apollo
  • female
  • 9 Years
  • 29/01/2025

I'm really worried about my 9-day-old baby who weighs just 3kg right now. The doctors mentioned something about an 8mm ostium secundum ASD and a left to right shunt. Can you explain what this means for my baby? Does this require immediate treatment or monitoring? Is there a chance it could affect their growth or overall health? I've also noted their birth weight was 2.88kg. I'm hoping to understand this better, as I'm quite anxious.

Doctor 1

Answered by 1 Apollo Doctors

See a specialist for accurate diagnosis and targeted treatment.

Dr. Shubham Suggests...

Consult a Paediatric Cardiologist

Answered 25/07/2025

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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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I'm really worried because my one-year-old has a heart murmur. Could you explain what a heart murmur is and if there are specific foods I should be giving my child?

A heart murmur in a one-year-old can be a sound made by turbulent blood flow within the heart, detected during a physical examination. It can be classified as either "innocent," which is harmless and often resolves on its own, or "pathologic," which may indicate underlying heart conditions requiring further evaluation by a pediatric cardiologist. For your baby's diet, it is essential to provide balanced nutrition, including breast milk or formula as the primary source, pureed or soft-cooked fruits and vegetables, whole grains like cereals and oatmeal, proteins such as well-cooked and finely shredded meat, poultry, fish, beans, lentils, and dairy like whole milk or yogurt if recommended by the pediatrician. Consult with your child's pediatrician for personalized advice and to discuss the heart murmur.

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My 1-month-old baby boy was diagnosed with a malaligned PM VSD hole measuring 3.5 mm. Is this considered large in medical terms? I'm trying to understand how VSD sizes are classified like small, moderate, large, or very large based on the mm measurement. Also, will my son definitely need open heart surgery, or is there a chance it could close on its own over time? If surgery is necessary, are there any less invasive options than open heart surgery?

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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.