Child-Pyloric stenosis - Diagnosed

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dr. simi paknikar
Medically Reviewed by dr. simi paknikar, MD
Last Updated on Sep 24, 2014
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How can we Diagnose Pediatric Pyloric Stenosis?

Pediatric pyloric stenosis can be diagnosed on careful physical examination and diagnostic tests like ultrasonography.

Diagnosis of pediatric pyloric stenosis is done based on:

Physical examination- The pyloric muscle thickening can be felt as a mass. Also, when the baby is examined during a feed, one can see the stomach pushing hard to empty.

Diagnostic tests -

  • Abdominal ultrasound- The thickness and length of the pyloric muscle can be determined with ultrasonography, thus diagnosing the condition.
  • Upper GI imaging with barium meal- This test examines the esophagus, stomach, and duodenum. X-rays are taken after swallowing the barium meal. The test demonstrates narrowing at the pylorus and delayed emptying of the stomach contents.
  • Upper GI endoscopy- It is used in select cases when other imaging tests are inconclusive or when the infant presents with atypical clinical features.

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There are many PS cases that don't fit these "rules": girl babies and later children also get the condition. There are other general characteristics of PS that also have many exceptions: it affects more Caucasians, children with blood groups A and O, children of mothers who were stressed during the last months of pregnancy.
If your baby is not keeping food down, vomits increasingly and powerfully, is losing weight and/or condition, is not passing motions and urine, suspect PS, get your baby tested, don't be put off by an unsuspecting and ill-informed doctor. On the internet there are many stories of children being treated only just before it's too late.

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