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What Is The Result Of Hypochloremia In Pyloric Stenosis
Severe dehydration: If a baby has delayed diagnosis of pyloric stenosis the baby may have profound dehydration and metabolic alkalosis. Thankfully with directed rehydration over hours to days this can be corrected and then the baby can undergo surgery to repair the problem. ...Read moreSee 2 more doctor answers
Hypochloremia is a low level of chloride (cl) in ones blood. A normal level of cl is 97-107 meq/l in the blood. Some auses of hypochloremia are: long periods of diarrhea, vomiting, sweating. It is also seen with the use of laxatives, diuretics, steroids and bicarbonate. Cl is regulated by the kidneys. If hypochloremia is present one should make sure there is not ...Read more
Bowel obstruction : Then vomiting, dehydration and loss of electrolytes. Gastric contents lost as vomit include acids, leading to a metabolic alkalosis (a 'contraction' alkalosis) with hypokalemia (low potassium), the baby needs to be admitted to a hospital, have intravenous fluids, a surgical consult and surgical repair of the pylorus to relieve the stenosis. It can be performed open or laprascopic. ...Read moreSee 2 more doctor answers
Electrolyte changes: In a baby with hypertrophic pyloric stenosis, the lab abnormalities are a result of vomiting up hydrochloric acid and malnutrition. The chloride level goes down, the bicarbonate level goes up, and the potassium level can go down. If the diagnosis is made quickly, the labs may not be abnormal. If the baby has been vomiting a long time, the electolyte derangements can be severe. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Varies: Pyloric stenosis often causes projectile vomiting, forceful ejection of milk or formula up to several feet away. Vomiting occurs within 30 minutes after baby eats. Vomiting may be mild at first and gradually become more severe as the pylorus opening narrows.Can take days to sometimes week or so. ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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