Thursday, January 9, 2014

What's the youngest age a baby can get pyloric stenosis?

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Great Time


I was just wondering if a baby one or two days old could get pyloric stenosis. Is this possible or do you have to be older?


Answer
It's believed that babies are not born with it. Pyloric stenosis is caused by a progressive thickening of the pylorus after birth, so it takes a little time to show up. Most infants who develop symptoms of pyloric stenosis are usually between 3-5 weeks. (Not sure I agree with this).

It's also believed there's a connection with mothers who took the antibiotic erythromycin at the end of pregnancy or during breastfeeding that may have caused the thickening of the muscles of the pylorus. (In our case, I HAD been on this antibiotic towards the end of my pg).

Our newborn daughter began to have the projectile vomiting on her 6th day of life. She could not keep the breast milk down, losing weight rapidly, and having painful stomach contractions. Scary time for us. She'd lost 4lbs! We had to take her in every 2 days for a weigh in to monitor her. Her pediatrician diagnosed severe acid reflux (due to these symptoms developing in her first week of life) & excessive gas. We were advised to try "natural" methods first. Massaging the tummy & abdomen. Mylicon drops- that helped some. We tried the homeopathic option of gripe water. The gripe water helped a LOT to ease the painful stomach contractions but still we had projectile vomiting thru her mouth and nose. After vomiting our baby was still hungry yet afraid to nurse. Our pediatrician put her on medication. She was on 2 types of medication- one I recall was Axid & other a special compound mix that only one pharmacy in our town could make for us. The medication along with us giving 2.5oz feedings, carefully birping, always keeping her upright, and propping her angled up when laying her- helped significantly. We were able to stablelize her weight.

The condition persisted and she was kept on the meds. By then, our pediatrician was suspecting pyloric stenosis. Since we had the vomiting under control and gas minimized, our doctor asked if we wanted to allow our baby to outgrow the condition. Had her condition not kept improving, our next step would have been the "barium swallow" test. Luckily, the projectile vomiting was tapering down from after every feeding to maybe 1-2 a week. Our baby was so much happier and not in pain anymore so we chose to hold off on the procedure. This whole exhausting process took about 6 1/2 months (my aunt a R.N. & my mom rotated nights at our home to help care for our baby girl). Right at 7 mo. all symptoms disappeared. We were able to take her off the meds, mylicon, and gripe water.

Hope my sharing our experience helps!

p.s We found out (after the fact) the we could've had an ultrasound done right away to check for the thickening of the pylorus. Don't know why our pedi-doc didn't recommend that. I personally feel our baby outgrew the GERD and may have just had a slight case of pyloric stenosis that resolved itself.

What Dont They Tell You About Child Birth?




DAG314


Like most first time mothers i've read all the books and magazines about having a baby but when I hear other mothers talk about thier experinces giving birth it never sounds as easy as the books. (and ALWAYS sounds messier and more embarressing). What are some things that the books dont tell you about giving birth?


Answer
There are 101 different things that they don't tell you about childbirth. It's not because they're not nice, it's just because they probably don't want to get into that much detail and also because they don't want you to stress over things you can't control anyway.

If you really want to know, these are the things that I found out about child birth that no one happened to mention to me:

*Yes, you will probably poo during childbirth. Most women do-though most women don't actually *know* they did because the doctor doesn't exactly make an announcement. It usually happens while you're pushing and they (and you) are pretty occupied at that moment. Can you imagine a doctor looking up from delivering your baby and saying "Hey, I know you're busy, but I just wanted to let everyone know that you just pooed in my hand!".....yeah, that don't do that. The nurse just wipes it up and that's the end of it. If you didn't get an enema (which they don't routinely give anymore) and you have eaten in the last 48 hours, it's safe to assume you will poo. It's not a big deal though, because in the scheme of things coming out of your body during and directly after labor that is by far one of the *least* gross things.

*Speaking of things coming out while you're in labor, there is a pretty strong possibility that you will vomit too. Having things coming out of both ends at the same time is dreadful, but it's all apart of the miracle of childbirth.

*Even though you have poo and vomit spontaneously popping out, your pee probably won't. It is a fairly routine thing now days for hospitals to insist that you use a catheter during labor (not during pushing) and afterwards, especially if you get an epidural. That means they have to stick a tube up into your bladder and then "help you" pee. This, surprisingly, is actually *BETTER* than if they try to get you to use a bed pan, because if you try to use a bed pan you will miss and (really) regret it.

*When your baby is born (more likely than not) their head will look like a bruised football. That's just from pushing and is totally normal. There are babies whose heads come out round and adorable looking, but those are few and far between. It's okay though-chances are you were planning to have them wear a hat home anyway.

*After you're done having the baby you still have to push-because you now have to "birth" the placenta. It is super fun (really, really not). The main thing here is *DON'T LOOK!!!!* The placenta is extremely nasty looking in and of itself, but after they get it out they actually have to examine it and a part of that is cutting it open and....well let's just say that if you didn't barf while you were in labor you probably will at that moment.

*Beware of "afterbirth". They call it afterbirth, but that's just the nice name for "HOLY CRAP IT LOOKS LIKE I HAVE SLAUGHTERED A PIG IN MY UNDERWEAR". Be prepared for your bathroom to look like the scene of a grizzly murder-because not only are you bleeding but you will probably be so sore and non-bendy that your aim is less than beautiful. And taking a bath for the first time after labor may look like the scene in scary movies where they take the girl's kidney out and leave her in the bloody water....that's normal, even if it is creepy, and you can always just take a shower. They will give you ginormous elephant pads (that are like bricks) to wear when you're not in the bath.....however, unless you have underwear that doubles as a circus tent, you probably don't have underwear big enough to hold this ginormous-brick-pad...so they will give you a meshy thing that looks like a hair net and tell you that it's underwear. Go with it...it's the only way to keep the pad on.

*All stitches itch. ALL STITCHES. EVERYWHERE. If you are the lucky recipient of an episiotomy or a rip/tear, you will find yourself running to the bathroom not just to pee but also for the privacy to itch yourself without people thinking that you've got the crotch rot. It's a double edged sword though, because you can *try* to make yourself less itchy, but touching anywhere below your belly button will probably produce firey pain. USE THE EPPI BOTTLE! They'll give you a little thing that looks like a catchup bottle that you can fill with warm water specifically for you to use as a....uh...."refreshener". This will also help with the itching.

These are just the things I could think of quick off the top of my head. See? You probably didn't *really* want to know all that....that's why no one tells you. Childbirth is a grizzly experience not for the faint of heart, but the end result (your baby) is so gorgeous and wonderful that it really makes the rest of the stuff seem like no big deal.




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