Projectile vomiting (non bile-stained fluid) Weight loss, child becomes emaciated and dehydrated. Hypertrophied pylorus is palpated in the epigastrium (“olive”). It’s mobile, smooth, firm mass with well defined borders. [medicinembbs.blogspot.com]

You should see a doctor if you have any of the following: Blood when you have a bowel movement Severe abdominal pain Heartburn not relieved by antacids Unintended weight loss Ongoing vomiting or diarrhea NIH: National Institute of Diabetes and Digestive [icdlist.com]

CLINICAL PRESENTATION  History: 2nd - 8th week of life  Projectile, frequent episodes of non-bilious vomiting 30-60 minutes after feeding  Weight loss  Persistent hunger  Jaundice (2%)- due to decreased hepatic glucoronosyl transferase associated [slideshare.net]

Depending on the duration of symptoms, patients may suffer significant weight loss, even falling below birth weight. [mdedge.com]

The anamnesis did not reveal any abdominal distension, weight loss or previous medication. The medical history Chapter was not contributory. The clinical examination performed on a dehydrated infant revealed an epigastric arch. [springerplus.springeropen.com]

This mass is palpable to an experienced examiner in up to 80% to 90% of cases, but may be difficult to appreciate in the face of a dilated stomach or irritable infant. [basicmedicalkey.com]

It may be only for a day or a week, but the cessation of vomiting suggests that the disturbance is due to the food, that the appropriate food has not been found, and so the hunt continues. [chestofbooks.com]

Gastric lavage is useful in two ways, first in removing all irritating remnants of food from the stomach, and secondly in showing the physician how to regulate successfully the food and feeding. [chestofbooks.com]

Two days later the baby was brought again to the family practitioner with a history that he has been vomiting almost every feed and the vomiting was projectile immediately following each feed. [medindia.net]

After vomiting, the infant is hungry and wants to feed again. As vomiting continues, a progressive loss of fluid, hydrogen ion, and chloride leads to hypochloremic metabolic alkalosis. [clinicalgate.com]

The history is usually as follows : An infant, healthy at birth, seems to progress satisfactorily for two, three, or five weeks, and then vomiting comes on. It does not matter what the food is, breast or artificial feeding, the vomiting persists. [chestofbooks.com]

The features of projectile vomiting, a pyloric olive and visible peristalsis were studied and their clinical and diagnostic significance was compared with that of radiological investigations. [ncbi.nlm.nih.gov]

Abnormal or frequent vomiting, may suggest an incomplete myotomy or a missed perforation. [basicmedicalkey.com]

The features of projectile vomiting, a pyloric olive and visible peristalsis were studied and their clinical and diagnostic significance was compared with that of radiological investigations. [ncbi.nlm.nih.gov]

At the age of 3 to 6 weeks, particularly in a male chid projectile vomiting should raise the suspicion of congenital hypertrophic pyloric stenosis. [medindia.net]

Projectile vomiting (non bile-stained fluid) Weight loss, child becomes emaciated and dehydrated. Hypertrophied pylorus is palpated in the epigastrium (“olive”). It’s mobile, smooth, firm mass with well defined borders. [medicinembbs.blogspot.com]

Clinical signs and symptoms appear early in life and include projectile vomiting and dehydration. Narrowing of the pyloric canal due to hypertrophy of the surrounding circular muscle. It is usually seen in infants or young children. [icd10data.com]

Hypertrophic pyloric stenosis should be suspected in all infants in the first several months of life with projectile vomiting. [merckmanuals.com]

Due to the loss of hydrochloric acid in the gastric contents from persistent vomiting, patients are at risk of electrolyte imbalance, specifically the characteristic hypochloremic metabolic alkalosis. [radiopaedia.org]

Persistent vomiting is most often a result of esophagitis or gastritis and is managed by stopping the feedings for several hours, and then restarting feedings at low volume. [basicmedicalkey.com]

vomiting expectantly because it usually resolves within 1-2 days Avoid the temptation to repeat ultrasonography or upper GI barium study; these invariably demonstrate a deformed pylorus, and results are difficult to interpret See Treatment and Medication [emedicine.medscape.com]

Operative complications include mucosal perforation, continued postoperative bleeding (very rare), and persistent vomiting due to incomplete pyloromyotomy (rare). [patient.info]

Infants with persistent vomiting at the age of 3 5 weeks after birth should be considered IHPS, and go to hospital as soon as possible in order to reduce the incidence of hypokalemia, hypochloraemia and hypercapnia, and avoid deterioration. [journals.plos.org]

Diffuse esophageal spasm, GERD ) - Esophageal stricture Stomach Peptic (gastric) ulcer - Gastritis ( Atrophic, Ménétrier's disease ) - Gastroenteritis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy [wikidoc.org]

Increased physiologic and therapeutic prostaglandin levels have been associated previously with reactive gastropathy and gastric outlet obstruction ( 24, 25, 26 ). [nature.com]

Infantile or congenital hypertrophic pyloric stenosis is one of the most common surgical causes of vomiting in infancy. [sonoworld.com]

Of course, clinically it is important to consider other causes of vomiting in infancy. A degree of pylorospasm is common in infancy and is responsible for some delay in gastric emptying. The pylorus, however, appears sonographically normal. [radiopaedia.org]

Using this sign as a guide to completion of the myotomy avoids overvigorous distraction, which can lead to mucosal perforation. [basicmedicalkey.com]

ECF volume deficit urinary excretion of K and H to preserve Na and water • Initial alkalotic urine becomes acidotic- Paradoxical aciduria • Hypochloremic hypokalemic metabolic alkalosis with paradoxical aciduria with secondary respiratory acidosis • Hyponatremia [slideshare.net]