apollo
  • Male
  • 1 Years
  • 20/02/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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.

Dr. Ranjith Suggests...

Consult a Paediatric Cardiologist

Answered 04/07/2025

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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.