How do I know if my baby has pyloric stenosis?

The most common symptoms noted in a baby with pyloric stenosis is forceful, projectile vomiting. This kind of vomiting is different from a “wet burp” that a baby may have at the end of a feeding. Large amounts of breast milk or formula are vomited, and may go several feet across a room.

At what age is pyloric stenosis diagnosed?

Pyloric stenosis usually affects babies between 2 and 8 weeks of age, but can occur anytime from birth to 6 months. It is one of the most common problems requiring surgery in newborns. It affects 2-3 infants out of 1,000.

How often does a baby with pyloric stenosis vomit?

While occasional dribbles of spit-up after meals is common in infants and usually harmless, true vomiting is more concerning. In some babies, frequent projectile vomiting can be a symptom of a condition called hypertrophic pyloric stenosis (HPS); it occurs in 1 out of every 500 or so babies.

Does my baby have pyloric stenosis?

Pyloric stenosis is rare in babies older than 3 months. Signs include: Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting).

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What happens if pyloric stenosis goes untreated?

If left untreated, hypertrophic pyloric stenosis can cause: Dehydration. Electrolyte imbalance. Lethargy.

How quickly does pyloric stenosis progress?

Babies usually aren’t born with pyloric stenosis. The thickening of the pylorus starts to happen in the weeks after birth. Pyloric stenosis symptoms usually start when the baby is 2 to 8 weeks old. But it can take up to five months for the symptoms to become apparent.

Do babies with pyloric stenosis poop?

Babies with pyloric stenosis usually have fewer, smaller stools (poops) because little or no food is reaching the intestines. Constipation or poop with mucus also can happen.

What does pyloric stenosis vomit look like?

The most common symptoms noted in a baby with pyloric stenosis is forceful, projectile vomiting. This kind of vomiting is different from a “wet burp” that a baby may have at the end of a feeding. Large amounts of breast milk or formula are vomited, and may go several feet across a room.

Can babies with pyloric stenosis still gain weight?

Most babies with pyloric stenosis will fail to gain weight or will lose weight. As the condition gets worse, they might become dehydrated. Dehydrated infants are less active than usual, and they may develop a sunken “soft spot” on their heads and sunken eyes, and their skin may look wrinkled.

Is pyloric stenosis an emergency?

Emergency Department Care

Infantile hypertrophic pyloric stenosis (IHPS) may be described as a medical emergency or a medical urgency based on how early in the course the patient presents.

Are babies with pyloric stenosis fussy?

A baby with pyloric stenosis may: Vomit soon after a feeding. Have a full, swollen upper belly after a feeding. Act fussy and hungry a lot of the time.

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Is pyloric stenosis life threatening?

Although this condition is ultimately treated surgically, it may present as a medical emergency due to electrolyte derangements.

How do they test for pyloric stenosis?

Your doctor might also recommend: Blood tests to check for dehydration or electrolyte imbalance or both. Ultrasound to view the pylorus and confirm a diagnosis of pyloric stenosis. X-rays of your baby’s digestive system, if results of the ultrasound aren’t clear.

Can pyloric stenosis cause problems later in life?

Some vomiting may be expected during the first days after surgery as the gastrointestinal tract settles. Rarely, the myotomy procedure performed is incomplete and projectile vomiting continues, requiring repeat surgery. Pyloric stenosis generally has no long term side-effects or impact on the child’s future.

Does pyloric stenosis have long term effects?

Babies with this condition must have surgery to fix it. After surgery, most babies have no long-term problems from pyloric stenosis.

Can pyloric stenosis be treated without surgery?

Pyloric stenosis is always treated with surgery, which almost always cures the condition permanently. The operation, called a pyloromyotomy, divides the thickened outer muscle, while leaving the internal layers of the pylorus intact.

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