Pyloric stenosis

Tacori E-ring · Dec 13, 2007

Anyone have any experience with this?

somethingshiny · Dec 13, 2007

Tacori~

I don''t have personal experience with it, but I know a bit about it. Is your little one suffering?

Tacori E-ring · Dec 13, 2007

We don''t know. My dad really wants her to be tested (he is a doc and thinks she has it). She spit/vomits a huge amount. Even Hours after eating. Enough to soak both of us. Basically anytime she is flat on her back (diaper changes, playmat) It doesn''t seen to bother her *too* much. Just before the big ones (comes out her nose too) and she hiccups after every meal. She also is still hungry after she spits which I guess is another sign. But she is gaining weight, having wet diapers, etc...we started her on Axid to see if it is reflux and it is not working at all.

I just feel bad for her.

Ellen · Dec 13, 2007

Date: 12/13/2007 7:06:17 PM
Author: Tacori E-ring
We don''t know. My dad really wants her to be tested (he is a doc and thinks she has it). She spit/vomits a huge amount. Even Hours after eating. Enough to soak both of us. Basically anytime she is flat on her back (diaper changes, playmat) It doesn''t seen to bother her *too* much. Just before the big ones (comes out her nose too) and she hiccups after every meal. She also is still hungry after she spits which I guess is another sign. But she is gaining weight, having wet diapers, etc...we started her on Axid to see if it is reflux and it is not working at all.

I just feel bad for her.

Tacori, my nephew had this. I''m just getting ready to call his mom, if there''s something you want me to ask. I know his was projectile, and he had to have surgery for it.

My first spit up a LOT. Hours after eating too. In everything, and everywhere he went. In fact, this SIL I''m getting ready to call, and I laugh about the time she baby sat him. I picked him up, and the next day she called to tell me he''d crawled into their closet and spit up in hubby''s shoe.

He even spit up in my mouth one day when I held him up above me like an airplane.

Nothing was safe.

I don''t recall if it ever came out his nose, but if so, it wasn''t often. Have you talked to your pedi?.

LadyAmythyst69 · Dec 13, 2007

My son had a hair trigger puke mechanism when he was a baby. Turned out he had food allergies but we didn''t find that out until after he had gone into anaphylactic shock. Does anyone is your family have any history of food allergies, asthma or eczema? If you are breast feeding you may want to cut milk, egg, soy and any nuts out of your diet until you can figure out what this is. But I would go pronto to the pediatrician and a pediatric food allergy specialist if I were you. After having two children with food allergies I can tell you that most pediatricians are woefully uneducated about this and very dismissive of parents who suspect that something is wrong with their baby. A specialist is the only real way to get help.

Don''t want to alarm you because it obviously could be a lot of things causing your baby to throw up. Just something to keep in mind to ask your doctor about.

Tacori E-ring · Dec 13, 2007

You are sweet Ellen. Sometimes it is projectile. That is when it seems to upset her more. Other times it just kind of falls out of her mouth. I told her doc everything and that is when he put her on Axid. We are suppose to give it a month but I don''t know. According to my dad if it is going to work it starts very quickly. What worries me is she seems to be getting worse (which is another sign). She has been a spitter from day one but not it is more vomiting. When did they test your nephew? How old was he when he had the surgery? My dad assured me that the surgery is very sucessful and simple. Still...she is SOOOO little.

Ellen · Dec 13, 2007

Date: 12/13/2007 7:26:19 PM
Author: Tacori E-ring
You are sweet Ellen. Sometimes it is projectile. That is when it seems to upset her more. Other times it just kind of falls out of her mouth. I told her doc everything and that is when he put her on Axid. We are suppose to give it a month but I don''t know. According to my dad if it is going to work it starts very quickly. What worries me is she seems to be getting worse (which is another sign). She has been a spitter from day one but not it is more vomiting. When did they test your nephew? How old was he when he had the surgery? My dad assured me that the surgery is very sucessful and simple. Still...she is SOOOO little.

I honestly don''t remember exactly Tacori, this was 22 years ago. But he was definitely little, and his mama was scared to death. But it went well, and he was fine afterwards. I will ask her a bit when I call and report back.

