- male
- 6 Years
- 14/08/2025
my 6 year old son was diagnosed with a small vsd and rcc prolapse but the doctor recommended surgery is surgery really necessary for such a small vsd
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View allI'm really concerned about my baby who's now 4.5 months old. Right now, she has a 2mm PDA. When she was just 9 days old, she suffered from a blood lung infection and had three seizure attacks with a fever of 104.5 within two days. She's active, feeding well, and her weight is going up normally. I'm worried and wonder if it's really necessary for her to undergo closure when she turns 6 months?
After reviewing the information provided, it is important to monitor the baby closely for any symptoms or complications related to the PDA. In some cases, if the PDA is small and not causing any symptoms, it may not require immediate closure. However, it is best to consult with a pediatric cardiologist for a thorough evaluation and personalized treatment plan. If closure is recommended, medications such as Ibuprofen or Indomethacin may be prescribed to help close the PDA. The dosage and duration of treatment will be determined by the pediatric cardiologist based on the baby's specific condition. Regular follow-up appointments are essential to monitor the baby's progress and ensure optimal health.
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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.
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.
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My baby is just over 2 months old and he has a 6.5 mm mid muscular vsd with left to right gradient of 10 mmHg. I'm really worried because he's not gaining weight, he only weighs 3.3 kg right now and he was 2.200 gms at birth. His breathing seems really fast and during feedings, he takes lots of breaks. What should I do?
Based on the symptoms you described, your baby may benefit from medication to help with the symptoms of congestive heart failure and to support his heart function. One commonly used medication for this condition is Furosemide. The typical dosage for infants with congestive heart failure is 1-2 mgkg per dose, given 1-2 times per day. However, the exact dosage and frequency should be determined by your pediatrician based on your baby's specific needs. Additionally, your baby may also benefit from medication to help with weight gain. One option is Mirtazapine, which can stimulate appetite and promote weight gain in infants. The typical starting dose for infants is 15-30 micrograms per day, but this should be adjusted by your pediatrician based on your baby's response. It is important to consult with your pediatrician or a pediatric cardiologist for a thorough evaluation and to discuss the best treatment plan for your baby's specific condition. Regular monitoring and follow-up care are essential in managing congenital heart defects in infants.
Answered by 1 Apollo Doctors
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