- Female
- 1 Years
- 07/02/2025
I'm really worried about my daughter who's 81 days old. She has a PDA of 3.2mm as per her recent echo report, but last month it was 3.7mm. Her breathing isn't normal during feeding times. Do you think the PDA can close on its own, or should we be considering surgery? If surgery is needed, are there any long-term health issues we should be concerned about? I'd really appreciate some guidance on this.
Answered by 1 Apollo Doctors
considering the improvement from 3.7mm in the previous month, the decision for closure can be made based on various factors such as symptoms and overall health condition. If the breathing condition is abnormal during feeding, it may indicate the need for intervention. If surgical closure is recommended, it is generally a safe procedure with low risk. Some potential complications after PDA closure surgery may include infection, bleeding, or rare instances of residual shunting. However, the benefits of closing a significant PDA usually outweigh the risks. One commonly prescribed medication post-PDA closure surgery is Ibuprofen at a dosage of 10 mgkgdose every 6 hours for 3 doses, followed by 5 mgkgdose every 6 hours for 48 hours. This helps in reducing inflammation and promoting closure of the ductus arteriosus. It is important to follow up with your pediatric cardiologist for regular check-ups and monitoring to ensure proper healing and development. If you notice any concerning symptoms or changes in your daughter's health, do not hesitate to seek medical attention.
Dr. Anshul Suggests...
Consult a Paediatric Cardiologist
Answered 04/07/2025
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View allI'm really concerned about my 6-month-old who's been diagnosed with an 8 mm ostium secundum ASD and a left to right shunt. What kind of treatment options are available for this, and what might the costs be? Are there hospitals in Kerala known for handling such cases? I'm kind of unsure how serious this is and what our next steps should be.
the primary approach is usually observation and monitoring, as many small ASDs close on their own over time. However, if the ASD is large or causing symptoms, it may require intervention. In such cases, the surgical closure of the ASD may be recommended. One common medication used before surgery to manage symptoms and prevent complications is Furosemide. The typical dosage for a 6-month-old would be around 1-2 mgkg per dose, given 1-2 times per day. For the surgical closure of the ASD, hospitals in Kerala that specialize in pediatric cardiology and cardiac surgery can provide the necessary treatment. Some renowned hospitals in Kerala known for their pediatric cardiac care include AIMS (Amrita Institute of Medical Sciences), Sree Chitra Tirunal Institute for Medical Sciences and Technology, and Aster Medcity. As for the cost, it can vary depending on the hospital, the specific treatment plan, and any additional complications. It is best to directly contact the hospitals mentioned above and inquire about the cost estimation for the surgical closure of an 8 mm ostium secondum ASD in a 6-month-old child.
Answered by 1 Apollo Doctors
I'm really worried because my baby was born with a 3mm ASD and a 5mm VSD in their heart. Can you help me understand how risky this situation is for my baby?
Risk depends on the location of the defect,weather it is locatetd in dominant or non dominant area and is it causing PAH etc., repeat 2D echo after 6 months of age and follow your doctors advice
Answered by 1 Apollo Doctors
I'm concerned about my 2-year-old. He has a heart murmur and is scheduled for a heart scan in a couple of months. I've noticed he gets nosebleeds every few months as well. Could the nosebleeds be connected to the murmur? Should I be worried about this combination of symptoms?
Nose bleeds and heart murmurs are not typically directly related. Nose bleeds in children can be caused by various factors such as dry air, allergies, or minor trauma. However, in some cases, certain heart conditions can lead to bleeding disorders which may manifest as nose bleeds. It is important to wait for the results of the heart scan to determine if there is any connection between the two issues. In the meantime, you can consult with a pediatrician to address the nose bleeds and monitor your child's symptoms.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.