FAQ - Pyloric Stenosis
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Does anyone know anything about Pyloric stenosis?

I have been very sick for the last year and a half. I throw up all the time after I eat, my stomach expands to where I feel like Im going to explode. Im so tired from not keeping any food down. No one tell me to go to the doctors, if I could I would, thats why im asking on here. I want paticular responses for pyloric stenosis. Thank you.

My son had pyloric stenosis when he was two weeks old. I learned that 1 of 1000 male babies suffer from this. The muscle at the point where the esophagus and the stomach connect grows too much and too rapidly. The baby's formula can't pass through and the infant gets sick. They have projectile vomiting (self-explanatory!) and get very dehydrated. Surgery corrects this condition and the child is usually cured. Hope this helps some.  (+ info)

What, if any, is the long term effects of an infant that was diagnosed with pyloric stenosis late?

My daughter had pyloric stenosis when she was 10 weeks old. Symptoms began at 2 weeks. She went 8 weeks before I finally took her to the ER. I took her to the doctor 3, even 4 X's a week because of projectile vomiting, no bowel movements & diapers were barely wet. The last visit to the doctor before going to the ER (which was a friday) he told me give her diluted apple juice & that would help her have a bowel movement & to call him on Tuesday. The surgeons at Childrens Hospital told me that Sunday would have been too late. 2 1/2 days later she was strong enough to have the pylorotomy. My daughter is now 13 years old but has learning disabilities in school. At home she doesn't listen, cusses @ dad & throws MAJOR tantrems. I'm not talking about the 'normal' unruliness of a teenager. Could this be caused from being malnurouished at a very critical developmental stage of life? Anyone ever heard of this condition causing problems later in life?

I haven't heard of this condition causing troubles later in life, but I know that nutrition is a big thing to help with proper brain development and to look at learning disabilities as well.  (+ info)

what are the lab values that correspond with the diagnosis of pyloric stenosis?

what are the lab values that correspond with the diagnosis of pyloric stenosis?

U&E = low potassium, low chloride and high urea (from dehydration if severe vomiting)

ABG = metabolic alkalosis - high pH,  (+ info)

How much should I feed my baby 3 days after pyloric stenosis surgery?

Its been 3 days since the surgery and I'm breastfeeding my baby for 5 minutes on each side. After that she crys and seems hungry, but I'm scare to feed her more because I think she will vomit.
please don't just write an aswer to get points!!!!!!!!!!!!

You really should ask her doctor.  (+ info)

How do you know if your newborn suffers from Pyloric stenosis?

I have a 1 month old, who about 2 weeks ago started spitting up .5 to 1oz of his formula, almost every time he eats. He is also constantly hungry, eats about 5oz every 2-3 hours, all day and night long. When he eats, he ravages at the bottle and has not been sleeping well at all, only a few hours in a 24 hours period, 45mins to an hour at a time. If he is down for 2 hours, we are lucky! He just spit up a clear bad smelling liquid, after not eating for about 2 hours when I picked him up from a short nap. I did an ultrasound him him last week, they came up negative, but im still very worried. Is there a tell-tale sign that I can tell if my boy is OK? He seems to be peeing and pooping normally.. but this is my first im not sure what "normal" is.


for a diagnosis your baby would have to have a upper gi-which is a study where the tech puts barium in a bottle and feeds the baby under fluoroscopy (continous xrays) while the radiologist takes xrays of the baby drinking in different positions -or he might have acid reflux-gerd-which can help w/ a prescription of zantac for babies-and he'll sleep much better too-  (+ info)

I am 25 wks pregnant, and my doctor thinks my baby may have Pyloric Stenosis, anybody know about this?

Will this affect my pregnancy?

my first son had this you are very lucky to have this picked up on a scan this what happened to my little boy-
born 6lb8oz at about two weeks old he stared been sick alot just thought he was a sicky baby at first but took him to gp to be safe he said he was fine etc about 5 days later i took him back as i was always feeding him like every hour and he be sick then be hungry again also i was changing his clothes every half a hour again doctor said hes ok as luck would have it i seen my health visitor on the way out explained everything so she weighed him at nearly 3weeks he was 5lb3oz she transfarred him straight to the hospital were they told me he had pyloric stenosis they couldnt do the op for 5 days as he was to weak but when he was stronger the did it he was in theatre for 45minshe had small cut to his belly buttonwhich we had to keep clean he went home 2 days later i can tell you now lol he is now 5 and in very good health and you cant see the scar at all this is very coman in boys and as they have stopped it early trust me it will be ok good luck and try not to worry  (+ info)

I had pyloric stenosis when I was born. Will the scar tissue stretch during pregnancy?

I have an upper abdominal scar from surgery when I was born. Will scar tissue stretch during pregnancy?

Yes the tissue will def. stretch. But you can help it buy using coco butter everyday of you pregnany. It will help alot.  (+ info)

Anyone had a child that developed Pyloric Stenosis after birth?

My second son had it and I was just curious as to how common this is. I have met several people that had this as a child, but haven't actually heard of it with a newborn now, other than one other child at the same time my son was diagnosed as having it.

Pyloric stenosis (or infantile hypertrophic pyloric stenosis) is a condition that causes severe vomiting in the first few months of life. There is narrowing (stenosis) of the opening from the stomach to the intestines, due to enlargement (hypertrophy) of the muscle surrounding this opening (the pylorus, meaning "gate"), which spasms when the stomach empties. It is uncertain whether there is a real congenital narrowing or whether there is a functional hypertrophy of the muscle which develops in the first few weeks of life.

