When reflux isn't just reflux, your baby may have pyloric stenosis. This condition causes severe vomiting in infants between two weeks and eight weeks of age. Surgery is life saving. Digestion begins with grinding and churning of stomach contents and this mushy muck squirts into the intestines at a fairly constant rate. The pylorus is a group of muscles at the exit part of the stomach that helps regulate the outflow of food.

Without the pylorus, the triple cheeseburger you just ate would enter the small intestines all at once certain to cause a bellyache. For unknown reasons, in one out of 1000 babies, the pylorus muscle thickens after birth. This locks the exit of the stomach and when your baby drinks a bottle of milk, pyloric stenosis leaves no other option than to vomit the milk back up. Vomiting typically worsens over several days until it becomes projectile and occurs after every feeding. These babies are very hungry, and will eat again immediately after vomiting. One of the first signs of trouble is when a vomiting baby begins to lose weight. The baby eventually becomes malnourished, dehydrated, and eventually extremely sick.

The first laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis was performed in 1990. Since then, many series have shown that the laparoscopic approach is safe, efficient, offers improved cosmesis, earlier postoperative recovery and shorter hospitalization.

An ultrasound of the abdomen can be used to diagnose the condition. Once the diagnosis is confirmed and dehydration is corrected, surgery is used to cure the condition. The tight circular band of muscle around the outside of the pylorus is cut to relieve pressure. Most babies have a full and rapid recovery after surgery. Pyloric stenosis is sometimes difficult to recognize until symptoms are severe. Avast internet security final licence avastlic 2038440234.

You should discuss vomiting and reflux with your pediatrician. Davis, MD The Impatient Doctor.

What is Pyloric Stenosis or Pylorostenosis? Pyloric Stenosis or Pylorostenosis is a medical condition, which occurs rarely in infants. The pylorus is a small opening, a muscular valve, which helps in keeping the food back in the stomach till the next stage of the digestive process.

In pyloric stenosis, this opening gets affected where the pylorus muscles get thick and prevent the food from entering the baby's small intestine. Pyloric Stenosis or Pylorostenosis can cause forceful or projectile vomiting, dehydration and weight loss in babies. Infants suffering from this condition always seem to be hungry. Pyloric stenosis is rarely found in babies who are more than 3 months old. This problem can be cured with surgery. • Projectile Vomiting: This is forceful ejection of milk or formula up to several feet away. Baby has vomiting usually within 30 minutes after the feed.

Initially the vomiting may be mild, but gradually becomes severe as the opening of the pylorus gets narrowed. Sometimes, there may be blood in the vomit. • Constant Hunger: Babies often feel hungry, especially after vomiting. • Stomach Contractions: There may be wave-like contractions, known as peristalsis, across the baby's upper abdomen immediately after feeding and before the vomiting. This occurs when the stomach muscles try to force the food through the narrowed pylorus. • Dehydration: The baby may cry without shedding tears and may become lethargic.

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There may be less wet diapers indicating that the baby is dehydrated. • Change in Bowel Movements: Babies may become constipated, as in pyloric stenosis the food cannot reach the intestines.

• Weight Loss: There is weight loss in the babies.