However, regardless, if YOU are getting concerned, either get a second opinion, or be adamant with the pedi. I know they are doctors, but they are not infallible.

somethingshiny · Dec 13, 2007

Tacori~

As Ellen stated, I''ve never heard of this diagnosis without PROJECTILE vomiting. My son used to spit up all day, every day. Sometimes it was projectile. He hiccuped constantly. But, he always gained well. He was miserable for months. He was eventually diagnosed with colic.

Even before we had the "diagnosis", I would wrap him loosely in a warm bathtowel direct from the dryer. I don''t know if it helped him relax, or loosened the muscles, or what, but it was one of the very few things that would settle him. Also, I would flip him face side down on my lap and bounce him. He was always spitting, and it didn''t seem to make him spit more, but it appeared to relieve some of the pressure.

Good Luck. I know it''s awful when you feel like you can''t help your baby.

happyfeet1988 · Dec 13, 2007

Tacori, i had pyloric stenosis as a newborn. From what my mom says, it started around 2 weeks, which is common with this condition. It can vary greatly from case to case, but is sometimes associated with little to no weight gain, due to no food being able to be digested. I started out spitting up a lot, but by 2 months old, it turned into projectile vomiting. Usually, a baby will be ready to eat again right after they vomit. I eventually became dehydrated and my parents took me to the ER. I ended up having a pyoloromotomy, which removes the thickened tissue of the pylorus, therefore removing the obstruction of digestion. My mom says i was normal almost immediately after, and hardly ever vomited again. But, keep in mind pyloric stenosis has some symptoms very similar to gastroenteritis, so that''s another thing to ask about. Tessa is SO adorable, i hope she feels better, and that my little bit of info helps!

Ellen · Dec 13, 2007

Ok, whew, that was a long, long distance telephone call. Good thing it''s free!

This is what she said, and what she was told. Of course, this was years ago, maybe info has changed.

It is more common in boys, and first born boys. Don''t ask me how in the world the condition could possibly know this.

I also found out another SIL had a boy that had it (second born), but this was long before I met hubby, so I had no idea.

It usually shows no real symptoms, then may develop into a little bit of harmless urping, but fairly quickly goes to projectile vomiting.

I either forgot a lot of this, or didn''t know how fast it all happened. It''s been awile....Her son did not spit up at all, and then at age 3 weeks started spitting up, but within a week had started the projectile vomiting. He did this for a week, and it was violent. Not necessarily right after he ate.

Her pedi was out of town that week (naturally), and the pedi on call would not see her, thought she was being a nervous mother I guess (this was her 3rd child btw). By the end of the week, the baby looked awful, as he was dehydrated and becoming malnourished. On Sat. she called the doctor and said, I''m bringing the baby in today and you are going to look at him. When would be a good time for you?

He took one look at him, and realized he''d been wrong. (what did I tell you?) He had surgery the next day, and was fine immediately after. No more vomiting.

So he was 5 weeks old when that happened.

I meant to ask earlier, is Tessa gaining weight, losing, staying the same? And how long has she been on the medicine?

San Diego Bride · Dec 13, 2007

just about every baby spits up, so this can be tricky. "projectile" definitely makes you think of pyloric stenosis, but it doesn''t have to be present. if you''re worried about it though, you should definitely have your daughter tested. the test is quite simple... a painless ultrasound. the surgical repair is simple as well. yes, it''s still means surgery and anesthesia, but the procedure itself is amazingly successful and takes only minutes. the recovery process is super quick (she''d likely be eating within hours) and it leaves only a very small scar. it''s always best to have the repair done sooner rather than later. babies with pyloric stenosis can become dehydrated and have electrolyte imbalances that require hospitalization and correction. it''s better to avoid that if you can.

diamondseeker2006 · Dec 13, 2007

S, I can''t help you on this one, but it sounds like your Dad is concerned enough that I''d probably request the test. Another month seems too long to wait, IMO.

Ellen · Dec 13, 2007

I got curious and did a search. This was the first link. Interesting, it too says it''s more common in first born boys. And it also seems the projectile vomiting is a key issue.

http://www.kidshealth.org/parent/medical/digestive/pyloric_stenosis.html

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 7:23:28 PM
Author: LadyAmythyst69

My son had a hair trigger puke mechanism when he was a baby. Turned out he had food allergies but we didn''t find that out until after he had gone into anaphylactic shock. Does anyone is your family have any history of food allergies, asthma or eczema? If you are breast feeding you may want to cut milk, egg, soy and any nuts out of your diet until you can figure out what this is. But I would go pronto to the pediatrician and a pediatric food allergy specialist if I were you. After having two children with food allergies I can tell you that most pediatricians are woefully uneducated about this and very dismissive of parents who suspect that something is wrong with their baby. A specialist is the only real way to get help.

