What to do if your baby has pyloric stenosis

What should I do if my baby has pyloric stenosis? Pyloric stenosis is a rare disease. Except for those who specialize in research, I believe that many people do not know much about it. Even ordinary people like us have never heard of it. Most patients with pyloric stenosis are newborns under two months old. This problem occurs mainly because the organs in the newborns' bodies are incompletely developed. Pyloric stenosis in infants not only causes physical harm to children, but also makes parents anxious. So what should we do if pyloric stenosis in infants occurs?

Pyloric stenosis often presents as pyloric obstruction in the second or third week after birth, but may not be discovered until infancy:

Nausea and vomiting. It occurs after eating or 10 minutes later. The vomiting is projectile and the vomit does not contain bile. Early cases present with galactorrhea.

Gastric peristaltic waves can be seen moving from under the left rib to the right and disappearing in the right upper abdomen. Pyloric mass: In about 90% of cases, a 2×1 cm mass with clear edges, hard as cartilage, spindle shape, and smooth surface can be felt in the right upper abdomen (usually between the lower edge of the liver and the outer edge of the rectus abdominis muscle).

In a barium meal examination, barium is mixed with milk and a fluoroscopic examination is performed after the meal. The dilated stomach can be seen with a cone-shaped lower end, strong and deep peristaltic waves that suddenly disappear at the pyloric part. Very little barium enters the duodenum, and the barium passes through the pyloric cavity in the form of a long, thin line. Gastric emptying is slow.

B-mode ultrasound detection showed a hypoechoic mass with a substantial dark area, which was located on the inner side of the gallbladder, in front of the right kidney and on the outer side of the pancreatic head during transverse scanning; it was located at the posterior and inferior part of the gallbladder during longitudinal scanning. The mass was about 1 cm in diameter with a round or star-shaped image in the center.

The main symptoms of pyloric stenosis appear between 2 and 6 weeks after the baby is born. These include: 1. Vomiting is continuous and projectile. 2. Continuous hunger. After vomiting, the child can accept another feeding immediately.

3. Infrequent bowel movements. 4. If symptoms persist for more than a few days, weight loss or lack of energy may occur. Children may become dehydrated because of continued vomiting.

If the child shows any of these symptoms or suspected dehydration symptoms, you should take the child to the hospital immediately. When you feed the child, the doctor will check the child's abdomen to see if the pyloric area is swollen. If the child does have pyloric stenosis, he will need to be hospitalized. Once admitted to the hospital, the child will undergo another physical examination, such as an ultrasound, to confirm the diagnosis.

If your child becomes dehydrated, he or she will need intravenous fluids. Minor surgery to widen the pylorus may also be done to improve the blockage. After surgery, the child's feeding amount should be gradually increased until feeding volume returns to normal again. Once pyloric stenosis is cured, it usually does not return, so there are no long-term side effects.

The above are the methods for treating pyloric stenosis in infants, so parents should not worry too much. When their children have similar situations, they must take their children to a regular hospital for examination and treatment. Also, when it comes to feeding babies, you must adhere to scientific feeding methods. Children's development is not mature enough, so you must pay more attention.