This may be through an intravenous drip.įor the first few hours, your baby will continue to have fluids through the drip. Your baby may need medicine to help with pain after the operation. What happens to my baby after the operation for pyloric stenosis? You will have the opportunity to ask questions. Your baby's surgical team will explain what will happen during the operation, and any other treatment needed. This usually takes several hours and can even take a day or two. These levels must return to normal before the operation. Babies with pyloric stenosis usually have abnormal levels of several important substances in their blood. Your baby will need an intravenous drip before the operation. What happens to my baby before the operation for pyloric stenosis? FastingĪsk you doctor or nurse about when and what your baby can drink before the operation. In all the operations, the surgeon cuts through and spreads the thickened and enlarged muscles of the pylorus, which relieves the blockage (obstruction). Umbilical approach - the surgeon makes a cut in the tummy button (umbilicus) itself.Open operation - the surgeon makes a small cut directly over the pylorus.'Key hole' surgery - the surgeon makes 3 three tiny cuts.The treatment for pyloric stenosis is an operation called a pyloromyotomy.Ī team that usually includes a surgeon and an anaesthetist will do this operation using one of 3 techniques: What is the treatment for my baby with pyloric stenosis? In most cases, your baby will need a blood test.
Any blockage or narrowing will show on the x-ray. Your baby will then have an x-ray of their abdomen, which will show the passage of the barium through the gut. A doctor or nurse will give your baby a small amount of chalky liquid (barium). Only a very small number of babies need it. This is to help your baby relax enough to allow the doctor to feel the lump in your child's tummy. A test feedĪ doctor may give your child a small feed. An ultrasound of your baby's abdomenĪn ultrasound may show the thickened pyloric muscle. Your baby might need some investigations or tests. Your doctor may try to feel a mass or lump (which is the thickened pylorus) in your baby's stomach.
any weight loss or failure to gain weight. Your doctor will ask about your baby's symptoms, including: Do not delay as young babies who are not able to feed normally can become more ill very quickly. If you think your child has pyloric stenosis, go to your doctor or after-hours medical centre straightaway. When should I seek help for my baby with pyloric stenosis? sometimes you can see ripples or waves move across the stomach (abdomen) after a feed - these are muscle contractions (peristalsis) as the stomach tries to empty into the small intestine. the soft spot on the top of the head (fontanelle) is more sunken than normal. unusual sleepiness, difficult to rouse (lethargic). fewer wet nappies or not doing as much wee as usual. from stomach cramps which may be painful. despite the vomiting, babies are usually keen to feed (because they are starving). occasionally, the vomit may have small brown specks of old blood in it. the vomit is usually yellow, the colour of curdled milk. vomiting may be so forceful that the vomit can be projected 1 metre out of the mouth (projectile vomiting). vomiting tends to get worse until your baby is vomiting after every feed. vomiting of feeds, usually within 30 minutes of a feed. What are the signs and symptoms of pyloric stenosis in babies? Vomiting Pyloric stenosis affects far more boys than girls and tends to run in families. What puts my baby at risk of getting pyloric stenosis? What causes pyloric stenosis?Įxperts do not know exactly what causes the thickening and enlargement of the muscles in the pylorus. This usually happens in the first 6 weeks after birth. When a baby has pyloric stenosis, the muscles in the pylorus have become too thick to allow milk to pass through it. Pyloric stenosis (also called infantile hypertrophic pyloric stenosis) is a narrowing of the pylorus - the passage leading from the stomach to the small intestine. your baby's dehydration may need treatment with intravenous fluids before surgery. if your baby has pyloric stenosis, they will need surgery. 
the first symptom is usually forceful, or projectile vomiting soon after feeds. when a baby has pyloric stenosis, the muscles in the pylorus have become too thick to allow milk to pass through it. all food leaving the stomach has to go through the pylorus. the pylorus is the passage that connects the lower part of the stomach to the rest of the bowel. 
Key points to remember about pyloric stenosis
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