Males are more commonly affected than females, with firstborn males affected about four times as often, and there is a genetic predisposition for the disease.[1] It is commonly associated with people of Jewish ancestry.[2] Caucasian babies and babies with blood type B or O are more likely to be affected.[1]

Pyloric stenosis also occurs in adults where the cause is usually a narrowed pylorus due to scarring from chronic peptic ulceration. This is a completely different condition from the infantile form.

* 1 Symptoms
* 2 Diagnosis
* 3 Pathophysiology
* 4 Treatment
* 5 Notable Patients
* 6 References
* 7 Footnotes

[edit] Symptoms

Babies with this condition usually present any time in the first weeks to months of life with progressively worsening vomiting. The vomiting is often described as non-bile stained ("non bilious") and "projectile vomiting", because it is more forceful than the usual spittiness (gastroesophageal reflux) seen at this age. Some infants present with poor feeding and weight loss, but others demonstrate normal weight gain.

[edit] Diagnosis

Diagnosis is via a careful history and physical examination, often supplemented by radiographic studies. There should be suspicion for pyloric stenosis in any young infant with severe vomiting. On exam, palpation of the abdomen may reveal a mass in the epigastrium. This mass, which consists of the enlarged pylorus, is referred to as the 'olive,' and is sometimes evident after the infant is given formula to drink. It is an elusive diagnostic skill requiring much patience and experience. There are often palpable (or even visible) peristaltic waves due to the stomach trying to force its contents past the narrowed pyloric outlet.

At this point, most cases of pyloric stenosis are diagnosed/confirmed with ultrasound, if available, showing the thickened pylorus. Although somewhat less useful, an upper GI series (x-rays taken after the baby drinks a special contrast agent) can be diagnostic by showing the narrowed pyloric outlet filled with a thin stream of contrast material; a "string sign" or the "railroad track sign". For either type of study, there are specific measurement criteria used to identify the abnormal results. Plain x-rays of the abdomen are not useful, except when needed to rule out other problems.

Blood tests will reveal hypokalemic, hypochloremic metabolic alkalosis due to loss of gastric acid (which contain hydrochloric acid and potassium) via persistent vomiting; these findings can be seen with severe vomiting from any cause.

[edit] Pathophysiology

The gastric outlet obstruction due to the hypertrophic pylorus impairs emptying of gastric contents into the duodenum. As a consequence, all ingested food and gastric secretions can only exit via vomiting, which can be of a projectile nature. The vomited material does not contain bile because the pyloric obstruction prevents entry of duodenal contents (containing bile) into the stomach.

This results in loss of gastric acid (hydrochloric acid). The chloride loss results in hypochloremia which impairs the kidney's ability to excrete bicarbonate. This is the significant factor that prevents correction of the alkalosis.[3]

A secondary hyperaldosteronism develops due to the hypovolaemia. The high aldosterone levels causes the kidneys to:

* avidly retain Na+ (to correct the intravascular volume depletion)
* excrete increased amounts of K+ into the urine (resulting in hypokalaemia).

The body's compensatory response to the metabolic alkalosis is hypoventilation resulting in an elevated arterial pCO2.

[edit] Treatment
Pyloromyotomy scar (rather large) 30 hrs post-op in a 1 month-old baby
Pyloromyotomy scar (rather large) 30 hrs post-op in a 1 month-old baby

Infantile pyloric stenosis is typically managed with surgery. It is important to understand that the danger of pyloric stenosis comes from the dehydration and electrolyte disturbance rather than the underlying problem itself. Therefore, the baby must be initially stabilized by correcting the dehydration and hypochloremic alkalosis with IV fluids. This can usually be accomplished in about 24-48 hours.

Although a very few cases are mild enough to be treated medically, the definitive treatment of pyloric stenosis is with surgical pyloromyotomy known as Ramstedt's procedure (dividing the muscle of the pylorus to open up the gastric outlet). This is a relatively straightforward surgery that can possibly be done through a single incision (usually 3-4 cm long) or laparoscopically (through several tiny incisions), depending on the surgeon's experience and preference.

Today a tiny circular incision around the navel is most commonly performed. This will leave minimal scar tissue. The vertical incision, pictured and listed above, in no longer usually required.

Once the stomach can empty into the duodenum, feeding can commence. Some vomiting may be expected during the first days after surgery as the gastro-intestinal tract settles. Very occasionally the myotomy (muscle division) was incomplete and projectile vomiting continues, requiring repeat surgery. But the condition generally has no longterm side-effects or impact on the child's future.  (+ info)

How long does it take for a adult to recover from pyloric stenosis surgery? Is it a painful recovery?

  (+ info)

What is Maraomers (possible spelling) shown on my 3 mth old brother's death cert along with pyloric stenosis?

I'm tracing my family tree and have never really known what my brother died of. He died in 1937 before I was born.

canoot help with maraomers
: Pyloric stenosis, also known as infantile hypertrophic pyloric stenosis (IHPS), is the most common cause of intestinal obstruction in infancy. IHPS occurs secondary to hypertrophy and hyperplasia of the muscular layers of the pylorus, causing a functional gastric outlet obstruction.

Classically, the infant will have nonbilious vomiting or regurgitation, which may become projectile (up to 70%), after which the infant is still hungry.
Emesis may be intermittent or occur after each feeding.
The emesis may become brown or coffee color due to blood secondary to gastritis or a Mallory-Weiss tear at the gastroesophageal junction.
The infant will begin to show signs of dehydration and malnutrition such as poor weight gain, weight loss, marasmus, decreased urinary output, lethargy, and shock.
The infant may develop jaundice, which is corrected upon correction of the disease.

Found it in an article by:-
Just an afterthought - if you can scan the part of the cetificate with cause of death on it and send it to me as an attrachment i will try and decipher it for you - I got pretty good at deciphering handwriting on certificates over the years.  (+ info)

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