![]() (Link here to new surgery page.) What to expect after your baby's pyloromyotomy surgeryĪfter surgery, your baby will be allowed to eat by mouth. Alternatively, it can also be done open with a single longer cut. Pyloric stenosis surgery is often done laparoscopically, using a video camera and a few tiny cuts or incisions. The only dependable way to fix pyloric stenosis is to open the thickened pylorus muscle with surgery, a procedure called pyloromyotomy. ![]() For these reasons, it is not widely used and recommended only when surgery would be too dangerous for the baby. Using this medication requires staying in the hospital for several weeks and giving the baby special IV nutrition until the vomiting goes away. Atropine sulfate is the only currently available medication to treat pyloric stenosis. Once a baby has a hard time keeping anything down, observation alone can result in potentially life-threatening dehydration or malnourishment. Without treatment, pyloric stenosis will not go away on its own. But it is not clear whether any rise in risk is related to formula or bottle-feeding itself. Some studies suggest thatīottle-feeding can raise the risk of pyloric stenosis. Although most infants with pyloric stenosis are otherwise healthy, the condition is seen more often in infants born withīottle-feeding. Babies whose mothers smoked can have nearly double the risk of developing pyloric stenosis. Additionally, babies born to mothers who took certainĪntibiotics late in pregnancy may have an increased risk of developing the condition. Whooping cough, for example-have an increased risk of developing pyloric stenosis. Babies given certain antibiotics in the first weeks of life-erythromycin to treat Siblings of children with the condition carry a 30 times greater risk than the general population.Įarly antibiotic use. Sometimes, pyloric stenosis runs in families. ![]() Caucasian babies are more likely to develop pyloric stenosis than other races.įamily history. The condition is four times more common in boys than in girls. The cause of pyloric stenosis is unknown, but researchers point to possible risk factors: As with ultrasound, if your baby has pyloric stenosis, the upper GI will show only a very small amount of liquid passing through the pylorus.Īre some babies more likely to get diagnosed with pyloric stenosis than others? In an upper GI, your baby drinks a liquid that lights up on X-ray. Upper gastrointestinal contrast study (or "upper GI"), an X-ray test, is sometimes done. An ultrasound can also show when milk or formula does not pass out of the stomach into the small intestine. Ultrasound can be used to take a picture of the pylorus, which will be thicker and longer than normal. Imaging tests may be ordered to confirm the diagnosis: ![]() Your doctor may diagnose pyloric stenosis by examining your baby's tummy to feel the thick pylorus muscle―an olive-shaped mass in the upper belly, which is the abnormal pylorus. See Signs of Dehydrations in Infants & Children for more information.īe sure to talk with your pediatrician right away if your baby is vomiting a lot. They may have trouble gaining weight as they grow, or even lose weight. Babies with pyloric stenosis do not get enough fluids and nutrients from feedings and may become dangerously dehydrated. ![]() Because pyloric stenosis prevents what babies eat from reaching the intestines, they may becomeĭehydration and weight loss. After feedings, you may notice waves of contractions ripple across the top of your baby's abdomen, from left to right, as the stomach tries to push food through the pylorus.Ĭonstipation. Babies with pyloric stenosis may be hungry still (or again) after vomiting. Because breastmilk or formula is blocked from passing through the stomach, the baby throws up-sometimes forcefully enough to launch their stomach contents several feet away! The vomiting may gradually get worse as the pylorus muscle thickens. Vomiting after every feeding or only after some feedings. Signs your baby may have hypertrophic pyloric stenosis ![]()
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