Pyloric stenosis history and symptoms
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XEditor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
The hallmark of infantile pyloric stenosis is progressively worsening vomiting within the first few weeks to months of life. A positive history of bottle feeding and cesarean section delivery is suggestive of infantile pyloric stenosis. The most common symptoms of infantile pyloric stenosis include vomiting, belching, persistent hunger. Less common symptoms of infantile pyloric stenosis include failure to gain weight or weight loss, jaundice, lethargy and decreased urine output. The hallmark of adult type pyloric stenosis is progressively worsening projectile vomiting. A positive history of chronic peptic ulcers and fibrosis near the gastric outlet is suggestive of adult type pyloric stenosis. The most common symptoms of adult type pyloric stenosis include vomiting with occasional relief after vomiting, belching, epigastric pain. Less common symptoms of adult type pyloric stenosis include failure to gain weight or weight loss and symptoms of dehydration like increased thirst, dry mouth and decreased urine output.
History and Symptoms of infantile pyloric stenosis
- The hallmark of infantile pyloric stenosis is progressively worsening vomiting within the first few weeks to months of life.[1]
- The vomiting in infantile pyloric stenosis is often non-bile stained and projectile.[1]
- A positive history of bottle feeding and cesarean section delivery is suggestive of infantile pyloric stenosis.[2]
- The most common symptoms of infantile pyloric stenosis include vomiting, belching, persistent hunger.
- Less common symptoms of infantile pyloric stenosis include failure to gain weight or weight loss, jaundice, lethargy and decreased urine output.
History
Patients with infantile pyloric stenosis may have a positive history of:[2][3]
- Bottle feeding
- Cesarean section delivery
- Exposure to drugs during pregnancy
Common Symptoms
Common symptoms of infantile pyloric stenosis include:[4]
Less Common Symptoms
Less common symptoms of infantile pyloric stenosis include:[4]
- Failure to gain weight or weight loss
- Jaundice
- Lethargy
- Decreased urine output
History and symptoms of adult type pyloric stenosis
- The hallmark of adult type pyloric stenosis is progressively worsening projectile vomiting.[5]
- A positive history of chronic peptic ulcers and fibrosis near the gastric outlet is suggestive of adult type pyloric stenosis.
- The most common symptoms of adult type pyloric stenosis include vomiting with occasional relief after vomiting, belching, epigastric pain.
- Less common symptoms of adult type pyloric stenosis include weight loss and symptoms of dehydration like increased thirst, dry mouth and decreased urine output.
History
Patients with adult type pyloric stenosis may have a positive history of:
- Chronic peptic ulcers
- Fibrosis near the gastric outlet
Common Symptoms
Common symptoms of adult type pyloric stenosis include:[5]
- Vomiting with occasional relief after vomiting
- Belching
- Epigastric pain
Less Common Symptoms
Less common symptoms of adult type pyloric stenosis include:[5]
- Weight loss
- Symptoms of dehydration including:
- Increased thirst
- Dry mouth
- Decreased urine output
References
- ↑ 1.0 1.1 Spicer RD (1982). "Infantile hypertrophic pyloric stenosis: a review". Br J Surg. 69 (3): 128–35. PMID 7039756.
- ↑ 2.0 2.1 Zhu J, Zhu T, Lin Z, Qu Y, Mu D (2017). "Perinatal risk factors for infantile hypertrophic pyloric stenosis: A meta-analysis". J Pediatr Surg. 52 (9): 1389–1397. doi:10.1016/j.jpedsurg.2017.02.017. PMID 28318599.
- ↑ Nordeng S, Nordeng H, Høye S (2016). "[Use of antibiotics during pregnancy]". Tidsskr Nor Laegeforen. 136 (4): 317–21. doi:10.4045/tidsskr.15.0451. PMID 26905846.
- ↑ 4.0 4.1 Feng Z, Nie Y, Zhang Y, Li Q, Xia H, Gong S; et al. (2014). "The clinical features of infantile hypertrophic pyloric stenosis in Chinese Han population: analysis from 1998 to 2010". PLoS One. 9 (2): e88925. doi:10.1371/journal.pone.0088925. PMC 3929628. PMID 24586444.
- ↑ 5.0 5.1 5.2 NORTH JP, JOHNSON JH (1950). "Pyloric hypertrophy in the adult". Ann Surg. 131 (3): 316–29. PMC 1616429. PMID 15410298.