Friday, March 1, 2013

Pyloric Stenosis

pyloric Stenosis

Pyloric stenosis, is a narrowing of the pyloric sphincter muscle in which the muscles of the pylorus are
thickened and twice the normal size. This prevents the tolerate from emptying into the small
intestine. Normally, food passes easily from the corroborate into the early part of the small intestine
through a valve called the pylorus. The act of the thickening is unknown, although genetic
factors may play a role. Children of parents who had pyloric stenosis are more likely to have this
condition.

Pyloric stenosis occurs more often in boys than in girls, and is elevated in children older than 6
months. Signs and symptoms include: vomiting (free of bile) which begins by and by the 14th day of
life and commence projectile vomiting. The strong-arm ejection of milk or formula up to several(prenominal) feet
away within 30 minutes after the pander eats. Vomiting may be mild at premiere and gradually become
more severe. The vomit may sometimes contain blood. The child becomes hungry immediately
after separately feeding and the cycle continues Weight loss and failure to get ahead weight is present.
Dehydration with decreased sodium and potassium is say and the baby may cry without tears
or become lethargic. A nursing mom may find herself ever-changing fewer wet diapers or diapers that
arent as wet as expected.

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The infant may have a swollen belly. The relate may detect the
abnormal pylorus, which feels like an olive-shaped mass, when touching the stomach area.
Visible peristaltic waves are noticeable, wave-like contractions that move across the babys upper
tummy (peristalsis) soon after feeding but before vomiting. This is caused by stomach muscles
trying to force food past the waiver of the pylorus. Metabolic alkalosis occurs (decreased serum
chloride, increased ph and bicarbonate or CO2 content). Babies given certain antibiotics, such as
erythromycin, in the first weeks of life for whooping cough (pertussis) have an increased jeopardy of
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