Don''t want to alarm you because it obviously could be a lot of things causing your baby to throw up. Just something to keep in mind to ask your doctor about.

I don''t nor does my DH have any food allergies. Actually I don''t think anyone in our family does (parents/siblings). I asked the doctor if I should change my diet and he seemed to think that was not the problem. He said she would have skin issues if she was allergic. Is this what you found with your children?

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 7:31:57 PM
Author: somethingshiny
Tacori~

As Ellen stated, I''ve never heard of this diagnosis without PROJECTILE vomiting. My son used to spit up all day, every day. Sometimes it was projectile. He hiccuped constantly. But, he always gained well. He was miserable for months. He was eventually diagnosed with colic.

Even before we had the ''diagnosis'', I would wrap him loosely in a warm bathtowel direct from the dryer. I don''t know if it helped him relax, or loosened the muscles, or what, but it was one of the very few things that would settle him. Also, I would flip him face side down on my lap and bounce him. He was always spitting, and it didn''t seem to make him spit more, but it appeared to relieve some of the pressure.

Good Luck. I know it''s awful when you feel like you can''t help your baby.

Maybe it is just colic (something the doc mentioned). She does projectile but not everytime. My dad says it just gets worse so I think if she does have it we will know soon (she will be 6 weeks on saturday) I will try the towel trick. She does seem to like being on her tummy (against our chest) When she is fussy that is the easiest way to get her to fall asleep.

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 9:00:01 PM
Author: happyfeet1988
Tacori, i had pyloric stenosis as a newborn. From what my mom says, it started around 2 weeks, which is common with this condition. It can vary greatly from case to case, but is sometimes associated with little to no weight gain, due to no food being able to be digested. I started out spitting up a lot, but by 2 months old, it turned into projectile vomiting. Usually, a baby will be ready to eat again right after they vomit. I eventually became dehydrated and my parents took me to the ER. I ended up having a pyoloromotomy, which removes the thickened tissue of the pylorus, therefore removing the obstruction of digestion. My mom says i was normal almost immediately after, and hardly ever vomited again. But, keep in mind pyloric stenosis has some symptoms very similar to gastroenteritis, so that''s another thing to ask about. Tessa is SO adorable, i hope she feels better, and that my little bit of info helps!

Thank you. She is pretty cute

even if she smells like spoiled milk.

She is gaining weight at a normal rate (born at 7 lbs 2 oz and weighed in at 8 lbs 7 oz at her 4 week check up) and still have dirty/wet diapers so food is staying in there (hard to believe). Her stools seem a little loose the past few times (sorry TMI). They don''t have the "seeds" in them. She is ALWAYS ready to eat. She vomits and them starts rooting a second later. She is on medication for Reflux (trying to rule that out) but it doesn''t seem to be helping. Maybe we need to give it more time.

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 9:24:54 PM
Author: Ellen
Ok, whew, that was a long, long distance telephone call. Good thing it''s free!

This is what she said, and what she was told. Of course, this was years ago, maybe info has changed.

It is more common in boys, and first born boys. Don''t ask me how in the world the condition could possibly know this.

I also found out another SIL had a boy that had it (second born), but this was long before I met hubby, so I had no idea.

It usually shows no real symptoms, then may develop into a little bit of harmless urping, but fairly quickly goes to projectile vomiting.

I either forgot a lot of this, or didn''t know how fast it all happened. It''s been awile....Her son did not spit up at all, and then at age 3 weeks started spitting up, but within a week had started the projectile vomiting. He did this for a week, and it was violent. Not necessarily right after he ate.

Her pedi was out of town that week (naturally), and the pedi on call would not see her, thought she was being a nervous mother I guess (this was her 3rd child btw). By the end of the week, the baby looked awful, as he was dehydrated and becoming malnourished. On Sat. she called the doctor and said, I''m bringing the baby in today and you are going to look at him. When would be a good time for you?

