Vomiting in the first month of children

In most cases, for vomiting in the first three to four months of life, take such a harmless but inconvenient phenomenon as regurgitation. Next on the list is an allergy to artificial infant formula or allergens in breast milk. These are temporary troubles that will pass with age. But there are diseases that require special attention.

Pylorosthenosis( narrowing of the pyloric part of the stomach)

The most serious cause of vomiting in infancy is the obstruction of the gastrointestinal tract, partial or complete. The blocked path does not let the milk inside, and it returns up the esophagus. The reason is pyloric stenosis.

Pylorostenosis is the narrowing of the lower end of the stomach, which is called the pyloric department. Although this disease is rarely detected in the first week of life or in the first two weeks, the pyloric portion of the stomach muscle gradually grows and thickens, and pulls the end of the stomach, like a tape. When the pyloric section is only partially blocked, the milk penetrates inside, and it seems that the baby just belches. But by the end of the first month, when the hole is already, the milk accumulates in the stomach, and the stubborn stomach tries with great force to push the milk into the narrow hole. Part of it flows, but most of it pulls up with force as

with a gushing vomit. A jet of milk escaping from a child can overcome about 60 cm, bypassing your knees, whereas a normal child, when regurgitating, only drains slightly on the tissue that lies on your shoulder. With a gushing vomiting, the child empties the contents of the stomach for a distance of up to a meter. Imagine a water-filled balloon with weakly tightened knots at both ends. You squeeze the ball( the stomach shrinks) and continue to squeeze until one of the knots is weakened and the water breaks out. Approximately the same thing happens in a child with pyloric stenosis.

How to recognize pyloric stenosis.

Signs that your child may have pyloric stenosis include:

• Continuous gushing vomiting;

• weight loss or lack of weight gain;

• signs of dehydration: wrinkled skin, dry mouth, dry eyes and a decreasing number of wet diapers;

• after feeding the stomach is inflated as a large, tight ball, and after vomiting is blown.

Some normal children may have a gushing vomiting once or twice a day if they are overfed, if they do not give them enough to regurgitate during feeding or if they are too abruptly shaken. But constant gushing vomiting in combination with weight loss and dehydration requires immediate medical attention.

How to help your doctor identify pyloric stenosis. If you suspect that your child may have this disease, schedule a visit to the doctor, but do not feed the baby for one to two hours before visiting a doctor.(Except when the child has obvious dehydration, this is not an emergency, and it is usually possible to wait until the usual hours of admission of his doctor.) The disease developed within a week or two.) According to your description of the frequency and nature of vomiting, afteryou, an intuitive observer, share your anxiety, your doctor may suspect this disease. To confirm the diagnosis of "pyloric stenosis", your doctor may ask you to feed the baby to see how the ball is strained, like a ball, with a strained stomach, and palpate the spasm of the pyloric muscle( it feels like an olive to the touch).In some cases, when there is suspicion, but palpation does not give a clear picture, the doctor can refer to the chest radiograph( upper gastrointestinal tract) or to an ultrasound examination of the pyloric department to confirm the diagnosis.

Treatment. When confirming the diagnosis, the child usually needs one to two days of intravenous fluids for rehydration in the hospital before surgery. The operation to eliminate the pyloric obstruction takes about half an hour and

Call the doctor for vomiting

When you call the doctor, keep the answers to the following questions ready:

• How did vomiting begin: suddenly or gradually?

• What is the nature of vomiting? Is it clear, green, curled or sour? Does it remind of spitting or is it a gushing vomiting?

• How often does your baby vomit?

• How many vomit masses go away each time?

• Are there any other members of the family with similar symptoms?

• Does the baby have a stomach? Where and how much: is the stomach tense, like a balloon, or is it soft, drawn?

• Does the child have any signs of dehydration?

• How do you assess the overall condition of the child?

• Does the child's condition remain unchanged, becomes better, worse?

• What treatment did you use?

is performed through a small incision in the upper abdomen. Improvement of the condition occurs immediately, and recovery from surgery is rapid.

Gastroesophageal reflux( gastroesophageal reflux)

This disease is one of the most common causes of vomiting in the first months of life.