Top
30
Doctor insights on: Pyloric Stenosis

Share

Pyloric Stenosis (Overview)

A condition in which the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. It happens usually between two to eight weeks of age. Vomiting can be forceful.


1

1
What are the symptoms of pyloric stenosis?

What are the symptoms of pyloric stenosis?

Projectile vomit: 1-2 month old who starts to vomit after meals. It progresses. Vomit after eating gets worse and more forceful. Sometimes more common in first born males. Ultrasound is diagnostic. Surgery only after the fluid balance is restored. Hope this helps. Laparoscopic surgery is common for this operation. ...Read more

Pyloric Stenosis (Overview)

A condition in which the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. It happens usually between two to eight weeks of age. Vomiting can be forceful.


2

2
What are values that correspond with the diagnosis of pyloric stenosis?

What are values that correspond with the diagnosis of pyloric stenosis?

Several: Most values are usually of a chemical or electrolyte nature. Vomiting causes losses of chloride, potassium. Hypokalemic, hypochloremia are the classis values when a blood assay is done. ...Read more

3

3
Managing Spinal Stenosis (Checklist)

Use NSAIDs for relief
Daily
Get an x-ray or MRI if you are not better in 6 weeks
Once
See a spine specialist if you are not better in 6 weeks
Once
4

4
Are there any important lab tests that will help diagnose pyloric stenosis?

Are there any important lab tests that will help diagnose pyloric stenosis?

No: Although lab tests can help with the diagnosis, the actual diagnosis is made on history, physical exam and nowadays on ultrasound. Lab tests help determine how severely dehydrated the child is. ...Read more

5

5
What are the tests for pyloric stenosis?

What are the tests for pyloric stenosis?

Ultrasound: Most common test for pyloric stenosis today is ultrasound that shows thickened elongated pyloric muscle. Standard measurements of muscle thickness are well known. A upper gastrointestinal barium study performed in fluoroscopy predated ultrasound and also was quite accurate but involves ionizing radiation. ...Read more

6

6
Does anyone here know anything about pyloric stenosis?

Yes: Pyloric stenosis is a problem that occurs in infants from 2-12 weeks of age. It is a blockage at the outlet of the stomach caused by thickened muscle. It is easily corrected with an operation to cut this muscle. ...Read more

7

7
What causes pyloric stenosis?

Not known for sure: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who with pyloric stenosis.Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1, 000 babies in US.4 x more in 1st born males. If in parent then infant 20% chance ...Read more

8

8
My mind is racing. What does it mean if a girl has pyloric stenosis?

Unusual but...: Also occurs in girls. Only one significant difference will be that the offspring from an affected girl has 25 percent chance to develop pyloric stenosis. ...Read more

10

10
What are treatments for pyloric stenosis?

What are treatments for pyloric stenosis?

Hydration + surgery: If you are talking about a young infant with hypertrophic pyloric stenosis, the first part of treatment is IV hydration to correct any dehydration present. Once the baby is well-hydrated, he/she undergoes operation, a pyloromyotomy, in which the hypertrophic pyloric muscle fibers are cut so that the stomach can empty properly. The operation can be done openly or laparoscopically. ...Read more

11

11
Why do only male children get pyloric stenosis?

Why do only male children get pyloric stenosis?

Not quite accurate: Hypertrophic pyloric stenosis (hps) occurs in girl babies, too, but it is 5 times more common in boys than girls. It is also 5 times more common in whites than blacks. So, the most common baby with hps is a white boy baby. No one really knows why. It probably has some genetic basis. ...Read more

12

12
What are the pyloric stenosis risk factors?

What are the pyloric stenosis risk factors?

Not known for sure: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who had pyloric stenosis.Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1, 000 babies in US.4 x more in 1st born males. If in parent then infant 20% chance ...Read more

13

13
What is the cause of pyloric stenosis?

Unknown: We have known how to diagnose and teat pyloric stenosis since 1904, but we still do not know the cause or how to prevent it. ...Read more

14

14
What is pyloric stenosis?

What is pyloric stenosis?

Stomach exit blockag: In a baby with hypertrophic pyloric stenosis (HPS), the circular pyloric muscle fibers which regulate the emptying of the stomach become swollen ("muscle-bound") usually between 2 and 8 weeks' age. The pyloric channel becomes blocked, and fluid cannot exit the stomach. The baby has progressive projectile nonbilious vomiting which can cause dehydration and weight loss if uncorrected. ...Read more

15

15
Can pyloric stenosis return?

Can pyloric stenosis return?

