Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 42 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Ashis SahwYour feedback matters!
My two and half years old daughter sucks thumb. Is it safe to use female lotion to stop her to suck thumb?
My child is just one month old. She is suffering from cold and continuous diarrhoea. Doctor prescribed taxim o and zinc dry syrup. What can I do?
Hello sir, My son 4 month is weak due to prolonged diarrhea. Can we give multivitamin syrup Lysupra syrup abbott to him to improve the health. Lysupra syrup contain vit a, b. C.D e. Zinc 5mg, lysine5mg and traces of cu.
Hi! My 4 months old baby boy is fearing from sounds from last 2-3 days, he suddenly wakes up from fear and cries. He is also fearing from very small sounds even when he is awake. He was never like this until from last 2-3 days. I am really worried. Please guide me.
My son is 14 now. He doesn't have any physical activity and just or play on the phone most of the time. We do not have any playground nearby. He feels lethargic, sometimes breathing problem for a while. Lately,he has started eating any papers, he chews straws, bites his nails .He smells everything like books or AC. I don't understand what's happening to him as he is also tensed about his studies took him to the doctor and she gave him a multivitamin. I want him to be healthy .please help.
My 6 years girl every two months cold and fever but before one year start homeopathic last two years nit cold but again start every two months cold and cough and fever what can I do.
Mera 10 month kaa beta he kal raat se ushe ulti dast ho rhi he, kuch bhi dete he to vomating ho jati he, ushe relyte your enterogemina ab thk diya he par aaram nhi he, please suggest.
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.