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  1. If the disease is less serious, e.g, mildly narrowed valve or a small hole in the wall, it is possible that the child may not have any problem or symptoms. The doctor may hear the ‘heart murmur’ during routine medical check-up.
  2. Recurrent upper respiratory tract infection with cold-cough-fever-flu, etc.
  3. A small child gets fatigued, feels breathless, looks restless and sweats during breastfeeding. Abnormal and exaggerated movement or chest is seen.
  4. When the child exerts, nails, tip of the nose and lips turn blue, black or purple.
  5. The child often assumes squatting position with limbs curled up. This resembles the posture of the child while in the mother’s womb.
  6. A child’s mental and physical growth may not be as per expectation. Growth milestones may be delayed e.g., a child cannot do normal expected activities (such as turning on the side, social smile, speaking, crawling, etc.) as per the age.
  7. A child may appear tired, lazy and sad.
  8. A child may get fatigued while playing, show less concentration in studies, may get easily irritated.
  9. Swelling on legs and face, pain in the upper right abdominal part (on the side of liver).
  10. Lack of appetite, disliking for food.
  11. Swelling on the nails of fingers and toes.

If any of these symptoms are seen, one should approach the paediatrician for the necessary check-up.