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.
What are the results of excessive vomiting in an infant with pyloric stenosis?
Pyloric stenosis is a problem that affects babies between birth and 6 months of age and causes forceful vomiting that can lead to dehydration. It is the second most common problem requiring surgery in newborns. The lower portion of the stomach that connects to the small intestine is known as the pylorus.
How do I know if my baby has pyloric stenosis?
- Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). …
- Persistent hunger. Babies who have pyloric stenosis often want to eat soon after vomiting.
- Stomach contractions. …
- Dehydration. …
- Changes in bowel movements. …
- Weight problems.
Is pyloric stenosis bilious vomiting?
Symptoms. Babies with pyloric stenosis usually have progressively worsening vomiting during their first weeks or months of life. The vomiting is often described as non bilious and projectile vomiting, because it is more forceful than the usual spit ups commonly seen at this age.
How common is projectile vomiting in babies?
Babies may projectile vomit occasionally, but if it happens after every feed, see your doctor right away as it may be due to a blockage caused by thickening of the muscle at the outlet of the stomach.
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.
When should I take my baby to the doctor for vomiting?
Watch for decreased urination in any child who is having trouble with vomiting. For infants, this means no wet diapers within 6 hours. Also, if the infant is experiencing projectile vomiting, call your provider. In all kids, watch for green color in vomit as well as fever of 102 (or fever of 101 for more than 3 days).
What happens if pyloric stenosis goes untreated?
If left untreated, hypertrophic pyloric stenosis can cause: Dehydration. Electrolyte imbalance. Lethargy.
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.
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.
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.
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.
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.
Should I feed my baby after projectile vomiting?
Offer your baby a feeding after they’ve stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them. Liquid feeding after vomiting can sometimes even help settle your baby’s nausea. Start with small amounts of milk and wait to see if they vomit again.
Why does my 3 month old keep throwing up?
Just like adults of any age can have acid reflux or GERD, some babies have infant reflux. This can lead to baby vomiting in the first weeks or months of your baby’s life. Vomiting from acid reflux happens when the muscles at the top of the stomach are too relaxed. This triggers baby vomiting shortly after feeding.
Can overfeeding a baby cause projectile vomiting?
Forceful or projectile vomiting, though, or spitting up large amounts of milk after most feedings, can be a sign of a problem. In formula-fed babies, vomiting may happen after overfeeding, or because of an intolerance to formula.