Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 34 years of experience on Lybrate.com. Find the best Pediatricians online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Rajashri Shanbagh Nee Joshi
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. Rajashri Shanbagh Nee JoshiYour feedback matters!
Hi sir I have a 4 month old daughter who is suffering from hydrocephalus what are the treatment and where it possible.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
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.
My son 5 month usually give out milk in the form of curd. Is there any problem of digestion. Pls advice.
Hello Doctors, Is there any impact for taking CT scan for brain for 3 months baby. Yesterday my son fell down from cot around 2 feet night so doctor advised to take CT scan for brain? Please suggest.
I have a kid for 2 years. Suddenly one morning on 08/12/2017 she started vomiting. Vomiting was continuous say 7- 8 times. She was admitted to hospital for 24 Hours. Now she is okay. During hospitalization she was given drip and various injections. Before discharge doctor has prescribed Ondem syrup and Rantac syrup. The same problem i.e frequent vomiting occurred during the month of June 2017. At that time she was admitted to ICU for 24 hours. I am not able to make out the reasons behind vomiting. Please come up with answer.
If you are experiencing a whizzing sound while you breathe or having difficulty in breathing, you are suffering from asthma. It is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. There is no definite way to prevent asthma, but by following a step-by-step daily plan, you can prevent asthma attacks or keep them in check. Here are some important measures to follow to prevent asthma:
- You need to strictly follow your asthma action plan. The plan should be laid down after a detailed discussion with a doctor or healthcare team. All the medicines you require to prevent the asthma attacks will be written down for you.
- You should get vaccinated for pneumonia and influenza. This will prevent these conditions from triggering asthma attacks or flare-ups.
- You need to identify the asthma triggers and stay away from them. Several outdoors irritants and allergens from pollen to cold air can trigger asthma attacks.
- You have to monitor your breathing. By recognising the warning signs of an attack like wheezing, slight coughing or shortness of breath, you can prevent an asthma attack. You need to measure and record your peak airflow regularly using a home peak flow meter.
- By acting quickly, you can identify a fatal attack and prevent it from occurring. When the peak flow measurement decreases, you need to take your medicines immediately and abstain from any activity which may have triggered the attack.
- You need to keep taking your prescribed medicines, even if your asthma symptoms have improved. You should not change your medication schedule without consulting a doctor. It is recommended that you to bring along the medicines you take at your doctor’s appointment as he will be able to tell whether you are taking them right.
- If you use your quick relief inhaler a lot, the asthma is not under control. You need to visit your doctor as soon as possible and he/she will make some modifications to your treatment.
- For prevention of asthma, you should use allergy proof pillow covers and mattresses. You must wash your bedding every week in hot water to eliminate dust mites. You may use a dehumidifier for reducing excess moisture to prevent mold.
- Do not allow your pets in the bedroom and on the furniture. Pet dander is a common trigger of asthma and it cannot be avoided by people who own pets.
- You can also fit an air filtration system in your home. It will help in the elimination of asthma triggers such as pollen, dust mites and other allergens.
Many doctors suggest immunotherapy for asthma prevention in the form of allergy shots. Immunotherapy aims at altering a person’s immune response by making it less sensitive to asthma triggers.