Pyloric Stenosis

In my fog of mom of a newborn sleeplessness, I scoured the Internet looking for answers. Page after page offered tips for treating GERD and some even suggested other diagnoses. One of which, pyloric stenosis, stuck out - Jill Scott

Pyloric Stenosis
Pyloric Stenosis

image by: Ammar Ali Azeez

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Pyloric Stenosis in Babies: A Diagnosis That’s Not Hard to Swallow

Although as abnormalities go, pyloric stenosis is not that rare, no one really knows why some babies get it and most don’t. First-born male infants are more likely to have it, but then again, more babies are first-born males! We do know that’s it’s more common to have the condition if another family member has had it. And associations have been found with early antibiotic use (especially erythromycin, which might be used in early infancy to treat whooping cough) and with Moms smoking while pregnant.

OK, Then, Does YOUR Baby Have Pyloric Stenosis?

Physicians are generally taught to look for the most common diagnoses first before considering other options.…

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 Pyloric Stenosis in Babies: A Diagnosis That’s Not Hard to Swallow

Although as abnormalities go, pyloric stenosis is not that rare, no one really knows why some babies get it and most don’t. First-born male infants are more likely to have it, but then again, more babies are first-born males!

Pediatric EM Morsels

The diagnosis, historically, is one made clinically; however, today, Ultrasound allows us to diagnosis pyloric stenosis earlier; often before the classic findings are apparent.

Dr. Greene

It usually starts after 3 weeks of age, but can begin anywhere up to 5 months. It is most common in firstborns, especially firstborn boys.

HealthyChildren.org

Infants with pyloric stenosis have a hard time keeping anything down after feedings―usually starting between 2 and 8 weeks of age.

MayoClinic

The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). Vomiting might be mild at first and gradually become more severe as the pylorus opening narrows. The vomit may sometimes contain blood.

MedlineP,lus

The exact cause of the thickening is unknown. Genes may play a role, since children of parents who had pyloric stenosis are more likely to have this condition. Other risk factors include certain antibiotics, too much acid in the first part of the small intestine (duodenum), and certain diseases a baby is born with, such as diabetes. Pyloric stenosis occurs most often in infants younger than 6 months. It is more common in boys than in girls.

StatPearls

Pyloric stenosis, also known as infantile hypertrophic pyloric stenosis (IHPS), is an uncommon condition in infants characterized by abnormal thickening of the pylorus muscles in the stomach leading to gastric outlet obstruction. Clinically infants are well at birth. Then, at 3 to 6 weeks of age, the infants present with "projectile" vomiting which can lead to dehydration and weight loss.

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