Usually not: Hypertrophic pyloric stenosis (HPS) in a young baby is treated with an operation called a pyloromyotomy. The hypertrophic circular pyloric muscle fibers are split to open the pylorus & allow the stomach to empty. If done well & thoroughly, HPS should not return. One occasionally hears of a case of recurrent HPS, but often, when looked at closely, it was an inadequate pyloromyotomy to begin with. ...Read more

16

16
What causes pyloric stenosis?

Not known for sure: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who with pyloric stenosis.Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1, 000 babies in US.4 x more in 1st born males. If in parent then infant 20% chance ...Read more

17

17
What is the cause of pyloric stenosis?

Unknown: We have known how to diagnose and teat pyloric stenosis since 1904, but we still do not know the cause or how to prevent it. ...Read more

18

18
What are the tests for pyloric stenosis?

Ultrasound: Most common test for pyloric stenosis today is ultrasound that shows thickened elongated pyloric muscle. Standard measurements of muscle thickness are well known. A upper gastrointestinal barium study performed in fluoroscopy predated ultrasound and also was quite accurate but involves ionizing radiation. ...Read more

19

19
What are the symptoms of pyloric stenosis?

Projectile vomit: 1-2 month old who starts to vomit after meals. It progresses. Vomit after eating gets worse and more forceful. Sometimes more common in first born males. Ultrasound is diagnostic. Surgery only after the fluid balance is restored. Hope this helps. Laparoscopic surgery is common for this operation. ...Read more

20

20
What should I know about pyloric stenosis?

Its easy to correct!: Pyloric stenosis occurs in infants between 2 weeks and 3 months of age. In this condition the muscle at the place where the stomach empties is thickened so that the food cannot pass. It is corrected with a small operation to cut the muscle. This surgery can be done laparoscopically or with a small incision above the navel. The infant can usually start eating within a few hours after surgery. ...Read more

21

21
What are the pyloric stenosis risk factors?

Not known for sure: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who had pyloric stenosis.Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1, 000 babies in US.4 x more in 1st born males. If in parent then infant 20% chance ...Read more

22

22
What are the problems after pyloric stenosis?

Usually none: The only problem encountered is swallowing foreign body such as marble or coin. When have surgery for pyloric stensis the relative narrowing of pyloric channel persists for years. Liquids have no problem passing from stomach into duodenum. Large hard objects can hang up in stomach indefinitely. ...Read more

23

23
Why do only male children get pyloric stenosis?

Not quite accurate: Hypertrophic pyloric stenosis (hps) occurs in girl babies, too, but it is 5 times more common in boys than girls. It is also 5 times more common in whites than blacks. So, the most common baby with hps is a white boy baby. No one really knows why. It probably has some genetic basis. ...Read more

24

24
Can you tell me anything about pyloric stenosis?

Somethings: Approximately 95% of infantile hypertrophic pyloric stenosis cases are diagnosed in those aged 3-12 weeks. It is more common in first-born white males. It also has predominance in children of affected parents (as many as 7%).More males than females. Marked hypertrophy and hyperplasia of the 2 muscular layers of the pylorus occurs, leading to narrowing of the gastric antrum and elongation of pylorus. ...Read more

25

25
Could people with pyloric stenosis have children?

Could people with pyloric stenosis have children?

Yes: Once repaired the rest of anatomy and life can be normal. ...Read more

26

26
How do I take care of a child with pyloric stenosis?

How do I take care of a child with pyloric stenosis?

Surgery is the cure: Your child needs to have the pyloric muscle cut which is done in a very short and nearly scarless operation done by a qualified surgeron. Any children's surgeon can explain the procedure and care for this common problem but the most important thing is to make sure that enough fluids and salts are being administered. ...Read more

27

27
Does anyone here know anything about pyloric stenosis?

Yes: Pyloric stenosis is a problem that occurs in infants from 2-12 weeks of age. It is a blockage at the outlet of the stomach caused by thickened muscle. It is easily corrected with an operation to cut this muscle. ...Read more

28

28
What is the chance of a new child having pyloric stenosis?

Gender/Race involved: Hypertrophic pyloric stenosis (hps) is more common in boy babies & white babies. There is a 1 in 300 chance of a white baby boy developing hps. It is 5 times more common in boys than girls & 5 times more common in whites than blacks. Therefore, it is most commonly seen in white baby boys & least commonly seen in black baby girls. ...Read more

29

29
What is the definition or description of: pyloric stenosis?

What is the definition or description of: pyloric stenosis?

Stomach blockage: Pyloric stenosis is when the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. Happens usually between 2-8 weeks of age. Vomiting can be forceful. ...Read more

30

30
What are some possible complications after pyloric stenosis?

Usually few, if any: Pyloric stenosis surgery very seldom has complications. Generic complications can occur, such as wound infection or minor scarring. The key problem to recognize and fix during the operation is perforation of the duodenal mucosa. One cuts thru the thickened pyloric muscle fibers to open up the outlet of the stomach, but if one cuts all the way into the lumen, it must be recognized and repaired. ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Abraham Jaskiel
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more