its clear milk after feeding her. It happens when we try to give her burp. Is it normal. Please guide.
My daughter is of 9 years. She is still suffering from bed wetting. What may be the reason? Any suggestions for treatment?
Sir hm logo ko 1 baby hui h 5 /6/16ko. But meri wife ne Av tk use breastfeeding nai karaya h. Qki baby nursery me h. Meri wife k dono boobs Bahut hi hard ho gaye h. To kya ye breastfeeding na karane ki vajah se h. Aur agar Aisa h to kya mai uska breastfeeding kar sakta Hu. Isse Mujhe ya use koi problem you nai hogi. Please help us.
I am 16 years old. I sometimes feel a sharp pain in my chest sometimes in the left side but more often in the right side. It pains for 8 to 10 seconds and then stops. I am fit and fine but only the heart pains sometimes. Additional information: I have acnes (like 2 to 3 are produced in 10 days and it is significantly reduced as compared to a year ago). Some hairs of mine have also turned white (10-15).
Hi I have 2 months old baby. And last night we have done unprotected sex. I don't want to be pregnant again. What should I do? if I use any pills, won't it harmful my 2 months old baby who is feeding my milk? please help.
Hi doctor. I am on vacation & my 6.5 years is complaining of stomach pain and throwing up even water also she is going for frequent urination. Please suggest what to do.
My girl child aged 5.1 years not taking food on its own and always hesitate to take food for that his weight is less. So please suggest some tips to increase his appetite. Thank you.
Spitting up, refusing to try new foods and occasionally turning up their noses at feeding times, is normal but consistently refusing food and water, vomiting and allergies may indicate an underlying medical condition that requires attention. Common feeding problems that affect infants include sucking, prolonged chewing without swallowing, holding food in their mouth and grabbing food. Infants who are unable to close their mouths in order to keep food inside may also be said to be suffering from feeding problems.
Feeding problems could be triggered by medical conditions like a cleft palate, premature birth, respiratory problems, low birth weight etc. or by non-medical reasons such as the child’s feeling of being unloved or stressed. Symptoms of feeding problems vary from infant to infant. However, some of the common symptoms exhibited are:
Problems with chewing
Refusing to eat foods or drink liquids
Long feeding times
Coughing or gagging while feeding
Difficulty with breast or bottle feeding
Nasal stuffiness while eating
Recurring respiratory infections
Vomiting or excessive spitting up of food
Arching the back while feeding
Disinterest in feeding
Though feeding problems are minor in most cases, it is important to consult a doctor if this behaviour continues over a period of time. This is because the child may be suffering from an underlying medical condition or could be at an increased risk of suffering from dehydration, aspiration and lung problems. It could also lead to delayed physical and mental development, speech problems and cognitive issues.
Feeding problems are addressed in many different ways. The first step to dealing with feeding problems is to change the texture and temperature of food being given to the baby. In addition, try changing the posture of the baby while feeding.
In some cases, mouth exercises may be needed to strengthen the mouth muscles. Chewing exercises and tongue movement may also help reduce feeding problems.
Encourage your infant to try different types of food by including different textures in their daily meals. Alternating food textures and liquids can make it easier for the infant to swallow the food. Do not force your child to eat in a hurry but let him or her take their own time.
In cases where the infant is not gaining weight, the doctor may suggest nutritional changes and a specific diet to help gain weight. In emergency cases, hospitalisation may also be required and your baby may be given a feeding tube to ensure he or she receives adequate nutrition.