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Pyloric stenosis (management (Medical management, ⦁ Provide extra…
Pyloric stenosis
management
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⦁ Small frequent feed and cereals may be substituted for some of the milk, since solid foods are less easily vomited
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⦁ Small amounts of sedative drugs such as phenobarbital or the alkaloids of belladonna such as atropine are given in regular doses several times a day, usually preceding meals
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⦁ Once resuscitated the infant can undergo the Fredet-Ramstedt pylormyotomy, which is the procedure of choice
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clinical manifestation
⦁ Vomiting after feeding. 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.
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⦁ Stomach contractions. You may notice wave-like contractions (peristalsis) that ripple across your baby's upper abdomen soon after feeding, but before vomiting. This is caused by stomach muscles trying to force food through the narrowed pylorus.
⦁ Dehydration. Your baby might cry without tears or become lethargic. You might find yourself changing fewer wet diapers or diapers that aren't as wet as you expect.
⦁ Changes in bowel movements. Since pyloric stenosis prevents food from reaching the intestines, babies with this condition might be constipated.
⦁ Weight problems. Pyloric stenosis can keep a baby from gaining weight, and sometimes can cause weight loss.
pathophysiology
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⦁ With the enlarged muscle, there is severe narrowing of the pyloric canal between the stomach and duodenum
⦁ With food, the muscle is irritated and becomes further oedematous thus causing the opening to become narrower
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causes
The causes of pyloric stenosis are unknown, but genetic and environmental factors might play a role. Pyloric stenosis usually isn't present at birth and probably develops afterward.
Dietary or nutrition
If the mother is breastfeeding, should eat a healthy diet so that the benefits are passed on to the baby get nutrients they need after pyloric stenosis treated. The mother is encouraged to eat antioxidant foods, including fruits, eat food in high vitamin B and calcium such as beans, and avoid refined foods such as white breads, whole grains and sea vegetables. The breastfeeding mother should avoid caffeinated drinks and other stimulants such as alcohol and tobacco and drink plenty of water every day.