Patient's question:
The child of my friend has congenital pyloric stenosis. They are only about thirty days old now. My friend doesn't want him to undergo surgery. I would like to ask if there are any other treatment methods available. If surgery is the only option, what are the risks involved?Doctor's answer:
Hello, congenital hypertrophic pylorus and hyperplasia lead to stenosis of the pyloric canal and incomplete obstruction of the upper digestive tract. The symptoms are vomiting, which is also one of the common causes of vomiting in newborns. Usually, vomiting occurs 2-4 weeks after birth, within a few weeks after birth, and 3-4 months later. Vomiting starts with milk spilling out and gradually worsens. This is projectile vomiting. Most vomiting occurs within half an hour after drinking milk. The vomit contains chunky milk. A few people may experience coffee-ground vomiting due to gastric mucosal bleeding. After vomiting, the child feels hungry and wants to drink milk. This disease is characterized by abdominal peristalsis waves, with a hard lump the size of a peanut in the right upper abdomen. Active treatment should be initiated. Treatment can be divided into conservative medical treatment and surgical treatment.