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

0

0

Sick? Talk to a doctor now

More Paediatric Cardiology Health Queries

View all

My 98-day-old baby girl had a 3.2mm PDA heart hole and got treated without open surgery. Will this cause any health issues for her in the future?

Primary surgical closure of PDA exceeding 2.0 mm in infants weighing less than 1,500 g should be considered to reduce mortality and long-term morbidity events including BPD.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My daughter is 40 days old and was diagnosed with a single large VSD leading to a single ventricle, severe PAH, and normally related great arteries. The pulmonary artery is dilated from the right side of the ventricle and unrestricted, with mild AR and moderate left AVVR plus mild right AVVR. The doctor said it's very complex and critical, recommending multistage palliation. Are there any alternative surgeries instead of multiple operations? It's so overwhelming to think about her going through so many procedures.

It is understandable that you are overwhelmed by the prospect of multiple surgeries for your 40-day-old daughter. While the situation is complex and requires multistage palliation, there may be some alternative approaches to consider, such as interventional catheterization for certain aspects of her condition. However, the final decision should be made in consultation with her cardiologist and cardiac surgeon, taking into account the specifics of her anatomy and physiology.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my three-year-old nephew who had open heart surgery on Tuesday for a block and a hole in his heart. He's been on a ventilator since then. Today, the doctors mentioned there is some bleeding, and now he's having seizures. They've also asked us to get an epicetam injection. Is this a common occurrence after such surgeries, or should we be more concerned? The surgery took place at PGIMER Chandigarh.

The bleeding and seizures your nephew is experiencing after open heart surgery could be due to various reasons, including the stress of the surgery, the use of blood thinners during the procedure, or underlying medical conditions. Epilectam injection is likely being prescribed to help control the seizures. It contains the active ingredient Levetiracetam. The usual dosage for children is based on their weight, typically around 20 mg per kg, given twice a day. It is important to follow the dosage instructions provided by the healthcare team at PGIMER Chandigarh. If you have any concerns or questions about your nephew's condition or treatment, please discuss them with the medical team caring for him at the hospital.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.