He took one look at him, and realized he''d been wrong. (what did I tell you?) He had surgery the next day, and was fine immediately after. No more vomiting.

So he was 5 weeks old when that happened.

I meant to ask earlier, is Tessa gaining weight, losing, staying the same? And how long has she been on the medicine?

Ellen my dad told me the same thing about first born boys. It is strange huh? I did read how it happens to 1 in 1,000 boys and only 1 in 200 girls (I *think* those were the numbers). She was a spitter from day one. I guess I am worried that if she does have this she''ll get bad the week we are in ohio. Stupid question but how do you know a baby is dehydrated? No/few wet diapers?

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 9:31:08 PM
Author: novia

just about every baby spits up, so this can be tricky. ''projectile'' definitely makes you think of pyloric stenosis, but it doesn''t have to be present. if you''re worried about it though, you should definitely have your daughter tested. the test is quite simple... a painless ultrasound. the surgical repair is simple as well. yes, it''s still means surgery and anesthesia, but the procedure itself is amazingly successful and takes only minutes. the recovery process is super quick (she''d likely be eating within hours) and it leaves only a very small scar. it''s always best to have the repair done sooner rather than later. babies with pyloric stenosis can become dehydrated and have electrolyte imbalances that require hospitalization and correction. it''s better to avoid that if you can.

It is hard to know what is normal and what isn''t. Maybe I should just call the doctor and request she be tested. Then we can at least rule it out. I am not worried about the surgery (I mean I am sure I will be but my head knows it is a simple, sucessful procedure). Maybe I should give it the weekend and see the Axid kicks in. She has only been on it for 5 days.

Tacori E-ring · Dec 14, 2007

Date: 12/13/2007 9:47:12 PM
Author: diamondseeker2006
S, I can''t help you on this one, but it sounds like your Dad is concerned enough that I''d probably request the test. Another month seems too long to wait, IMO.

You are right. My dad is NOT one to over-react about anything. I think I will give it until Monday and call (to request) the ultrasound if she seems to still be vomiting a lot. I guess I am hoping it is just reflux and the medication will kick in.

Ellen · Dec 14, 2007

Date: 12/14/2007 12:01:56 PM
Author: Tacori E-ring

Ellen my dad told me the same thing about first born boys. It is strange huh? I did read how it happens to 1 in 1,000 boys and only 1 in 200 girls (I *think* those were the numbers). She was a spitter from day one. I guess I am worried that if she does have this she''ll get bad the week we are in ohio. Stupid question but how do you know a baby is dehydrated? No/few wet diapers?

Yes, fewer wet ones.

Also, their skin won''t be as "plump". If you gently pinch it up, it''s slower to spring back.

Mouth may seem dry.

Will seem thirsty.

But the decrease in diapers is usually the first sign that something''s wrong.

Ellen · Dec 14, 2007

Date: 12/14/2007 12:04:59 PM
Author: Tacori E-ring

It is hard to know what is normal and what isn''t. Maybe I should just call the doctor and request she be tested. Then we can at least rule it out. I am not worried about the surgery (I mean I am sure I will be but my head knows it is a simple, sucessful procedure). Maybe I should give it the weekend and see the Axid kicks in. She has only been on it for 5 days.

Tacori, if she basically seems happy, and isn''t losing weight, or showing signs of dehydration, my SIL said she would give it another week to ten days to give it a chance.

VegasAngel · Dec 14, 2007

I'm no Dr. but it sounds like acid reflux to me. I would probably do what you are doing & wait to see if the antacid helps her out. If not I would get her tested. It was much easier on my daughter & me to get tests done when she was itty bitty. Awe, I hope Tessa gets well soon.

Tacori E-ring · Dec 14, 2007

Thanks Ellen and Vegas. The only "new" thing is her looser stool. I have noticed it her last 3 BM. Doesn''t have the "seeds" like it used too. Besides that she seems happy. I got her to smile (social) last night for the first time. It was so awesome.

Ellen · Dec 14, 2007

Date: 12/14/2007 12:32:26 PM
Author: Tacori E-ring
Thanks Ellen and Vegas. The only ''new'' thing is her looser stool. I have noticed it her last 3 BM. Doesn''t have the ''seeds'' like it used too. Besides that she seems happy. I got her to smile (social) last night for the first time. It was so awesome.

