1 Causes of

The exact cause of this disorder was not found. Most often, the occurrence of the disease is associated with a number of factors that could affect the development of a pathology such as pylorirospasm in newborns:

• the appearance of the disease is often associated with an incompletely formed digestive system, in particular the pyloric part;
• on the appearance of pylorospasm in children may be affected by the abnormal structure of the pylorus and surrounding organs;
• genetic factor( disaccharidase insufficiency, amino acid metabolism, etc.);
• dysfunction of the central nervous system;
• hormonal disorders( imbalance of motilin);
• food allergy;
• fetal hypoxia in the maternal womb;
• presence of infectious diseases in a woman in the period of gestation.

Both newborn boys and girls are prone to the appearance of the disease. The main thing for parents is not to miss an alarming symptom and show the child to a specialist. After all, vomiting can be a sign of a more dangerous deviation than pilorospasm. Yes, and pylorospasm is not a harmless disease, after all, the situation is often so serious that urgent surgical intervention is required.

2 Etiology of

The first signs of the disease appear in infants soon after birth. The child is noted for increased anxiety, it may lack the first feces, meconium, which in children appears normally for 1-2 days. After applying to the breast a child can actively eat, but after feeding almost all food in digestion will be poured out. Vomiting may differ from larger volume to smaller, but its presence will be necessary, despite keeping the child "soldier".

Despite the rather abundant vomiting, signs of dehydration in the baby will be absent. The only thing that fluid can be allocated in a smaller volume than in healthy children. Body weight, despite the poorly functioning digestive tract, will increase with respect to the mass recorded at birth. Together with this, all clinical signs of hypotrophy( starvation) will be present.

The child with pylorospasm will have problems with the stool, which will manifest as constipation. This is not surprising, because the food of the baby will reach the rectum in a small volume, since most of the child just belches. The dangerous phenomenon of pylorospasm is that food not leaving the rectum lingers in the digestive tract and disintegrates there, decays, causing a general intoxication of the body.

3 Differential diagnosis of

In order to confirm the diagnosis of pilorospasm in children, it is necessary to carry out differential diagnostics that will help distinguish regurgitation and vomiting of this disease from possible other diseases. Vomiting in children can result from:

• overfeeding( vomiting can be profuse and not very, but there will be no hypotrophic symptoms);
• aerophagy( increased gas formation, detected by radiography);
• congenital short esophagus;
• congenital achalasia of the esophagus( not to be mistaken with a diagnosis, prescribe fibrogastroscopy or x-ray);
• esophageal stenosis;
• atresia of the esophagus;
• esophageal-tracheal fistula;
• intestinal obstruction.

When the diagnosis is confirmed, the doctor will be able to prescribe the appropriate treatment that will help the baby to bear the pain developing on the background of the disease, and in general to adjust the digestive tract. Timely therapy will help to avoid unwanted complications of the disease( underweight, dehydration, avitaminosis, etc.).

4 Treatment measures

Treatment of pilorospasm, a disease that occurs in mild form, is possible at the initial stage without drug therapy. Doctors recommend that the baby, after each meal, drink alkaline mineral water, no more than 1-2 tsp. Drink should be given to the child before breast-feeding or a mixture in about 5 minutes.

To feed the child at first it is necessary a little, fractional, that it would be easier to digest food for the digestive tract. This will help avoid overeating and plentiful regurgitation. It is better to increase the amount of application to the breast than to feed the child at once and a lot, that eventually he will regurgitate and will not receive any benefit from feeding.

After the baby is full, it is necessary to hold it in an upright position. Until the extra air comes out. This should be done a couple of minutes after ingestion of milk, so that a large amount of food does not go away with the air. If the baby is an "artificial", then the mixture must be chosen special, where there is a special thickener.

Between meals it will be useful to spread babies on the tummy, so he did himself a massage.

If the child is too small, then you can do a light massage, stroking the area around the navel clockwise.

If pylorospasm in children proceeds in a more acute form, then special medications with

1. showing spasmolytic effect( No-shpa, Drotaverin) are indicated for admission. There are also children's antispasmodics, released in the form of drops, which give children immediately before feeding( Chlorpromazine, for example).
2. Sedative effect( Valerian, Pustyrnik).
3. Vitamin properties( B vitamins, singly or in a complex).

H1-histamine receptor blockers are also prescribed.

Therapy, in particular, helps to relieve spasm and restore normal functioning of the digestive tract. It is forbidden to use medicines independently, as small children need to carefully select the dosage, the regimen of treatment, so as not to aggravate the situation.

Treat babies usually under the care of medical workers, putting the baby and mother in the hospital. Often prescribe physiotherapy with paraffin therapy. As for the prognosis regarding the course of the disease, it is rather favorable in children. With timely treatment, children can easily tolerate unpleasant symptoms and soon "outgrow" the disease, taking less and less therapy. Subsequently, it will be necessary to monitor the child's mental state of health in order not to provoke the appearance of pylorospasm again.