Projectile vomitting/Pyloric Stenosis

Updated on May 10, 2010
D.B. asks from Saint Louis, MO
11 answers

I have a 9wk old whos been occasionally projectile vomitting, sometimes right aftr a feeding(hes breastfed) sometimes 20mins to hrs later, sometimes everday 1/2 times, sometimes he doesnt do it at all.. Hes gaining weight and having wet/poopie diapers. I thought he was just doing it cause he eats alot & often, but the dr begs to differ... shes mentioned Pyloric Stenosis if he keeps vomitting more than 1 a day. Im all freaked out now! So if any of you Mommies out there have any advice or are willing to share your experience, Id greatly appreciate it! Ive researched and the only symptom of P.S. that he has is the vomitting, it also concerns me that hes figity during most feedings and seems uncomfortable at times..... weve tried Zantac too, not helpful.

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K.J.

answers from Chicago on

My son did the same thing right from the first breastfeeding. When he was six months old we had him tested for allergies and he was allergic to the food I was eating while he was breastfeeding. They found he was allergic to milk, eggs, soy, and oats. We changed my diet and all has been well since. He is now 2.5. It took forever for the pediatrician to agree to have him tested. Why?: I don't know...but we are due to have another child and if he/she has the same issue, I am going to request testing immediately. Good luck.

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T.C.

answers from Johnson City on

well if the dr has suggested an ultra sound also have them do a gastro test where the baby drinks barium and the technicions watch it as it passes thru the stomach and digestive tract my youngest my precious little boy had it and had to have it repaired at about 6 weeks he was bottle fed so we caught it earlier but like yours he was always hungry gaining weight and every thing we went thru 2 or 3 different formulas the dr gave us to try and nothing helped, its a very simple procedure if thats actually what it is and if you want more info or ask me any questions feel free to ask.

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A.A.

answers from Denver on

My sister did this. She had a variety of food allergies that were triggered through whatever mom ate ending up in the breast milk. She had to start keeping a diary of what she ate and looking for patterns in whatever she'd eaten up to 48 hours earlier, approximately.

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N.B.

answers from Toledo on

I agree with Judy. The first thing you look at with projectile vomiting is gas. A big bubble under some milk and all of a sudden----whoosh!! Some babies get alot of gas when swallowing, especially breastfed ones. Squirming and pulling the legs up during feeding is a sign of gas. One burp is very often not enough but most moms quit when they get one. Burp early and often. You will get to be an expert at feeling that tummy and saying, "Oh, yeah---you still got some in there". It is completely soft when there's no gas, and tight and hollow-sounding like a drum when there's gas. Also, sleeping or laying in a more upright position (on a wedge or in an infant seat) will help with reflux or a gas bubble. Simethicone drops are over the counter, and made for babies. Zantac is for acid, not gas, so maybe that's why it didn't work.

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T.W.

answers from St. Louis on

My son was dignosed with PS at about 6 weeks old. There were no obvious symptoms of it before that time. He spit up like my other babies did. At about 6 weeks he started vomiting his entire feeding and vomiting right BEFORE his next feeding. It was like nothing was going through. And it was projectile. It didn't just run out, it shot out across the room with force. I couldn't believe my little guy. We took him to the doc who told us to take him to the hospital in the morning for more testing, if it continued. My husband couldn't take it much longer and we took him to the ER that night. Thank God we did, because they scheduled him 1st case in the morning for surgery. The MD came in that morning at 7am saying what it was and that he was going right to surgery. The procedure was pretty simple, if you want to call it that. It was over in less than an hour. We didn't even have to give him pain meds after he came out of post-op. He just slept alot. And we fed him as soon as he woke up and amazingly , no more vomiting. Not even spit up. It was as if nothing was ever wrong. We were home the next day. No problems anymore. Just a little battle scar on his abdomen that now 1 1/2 yrs later you can barely see.

If it continues, it may be better to just take him to get an ultrasound. The MD said the problem usually presents itself around 6-9 wks of age. They basically had to cut the sphincter muscle because it was too tight.

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S.D.

answers from Kansas City on

Doesn't sound serious, but certainly worth investigating further. We had the same theory with our son, who suffered from severed reflux for nearly 6 mos and spit up volumes for almost his first year. Typically, however, his vomit was not usually projectile. He was uncomfortable all the time, especially after eating. We tried Prevacid, the best medicine on the market for pediatric reflux (and much easier to administer to babies!), but even that made no dent in his symptoms. We eventually saw a specialist at a children's hospital who ruled that out for us. I know it can be stressful, but do follow your doctor's recommendation, because she may be onto something. If nothing else, switch to a more effective reflux medication, and try sleeping him upright (swing, carseat, etc). I promise he'll outgrow it if it's simply reflux!

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K.S.

answers from St. Louis on

Your doctor doesn't sound very qualified...if she's even suggesting it is PS, then she should be insisting on a U/S. PS is not something to be taken lightly as it's life threatening if not corrected. That said, it doesn't sound like your little guy has it as it's not an occassional thing, it is a LOT and gradually increases as the condition continues to worsen. I'm with the others here that suggest it's GERD. You might consider getting a second opinion, maybe a new pediatrician. She doesn't sound so attentive.

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K.S.

answers from Springfield on

I just weighing in to agree with Judy S. The symptoms sound just like my little guy with he was a baby, and we treated it with Prevacid and the adjustments that Judy suggested. Good luck!

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M.R.

answers from Kansas City on

My daughter did the same thing. Ultrasound for ps was negative. She also had green leafy looking diapers which is a sign of dairy allergy. My daughter ended up being dairy and soy sensitive. I had to cut both out of my diet since I was bfing. It usually goes away by about a year. It was difficult but doable. The other thing it could b besides gerd, is too much foremilk. You might try pumpin a little off he top so to speak and she if that makes a difference. Good luck. Try not to stress too much. I freaked out about the ps and it ended up being negative.

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J.S.

answers from New York on

My baby had the same problem w/the projectile vomiting. Our pediatrician ordered an ultrasound to determine if there was an issue such as PS. US came back negative. It turns out she has GERD- baby reflux. Here's some info: http://children.webmd.com/infants-children. Keep your baby as upright as possible during feedings (I know it's hard when you're breastfeeding), after feedings- keep baby upright & relatively still for at least 20 mins, you can get a special wedge pillow to keep baby's head a bit elevated during sleep which helps also. Burp often-stop the feeding midway and burp. This worked wonders for my baby until she eventually outgrew it & stopped vomiting at 3 mo's. You should mention this to your pediatrician & see what he/she says, you can treat this without meds...hope that helps, send me a msg if you have any ?'s.

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K.O.

answers from St. Louis on

My son had PS and he had surgery @ 3 weeks. . . he would take his feedings and I would be holding him and feel him physically throwing up and it was not projectile . .. at first when I took him to the doc (b/c he was throwing up esp @ night through his nose) he thought it was acid reflux - 3 days later - we went to the e/r . . . He had surgery the next day and we were in the hospital 3 days . . . recovery was bout 48 hours and never had a problem since. I would look into the surgery - If you dont address P/S soon enough their sodium/potassium levels can get way out of whack and cause serious problems. . . surgery was all of 45 mins . . . it was heartwrenching to hand the baby over but we were very happy after the fact. . . take care, god bless and please update!

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