Awwwww!

Sweet.

Wait til you can make her belly laugh, it is THE funniest thing ever.

Gosh I miss babies.

And about her stools, I wonder if somehow the med is playing a part?

canuk-gal · Dec 14, 2007

HI:

Aww she is such a cutie patootie--hope the meds work!

cheers--Sharon

crown1 · Dec 14, 2007

i am sorry to be reading of tessa''s problem. i know it seems a remote possibility but do you think she is eating too much? since she is thriving otherwise maybe she is spitting up what her body can''t handle. i seem to remember reading that she was a very good eater. just a thought hoping for something simple to easily remedy the problem.

San Diego Bride · Dec 14, 2007

stool consistency and color tend to change from time to time, so i wouldn't really worry about that much unless the amount becomes clearly excessive. reflux should definitely start to improve after a couple of days on medication. it might take a week or two to see maximal results, but you should already be seeing some. someone brought up overfeeding which is a good thought, and is difficult to measure in nursing babies. overfed babies do gain weight rather quickly though and your baby's weight gain seems quite normal. it doesn't sound like she's allergic to anything. allergic bablies tend to have very excessive stool output and they don't gain weight. they sometimes have skin findings too, but not always. babies with colic tend to be quite fussy and have irregular stooling patterns, but not necessarily vomiting. the fact that she seems so happy despite the vomiting would argue against this.

i'm glad she's doing well and that's definitely the most important thing, but if you're worried about pyloric stenosis at all it's better to find it early. it would stink to have her get sick while you're away. would it be possible to talk to your pediatrician and maybe schedule an ultrasound for the end of next week? by that time she'll have been on relux meds at least 10 days. you can always cancel the appointment if she's better, but if she's not then you won't have to wait for it. late next week would also give time for a quick surgical repair (IF that's necessary) and for her to be feeling 100% for her first _____ (insert the holiday that you celebrate here).

by the way, i am a doctor that works with children, but obviously not YOUR doctor, so please take my well-intentioned thoughts with a few grains of salt.

Tacori E-ring · Dec 14, 2007

Ellen, I can''t wait for the belly laughs

I just love seeing SOME personality developing.

Sharon, thank you.

Crown, she is a big eater. She still roots AFTER she vomits. Well, she is basically ALWAYS trying to nurse while I am holding her. It is kind of frusterating. I am not sure how I can control how much she gets except for when we give her a random bottle. We are trying to get at least 3 hours between feedings which doesn''t make the little one too happy. I just don''t know if she would vomit HOURS after nursing if that was it but it could explain the more dribble spit-up (like she didn''t or couldn''t swallow all of it.

Novia, thanks for all your advice. She does have her fussy periods so colic is a possibility. She has been know to cry for 3 hours straight. Usually she has a good day, then a bad day, then a good day...But swaddling, her swing, and the sound of our lovely dyson seem to calm her. She used to be into her pacifier but she seems to be rejecting that lately. Her BMs have been green lately. I know that is normal. Only the texture seems different (though easier to clean her). I think I''ll call on Monday *if* she is not improving. Perhaps she is just a spitter. Simple as that. Good thing my MIL bought me 150 bibs. I change them all day long.

Maisie · Dec 14, 2007

I''m sorry little Tessa is poorly. My son James had similar problems when he was little. He was breast fed. He would have his feed, then go off to sleep after being burped. Then as soon as we would move him or lift him he would throw it all back up. Even a few hours later. He was sick a lot! We would be walking around wearing a lot of baby sick for the first 18 months or so. He wasn''t unwell with it, in fact he didn''t seem to mind being sick at all. He didn''t seem to be in any kind of pain and he put weight on normally.

Our doctor said he had gastric reflux and as he got older his valve on the entrance to his stomach would get stronger and the vomiting would stop. He hasn''t really thrown up like that since he was about a year and a half.

Tacori E-ring · Dec 14, 2007

Thanks Maisie. She doesn''t seem to get too upset unless it is right before a big vomit (ones that come out her mouth and nose). Then she will cry until she gets it out. Then she is fine. Like Novia mentioned, she is putting on weight normally. But I can relate to having baby spit on EVERYTHING! It is amazing how it doesn''t even bother me now. Still not used to the smell though

Pyloric stenosis

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