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Pylorospasm


Spasm of a part of the stomach opening into the duodenum, in which there is a difficulty in passing food through the gastrointestinal tract and evacuation of its contents.
In children it occurs mainly in the first weeks and months of life. It is associated with a violation of the secretion of the digestive glands, insufficient quantity of hormones of the gastrointestinal tract, disorders of the central nervous system.
Symptoms and course:
Typical signs are regurgitation and vomiting that occur immediately after feeding. Their frequency is variable, there are light intervals up to 1-2 days. Vomit consist of unchanged or curdled milk, their volume is less sucked for feeding.
Usually there is a tendency to constipation, the frequency of urination can be reduced.
The child is periodically disturbed, ill gaining weight.
Recognition:
A thorough examination should be carried out. Different pylorospasm with ingestion of air (aerophagia), which usually occurs when infringement of feeding rules and manifested anxiety, bloating during meals and refusal to eat; Pyloric stenosis (see below), which is characterized by abundant vomiting, a visible reduction in the walls of the stomach, a sharp decrease in body weight; Malformations of the esophagus, hernia of the esophageal aperture of the diaphragm, as well as the endocrine system - adrenogenital syndrome (a condition in which the adrenal cortex is affected, so that the girls resemble boys in appearance
- masculine figure type, low voice, appearance of facial hair, at birth even an error in sex determination is possible, because The clitoris increases and takes the form of a penis).
Treatment:
Compliance with the rules of feeding, sleep and wakefulness, as well as holding the child for several minutes in an upright position, after which it is placed on its side or on the stomach in order to avoid vomit or milk entering the trachea in the event that regurgitation occurs. After a lot of regurgitation or vomiting, the child should be fed. It is recommended to increase the number of feedings, respectively, reducing the volume of milk (mixture). It is useful to give the child to reduce the urge to vomit 1 teaspoon 10% semolina porridge. In severe cases, the doctor prescribes drugs that reduce the gag reflex - atropine sulfate (0.1% solution), anesthesin (2% solution), pipolfen, aminazine (0.25% solution), vitamin B1, suppositories with papaverine, feeding, feeding through probe.
The prognosis is favorable, by the 3-4 months of life the phenomena of pylorospasm usually disappear.