Don't be surprised by an occasional eruption after the procedure. Most babies who've had the surgery vomit forcefully a few more times, and the sight of it so soon can be frightening.
It's nothing to worry about, though. If your baby is still spouting more than a couple of days after the operation, however, it's time to call the doctor. Chances are slim, but your baby may be in that 1 to 2 percent who need a second procedure. Almost never.
After the surgery, the pylorus should function normally, showing no sign of its still-abnormal size. How to relieve your baby's constipation. BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world.
When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals.
We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies. Hypertrophic pyloric stenosis HPS — Help for babies with forceful vomiting. American Academy of Pediatrics. Johns Hopkins Medicine.
Pyloric stenosis. Pyloric stenosis in infants. Subramaniam S. Symptoms of pyloric stenosis typically begin when a baby is around 3 weeks old. They include: Vomiting. The first symptom is usually vomiting. At first it may seem that the baby is just spitting up often, but then it tends to become projectile vomiting , in which the breast milk or formula is ejected forcefully from the mouth, in an arc, sometimes over a distance of several feet.
Projectile vomiting usually takes place soon after the end of a feeding, although in some cases it can happen hours later.
The vomited milk might smell curdled because it has mixed with stomach acid. The vomit will not contain bile, a greenish fluid from the liver that mixes with digested food after it leaves the stomach.
Despite vomiting, a baby with pyloric stenosis is usually hungry again soon after vomiting and will want to eat. It's important to know that even with the vomiting, the baby might not seem to be in great pain or at first look very ill. Changes in stools. Babies with pyloric stenosis usually have fewer, smaller stools poops because little or no food is reaching the intestines.
Constipation or poop with mucus also can happen. Failure to gain weight or weight loss. Most babies with pyloric stenosis will fail to gain weight or will lose weight. As the condition gets worse, they might become dehydrated.
Dehydrated infants are less active than usual, and they may develop a sunken "soft spot" on their heads and sunken eyes, and their skin may look wrinkled. Because less pee is made, they can go more than 4 to 6 hours between wet diapers. Waves of peristalsis. After feeds, increased stomach contractions may make noticeable ripples, which move from left to right over the baby's belly as the stomach tries to empty itself against the thickened pylorus.
It's important to call your doctor if your baby has any of these symptoms. Error: Not a valid value. However, as normal as vomiting is, it can also be worrying for parents. Occasionally, vomiting can be a sign of illness or complications, but for most babies, vomiting and reflux occurs simply because their guts are still developing.
There are a few different types of vomiting and although the result is the same, the reasons are different:. Generally, mild vomiting occurs because a young baby is still getting used to feeding on, digesting and eliminating milk. Vomiting by itself can be reassuring. However, if your baby has a temperature , is not feeding well, has diarrhoea or a rash, or experiences any other symptoms, your baby needs to see a doctor. If your baby seems healthy and well and is bright and alert, you may just want to monitor their vomiting to see when and how often it happens — but note that the amount that a baby vomits can be hard to work out and may seem larger than it really is.
Vomiting caused by reflux generally occurs after feeding. It can seem effortless or cause pain. Some babies with reflux constantly 'spill' after and in-between their feeds. If your baby seems happy, is thriving and gaining weight , you could simply try changing the frequency and amount of feeds you give them.
Sometimes medication is necessary for reflux. Breastfed babies can vomit as much as babies who are formula fed. There's no real difference between the two.
Some babies take time to adjust to digesting solid foods. They can vomit more when solids are introduced. This can occur because of overfeeding. Their stomachs are simply too small to accommodate extra volume. Start small when introducing solids — around teaspoons of solids are ideal. Some allergies can cause vomiting, especially allergies to cow's milk. It is caused when the valve at the top of the stomach accidentally opens. The contents of the stomach come back up the food pipe oesophagus slowly.
Reflux does not harm babies. They usually grow out of it by the time they are walking. Projectile vomiting — this is when your baby brings up the stomach contents in a forceful way. The amount of milk or food can seem large on the floor, but is usually only the amount of the last feed. Babies may projectile vomit occasionally, but if it happens after every feed, see your doctor right away as it may be due to a blockage caused by thickening of the muscle at the outlet of the stomach.
Causes of vomiting Vomiting is usually caused by: minor infections like 'gastro' or the common cold gastro-oesophageal reflux motion sickness from travelling in a moving vehicle. Treatment for vomiting Most babies and children vomit easily and recover quickly.
You can try to: Feed your baby in an upright position. Prop your baby up after feeds. Lay your baby on the left side. Avoid bouncing your baby after feeding. When to see your doctor Take your baby to the doctor if any of these symptoms occur: poor weight gain because of the loss of feeds in vomiting coughing or choking spells blood or yellow-green bile in the vomit heartburn vomiting increases or becomes forceful after every feed your baby seems unwell.
Most babies need only simple treatment, or none at all. Changing feeding and sleeping positions may help.
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