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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Swallowing While Suffering From ARSA?

Hi, My son was diagnosed with Aberrant origin of right subclavian artery (ARSA) during 2nd tri semester. He was normal delivered baby (3.5 month old). Initially he was feeding well for a month and suddenly he started sleeping 8 ~10 hour continuously. Having feared we took him to hosp where he was admitted on suspicious of infection/sephalis. During the five days he was fed mothers milk collected in bottle. At the end reports ruled out any infections.. At this same time my wife had reduced secretion and that doctor had to put him on Formula drink. He used to sleep for 18~20 hours a day till 3 months (6~8 hours continuously). Now the sleep have reduced to 16 hours.. but we could hear his breathing to be little fast sometime during feeding and his having latching problem. My question: Is my son having difficulty swallowing (considering above situation)or is it normal...Do 100% of ARSA suffering kids have problem swallowing or is there any exemptions to it. Between my kid drinks 5 ~6 times a day averaging 75 ml per session.
Fri, 12 Oct 2018
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Pediatrician 's  Response
Hi,

Infants with ARSA commonly have difficulty swallowing because their esophagus is compressed by the blood vessel.

A healthy 3-month-old infant usually gets 9-12 hours of nighttime sleep plus 2-4.5 hours of naptime each day.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd,
Pediatrician
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What Causes Difficulty In Swallowing While Suffering From ARSA?

Hi, Infants with ARSA commonly have difficulty swallowing because their esophagus is compressed by the blood vessel. A healthy 3-month-old infant usually gets 9-12 hours of nighttime sleep plus 2-4.5 hours of naptime each day. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician