PYLORIC STENOSIS

 So, it means na pinapaliit nito ang pyloric spinkter na hinaharangan ang

pagpasa ng pagkain mula sa tiyan papunta sa duodenum. Ibig sabihin,
Ang lumen ng pyloric  na bahagi ay makitid. Ang pagkain ay mas malamang
na lumipat sa bituka, at ang tiyan ay nagpapalawak upang ipakita ang
kapunuan ng paghinga, pagsusuka at sakit. Ang mga sanhi ay
kinabibilangan ng pyloric convulsions, pyloric thickening, gastric
cancer , gastric ulcer, atbp. Ang usual na treatment nito ay gastrointestinal
anastomosis (gangway) at gastrectomy.

SYMPTOMS:
Pyloric stenosis can lead to forceful vomiting, dehydration and weight loss.
Babies with pyloric stenosis may seem to be hungry all the time. So, always
silang nagugutom because it is hard for food and liquid to pass through.
Children may then vomit and become dehydrated or malnourished.

And also, Vomitus o yung vomit nila usually smells sour because it has
reached the stomach and has been in contact with stomach enzymes.
There is never bile in the vomiting of pyloric stenosis because
the feeding does not reach the duodenum to become mixed
with bile.

Diagnostic:
A defifinitive diagnosis is made by watching the infant
drink. Before the child drinks, attempt to palpate the right
upper quadrant of the abdomen for a pyloric mass. If one is
present, it feels round and fifirm, approximately the size of an
olive. As the infant drinks, observe for gastric peristaltic
waves passing from left to right across the abdomen. The
olive-size lump becomes more prominent. The infant vomits
with projectile emesis. If the diagnosis is still in doubt, an ul
trasound will show the hypertrophied sphincter. Endoscopy also may be used
for diagnosis by directly visualizing the hypertrophied sphincter.