Some studies suggest that bottle-feeding can raise the risk of pyloric stenosis. But it is not clear whether any rise in risk is related to formula or bottle-feeding itself. After your baby is diagnosed with pyloric stenosis, he or she will be fed through intravenous IV fluids rather than by mouth to stop the vomiting and replace needed nutrients.
To cure the condition, the treatment of choice for pyloric stenosis is a surgery called a " pyloromyotomy. A pyloromyotomy is a safe procedure for most babies without other complicating medical conditions.
For babies with conditions that prevent surgery, a medication called atropine sulfate has been shown to help in some cases. Before surgery: Prior to surgery, blood tests will be checked to make sure your baby's fluid and electrolyte levels are where they need to be.
During surgery: The thick pylorus muscle is cut which opens the muscle and allows food to pass out of the stomach. Just the muscle itself is cut, not the inner lining of the stomach. The surgery can be done one of two ways:.
Laparoscopic pyloromyotomy: Three small incisions are made, and a camera is used to look in your baby's tummy. Small tools are used to cut the pylorus.
Open pyloromyotomy: An incision is made on the right side of your baby's tummy or around the belly button. The surgeon then cuts the pylorus. Surgery risks and outcomes: As with any surgery, there are risk of complications from anesthesia, bleeding, infection, or damage to other organs. Sometimes, the inner lining of the pylorus may be cut.
If this happens, it will be fixed. If the pylorus muscle is still too narrow, another surgery may be needed to cut it more. However, complications are rare. There usually are no long-term problems after a successful surgery. After surgery, your baby will be allowed to eat by mouth. Infants should be given breast milk or formula every 3 to 4 hours, starting around 4 to 6 hours after the surgery.
Your surgeon will discuss the feeding plan with you after surgery. Know your baby may still have some vomiting, but it usually gets better after a few feedings. Most babies can go home from the hospital within one day after surgery. However, some may stay longer if they are not eating well. After leaving the hospital, your baby can go back to all normal activities, including tummy time.
Know how to care for your baby's wound. Keep surgical cuts on your baby's tummy clean and dry for 3 days. Afterwards, the wounds may be washed with soap and water but not soaked for about 7 days after surgery. Most of the time, the stitches used in children are absorbable and don't need to be taken out. After 3 days, your baby can go back to usual bath routines.
Make any needed follow-up appointments. Your baby's surgeon and pediatrician will want to make sure your baby is eating well, gaining weight, and recovering fully. Your baby gets a fever ; this could be a sign of a post-op infection. In infants, a fever means a rectal temperature reading of Your baby is vomiting often or after most meals. Your baby's belly appears to be swelling. Your baby is not wetting as many diapers as usual.
Pyloric stenosis is the most frequent surgical condition in infants in the first few months of life. It is important to diagnose pyloric stenosis early, before a baby becomes dehydrated or malnourished. Pyloric stenosis can lead to forceful vomiting, dehydration and weight loss.
Babies with pyloric stenosis may seem to be hungry all the time. Signs of pyloric stenosis usually appear within three to five weeks after birth. Pyloric stenosis is rare in babies older than 3 months. The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role.
Pyloric stenosis usually isn't present at birth and probably develops afterward. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Pylorus Open pop-up dialog box Close. Pylorus The pylorus is a muscular valve that holds food in the stomach until it is ready for the next stage in the digestive process.
Pyloric stenosis Open pop-up dialog box Close. Pyloric stenosis In pyloric stenosis, the pylorus muscles thicken, blocking food from entering the baby's small intestine. Babies who have surgery for this condition often have no long-term problems. Pyloric stenosis is a problem that causes forceful vomiting in babies from birth to 6 months of age. In pyloric stenosis, the muscles in the stomach that connect to the small intestine thicken.
This causes the opening of the pylorus to become narrow. At the visit, write down the name of a new diagnosis and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you for your child. Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are. Know what to expect if your child does not take the medicine or have the test or procedure.
If your child has a follow-up appointment, write down the date, time, and purpose for that visit. This is important if your child becomes ill and you have questions or need advice. Search Encyclopedia. Pyloric Stenosis What is pyloric stenosis? What causes pyloric stenosis? Pyloric stenosis is a birth defect. This means that your child is born with it.
Pyloric stenosis is 4 times more common in males than females. Who is at risk for pyloric stenosis? A child is more likely to have this condition if the child: Takes certain medicines by mouth in the first 6 weeks of life. Bottle-feeds early Has a family history of pyloric stenosis Is a boy, especially firstborn Is Caucasian Has a mother who smokes Is premature What are the symptoms of pyloric stenosis? Other symptoms may include: Weight loss Being very hungry despite vomiting Lack of energy Fewer bowel movements Constipation Frequent stools that contain mucous A baby with pyloric stenosis is often very hungry and wants to eat.
How is pyloric stenosis diagnosed? Blood tests These tests check if your child is dehydrated or has mineral imbalances. How is pyloric stenosis treated? What are possible complications of pyloric stenosis? Living with pyloric stenosis Babies who have surgery for this condition often have no long-term problems.
0コメント