Patient's question:
You mentioned the symptoms of the child. On the first day of the full moon, the child was exposed to the sun for 2 hours, came back home to nurse, and then vomited profusely (vomiting from the mouth and nose) until midnight before taking a nap. In the middle, they changed the diaper, and by the third day at noon, they stopped vomiting. After going back to their mother-in-law's place in the afternoon, they took a bath and polished shoes at the county hospital. When they arrived home that evening, they had already started having diarrhea. No matter how much milk or water they consumed, they vomited all night without taking a nap. During the day, they went to the county hospital for a thorough examination and ultrasound (whether it would be cold for the child). The doctor said it was pyloric stenosis. In the afternoon, they were transferred to the hospital, and by then, they had already developed a high fever of 39 degrees and started intravenous drip for anti-inflammatory treatment.Previous treatment history and effectiveness: None.
What kind of assistance you need: Want to know if it can be diagnosed as pyloric stenosis.
Doctor's answer:
Hypertrophic pyloric stenosis is a relatively common abdominal malformation in newborns, with male infants being more affected, with a male-to-female ratio of approximately 10:1. Due to the difficulty in food passage, the nutritional status of the affected child will be severely impaired. If left untreated, it can lead to life-threatening conditions.Guidance: General treatment and preventive measures, such as the use of sedatives, antispasmodics, and correction of water and electrolyte imbalances, may not improve the condition. In such cases, surgical intervention should be considered. A transverse incision in the right upper abdomen is commonly used. After laparotomy, the longitudinal incision is made along the circular muscle of the pylorus without rupturing the mucosa. The muscle ring is then divided, allowing the mucosa to weaken at the edges, thereby expanding the pyloric orifice and relieving intestinal obstruction.