Pylorospasm in infants: symptoms, diagnosis, causes and treatment

Pylorospasm is a pathological condition characterized by gastric spasms opening into the 12-colon. With this disease, the passage of food through the gastrointestinal tract is difficult, which complicates the outflow of the contents to the outside. A similar pathological condition is observed mainly in newborn children. But its occurrence in adolescence is not ruled out.

This is a violation in the work of the gastrointestinal tract, in which there is spasmodic pyloric part of the stomach. Pylorospasm in infants may occur several days after birth or after a couple of months. This is primarily due to the fact that the digestive glands produce an insufficient amount of secretion. In addition, the body of the newborn has few hormones of the gastrointestinal tract.

Symptomatics

With pilorospasm in infants, there is abundant regurgitation and vomiting a few days after birth. This reflex may occur immediately after feeding or 10-15 minutes later. In this case, the secretions resemble cheesy milk. Their mass exceeds the amount of food consumed by the child.

Sometimes vomiting does not occur, but uneven regurgitation is observed. The child slowly gaining weight. Possible disturbance of stool in a newborn. With frequent regurgitation, the volume of urine decreases. The general condition of the child is satisfactory. With proper diagnosis, you can deal with the problem quickly, and the lack of qualified care threatens the development of hypotrophy.

The essence of the disrupted work of the digestive tract

The reverse direction of food from the stomach to the esophagus - this is how you can characterize pylorospasm in infants. The symptoms listed above indicate the presence of a disorder. At a birth oxygen deficiency there is a probability of occurrence at the kid of a frustration. Therefore, early diagnosis and treatment of pylorospasm in children is so important. Pylorosthenosis is a secondary manifestation of a vascular or parasitic disease. It is a consequence of an untreated disease.

More often pylorospasm in infants occurs due to relaxation of the sphincter in the lower part of the esophagus. Children have the final formation for 3 years. At an early age, it is not fully developed, which means that the process of devastating the stomach is prolonged. The initial stage of the disease is characterized by a loosened state of the esophagus mucosa, its redness and a decrease in the tone of the sphincter. In the absence of treatment, a plaque is formed on the mucosa. This leads to erosion and wounds. As a result of inactivity, pyloric stenosis develops in a newborn.

Causal relationships

Why does pylorospasm occur in infants? There is no exact answer to this question. Scientists claim that spasms appear due to incorrect position of the sphincter or pressure on it. In addition, the reasons for the development of pylorospasm include:

• Disrupted secretion of digestive glands.
• Insufficient amount of GIT hormones.
• Pathology of the baby's CNS.

With the correct actions of the mother during regurgitation, pyloripasms may disappear in the baby at three months of age. To do this, it is sufficient to keep the child in a vertical position. But there are cases when vomiting and regurgitation last for several years. As a result, serious pylorospasm in children acquires a serious form. Symptoms, diagnosis, treatment and prevention in this case are of an individual nature. The neglected form of the disorder is not treated medically. In this case, surgical intervention is required.

Why does this occur?

Food from the esophagus enters the stomach, from which it is sent to the 12-colon through a small hole called the pyloric department or the gatekeeper. On this site there is a significant layer of muscles. When muscles contract, the passage between the stomach and intestine closes. If the gatekeeper is not working properly, the food does not move well from the stomach to the intestine. And under the influence of pressure, it penetrates outside - there is vomiting. This process is called pylorospasm.

In newborns this is associated with a violation of the central nervous system and the presence of hypertonia. In addition, with nicotinic, alcoholic or medicamentous effects on the mother's body, there is also a pylorospasm in infants. Women's reviews suggest that external stimuli also often lead to this disorder. For example, if the baby is frightened.

How to recognize the disease?

For effective therapy it is necessary to determine at an early stage the diagnosis of "pilorospasm" in infants. Treatment is prescribed only by a doctor. Differential diagnostics is carried out . Its results help to distinguish signs of pylorospasm from other disorders. Vomiting and regurgitation in newborns can occur for the following reasons:

1. Overfeeding. There is abundant vomiting of liquid milk.
2. Increased gas formation. The problem can be detected with the help of an X-ray.
3. Shortened esophagus.
4. Achalasia of the esophagus.
5. Stenosis and atresia.
6. Fistula.
7. Poor gastrointestinal tract.

The results of the examination will help the doctor to prescribe an effective course of treatment that will help to improve the functioning of the gastrointestinal tract. So, if the baby periodically has a vomiting reflex, at which the curdled milk is abundantly allocated, then an immediate consultation of a specialist and ultrasound examination of the stomach and esophagus is necessary. The results of ultrasound help to identify pylorospasm in infants.

Pylorospasm and stenosis of the stomach: differences

Porter's contractions and regurgitation of milk indicate pylorospasm in newborns. The symptomatology of this disorder is similar to stenosis of the stomach. Pain and discomfort make the child moody and whiny. In addition, there is a constant craving for vomiting. With the progression of the disorder, the baby loses weight, weakens. Regurgitation becomes permanent. The height of the disease is characterized by frequent vomiting, dry skin, diarrhea. This distinguishes gastric stenosis from ordinary pylorospasm. By the way, the first disease is much more complicated. It has its own distinctive symptoms, often a neglected form of pylorospasm.

Treatment

Each child has individual symptoms. And the treatment of children with a diagnosis of "pilorospasm" is selected individually. At the initial stage, the disorder is attempted to be eliminated without the use of medication. Specialists recommend mothers to give their babies alkaline mineral water after each feeding. A one-time norm of liquid should not exceed 2 teaspoons. Water is a necessary condition after every breastfeeding or artificial feeding.

You can not overfeed your baby. It is desirable to use a fractional method of feeding to avoid profuse regurgitation. After the karapuz has eaten, it must be held vertically up to eructation. At artificial feeding it is necessary to select carefully a mix. Ready-made milk should contain a special thickener.

In the acute form of pilorospasm, the doctor prescribes medications that have the following effects:

• Spasmolytic (most often these are various drops);
• Sedative or soothing;
• Vitamin.

The treatment is carried out under the supervision of medical personnel in the hospital. In special cases, physiotherapy or paraffin therapy is prescribed. If we talk about the course of the disease, then the condition of the baby, while observing all the rules, is often satisfactory. Qualified and timely care guarantees quick healing. In the future, the mother simply needs to monitor the child's condition to prevent the occurrence of pylorospasm again.

Prevention

Prevention of pilorospasm is to combat the factors that trigger the onset of the disease. The situation in the family should be calm and friendly. It is necessary to provide silence in the house, exclude external stimuli: bright light, loud sounds. In addition, you need to periodically measure the temperature of the baby's body and apply a fractional method of feeding.

It is important to know!

The fight against overeating and forced feeding plays a special role in the prevention or treatment of pilorospasm in infants. It is mandatory to keep the baby in a vertical position after eating, so that excess air is released outside. Experts say that often pylorospasm can be confused with pyloric stenosis, which has similar symptoms. But, it is important to know that these are two different diseases. They differ in the mechanisms of development. And the treatment will also be different. Pylorospasm is attempted to be eliminated with the help of medications, and pyloric stenosis by surgical means.

Food is better digested by alkaline water. Therefore, it is so important to give a child after each feeding. It is important to know that in the absence of proper treatment the disorder develops into a complex form - pyloric stenosis. It is characterized by complete defeat of the gastrointestinal tract, which irreversibly leads to surgical intervention. Remember that illness does not go away on its own. So do not ignore the symptoms, and immediately seek the help of a doctor.