If the baby vomits gushingly, see a doctor
Parents whose babies are vomiting after meals should definitely see a doctor. Pediatricians recommend this, especially if the vomit smells sour and pungent. It could be pyloric stenosis.
The baby could dry out. If a baby vomits in a curve after meals, pediatricians recommend that you see a doctor immediately. Especially when the vomit smells sour and the symptoms get worse every day. Because then there is a risk of pyloric stenosis. Hans-Jürgen Nentwich from the Professional Association of Pediatricians (BVKJ) explains: "This type of vomiting speaks for gastric gatekeeping, a so-called pyloric stenosis." The sphincter at the stomach exit is thickened and prevents the food from being transported further. The pressure in the stomach then builds up with increasing food until the baby vomits everything again in a wide arc. According to Nentwich, the child must then be treated quickly because there is a risk of the baby drying out with any type of frequent vomiting.
Small pediatric surgery If there is a suspicion of gastric jam tightness, this can usually be clarified using ultrasound, says Nentwich. Either the thickened muscle can be seen immediately on the ultrasound image, or the stomach is still excessively full 20 to 30 minutes after the baby has been fed on a trial basis. If pyloric stenosis is diagnosed, the first step is to normalize the baby's fluid, electrolyte and base balance, according to Nentwich. In order for the food to be transported out of the stomach again, a minor pediatric surgery is usually required. Until then, the baby should often be given small meals. The child can often eat and drink again six hours after the operation. In some cases, so-called conservative treatment is also used. Through careful care, frequent feeding with thickened food, as well as with antispasmodic and soothing medication, attempts are made to cure the disease. For this, a four to six week stay in the clinic is required.
Boys and firstborns more often affected About one newborn of 800 suffers from pyloric stenosis. Often it is infants between the second and 15th week of life who are affected and mostly it is boys and firstborn. The exact causes of this are still unclear, as is the reason why the number of cases decreased by 38 percent between 2000 and 2008. (ad)
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