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My sisters sons aged 2 year & 3 year they were too naughty and they have some habits like split of saliva and beating others we feel quite difficult to control and change their behavior.
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.
Dear DoctorGreetings! My Daughter Pranjana Age 4.5 Years is sometimes having a problem of vomiting in late night. She also suffers from cold and fever in case of even a minor changes in the climate. Also to inform you that this is a premature baby in 7.5 Months only. Request you to kindly advice; would be preferred if an homeopathy prescription is advised. Regards. Pradeep Saraswat.
Can we give baby of 5 months anything else than mother feeding? Or we should continue mothers milk till 6 months can you suggest me at what month I should start giving my child juice or any other liquid cereal? Please sugest?
Is your child refusing to grab anything other than chicken nuggets? When your child’s nutrition is an aching subject to deal with in your household, remember you are not the only one. Many parents are actually worried about the fussiness of their children over food. But your child’s food preferences would also mature with age. Until then, you can consider trying out these following tips to avoid any kind of mealtime hassles.
Respect your child's appetite or lack of one: Respect your child’s level of appetite and never force a meal, if your child is not hungry. Rather, serve small portions to give them an opportunity to ask for more, on their own.
Stick to the routine: Maintain a routine and serve snacks and meals at about the same time every day. Also, keep a check on the number of times you serve those mid meal snacks and try to stick to that count.
Be patient with new foods: Have patience with new food. Take time in introducing it to your child by talking about the food’s shape, color, aroma and texture, if not the taste.
Make it fun: Try out innovative ways of garnishing your food so as to make the whole eating experience a fun and a thrilling one for your child.
Recruit your child's help: At the grocery store, ask your child to help you select vegetables, fruits and other healthy foods. But keep off those foods which you would not want you child to eat.
Set an example: Set an example by yourself by eating all kinds of nutritious and healthy foods, in order to set that perfect example for your child.
Cut Distractions: Make sure to switch off from any sort of a distraction, such as the television or the washing machine and other electronic gadgets while feeding your child.
Don't offer dessert as a reward: Do not reward your child with desserts at the end of the meal as this sends them an indication that the dessert is the best dish among all.
Do not cook a separate meal: Do not cook a separate meal for your child after he/she has refused the original one as this might encourage picky eating even more.