I had that when I was born and had the surgery to fix it. My mother didn’t have the money to pay for it. After going to many hospitals, she finally found a doctor who would do the surgery for free. I was born weighing 8lbs 12 ozs, less than 2 months later, I weighed only 2 lbs 3 ozs...The doctor was a Pastor at a local church as well. Thank God for that man who saved my life
As a nursing student, I am a visual learning and these videos you do i appreciate so much!!! i am able to remember the sign and symptoms of most diseases based on ur videos because i remember what the patients legal guardian or child experiences. Thank you so much!!!
I hope parents know how informative this is. As an NNP student it is nice to have a visual case presentation in order to recognize these problems in other infants.
The surgery done to rectify this is THE most gratifying procedure you can imagine - the infant responds immediately and the vomiting stops. My son had this - a thickening the band surrounding the space where the stomach connects to the intestine. It causes everything to come back up.
My daughter had surgery for this at 12 days old. She started vomiting at 7 days old and by 11 days old she didn't have a pee diaper for 12 hours. Her ped thought it was an allergy to formula or breast milk. Can't blame her it was a weird case. I just hope providers and students keep this in mind.
My first born daughter actually had this at 2 weeks old. I took her to the doctor the next day after her projectile vomiting started, and luckily it was immediately found. This was almost 20 years ago. It was traced back to my father's side of the family, and I passed that gene along. My second born child, boy, had no issues. Both of my kids know that they could possibly pass this to their kids. Sad this little boy went 3 weeks:(
So glad you had this! I am on a peds rotation and thought a newborn had this but attending said he was too old. U/S didnt show stenosis, so I am glad you had one here for me to see! I think the step 2 answer was get a chem 7 concerned for metabolic alkalosis and hypochloremia so this was PERFECT! Thanks again Dr Mellick.
I was born in 1958 down on the Ohio River ( just over the hill from our house)! I had pyloric stenosis & the docs all said I was too small for surgery or didn’t’ do that back then! My poor folks spent a month listening to me scream & projectile vomiting (sorry).The lady across the street was a nurse,so when my folks couldn’t take it anymore, she’d come over & watch me! My folks went all over and finally at the Wheeling Hospital, they gave me a baby dose of phenobarbital and it relaxed my stomach enough to get the food down! I still have trouble with my stomach when I’m anxious! I thank God babies can get the surgery now!! 🩷
Im 55 & was born with it in ‘66. Growing up in a very rural area, it took 3 months before it was diagnosed & that’s because my parents were told the hometown doctors could do nothing else. Luckily, the city children’s hospital knew as soon as they saw me. Got a nice scar across my stomach. Makes a nice conversation piece at the pool/beach. Plus, cool side note, the doctor who did my surgery (Dr Judson Randolph) appeared on a short lived medical docu-drama in the mid 70s on NBC.
Went through that w/our daughter 28 1/2 yrs ago. Projectile vomiting started at approx 1-week old within seconds after each feeding. Went to the doctor (pedetrician) 6 times in 6-weeks, seeing 3 different doctors in the process. At that time, they weren't looking for Pyloric Stenosis because it was so very rare to appear in a female. Wasn't until we saw the same doctor that I had seen as a child that the correct diagnosis was found. She had corrective surgery the very next day, with no looking back.
I found this video really interesting.23 years ago my daughter was finally diagnosed with pyloric stenosis after 7 terrible weeks of backwards and forwards to the drs,it wasn’t picked up on barium swallow it was from an ultrasound and she had ramstadt procedure that day.our daughter was our 3 rd child so that made it difficult to find and she’s female,our first born son never had it.we always knew she wasn’t ever right but no one could tell what exactly it was,she projectile vomited every feed and had reflux too and hardly gained any weight.and now 23 years later she has had a healthy baby boy of her own 💙
I had pyloric stenosis when i was a baby, i am now 14 years old and still have the scar from the surgery, i always feel hungry and im not a skinny kid! I was 200 pounds at 13
dude we medical students only chance upon limited things on certain times. hes doing a great job here showing everyone this and to add to that he always ask consent from patients on his other videos!
what a nice family to allow this there's no way I ever could I'm so introverted and such a private person ...what an amazing thing to do... and also you know the doctor anytime you're going to get some free knowledge we gotta soak it up huh!! :)♡
my daughter was diagnosed with this when she was 6 wks old.. they didnt know that was what she had only because she is female. it started with her when she was 2 wks old.. they also said that they didnt know because she didnt lose any weight because i would put another bottle right in her mouth.. for 4 wks i was in and out of hospital and doctors but no one could tell me what was wrong. she constantly cried and was in pain.. this is a good video to make. thank you
I had pyloric stenosis. I underwent surgery at 8 weeks of age. By that time I was less than birth weight and had developed a tumor. I was not expected to survive but thrived after surgery. My son had the most severe form of Hirschprung's. His treatment was removal of his complete colon and six inches of the small intestine and creation of a j-pouch. I have read that there is some indication that if one of these conditions exist in the family the other is more likely to occur.
I just ran across my post below while researching new GI health issues I'm facing. After my surgery, as an infant, my mother was told to expect that I would continue to have GI problems during my lifetime and I have. I've recently been diagnosed with Barret's Esophagus and Chronic Gastritis and a tumor discovered in my pyloric antrum. It makes me wonder if there truly is a connection to the pyloric stenosis.
i know this is great i love these videos im a medical student as well and im currently working as a nursing aid at a hospital i just never new this was possible.
My daughter is almost 9 and she almost died from that, it is very seriouse. If any child is vomiting after they drink their bottle or eat and if yiu tryed soy and lactose free milk or formula and the symptoms do not go away, the sever vomiting will cause severe dehydration leading to death in your infant or child, got to the hospital asap and ask for a MRI scan, its not in the intestines it's the valve opening and closing your stomach to your digestive system!
If anyone can answer… projectile vomiting only about 3 times in the last week, spits up almost after every feed. Should I be worried about pyloric stenosis???
Very interesting. My father had HPS, he was the first born male. He had his surgery back in 1929. I am the fifth of five daughters, and had my HPS surgery at five weeks old in 1968. My dads scar looks like a huge bellybutton…like six inches diameter. He told people it was a bayonet wound from the Korean War. 🤣 My sisters tell stories about me puking all the way across the room. 😬
my daughter has been projectile vomitting. we took her to the E.r and they tested slow feeds on her when she threw up again they sent us to another hospital where she would get surgery and they did an ultrasound which came back normal but I'm still concerned because she does vomit after almost every feeding
These cases are are often misdiagnosed, often as reflux esophagitis, which begins at birth, not at 2 to 3 weeks. If a baby's weight is less than the birth's weight at 4 weeks, something serious is going on. Vomiting causes the expulsion of HCl, thus the hypochloremia (low chloride). Thanks for posting.
My son who is 6 weeks old has severe reflux and was tested for PS about 2.5-3 weeks ago and they said he does not have PS but he is the first born son and fits all those check marks, what are the odds of them misdiagnosing him and missing it on the xray? They did the xray twice (two different hospitals in the same night, the second place was a children's hospital)
My sister had this when she was a newborn. I think she was only a few days old when she needed surgery. She was definitely a lot smaller on the pictures and they had to put the IV in her scalp.
My baby has been excessive vomiting since birth he’s 5wks old weight loss was already an issue vomiting has become worse projectile and formula comes back up almost separated it’s shooting atleast a foot if not more doctors are super dismissive….. he’s always crying like he’s in pain… he’s also my first born son so… any advice on were I could take him if he has this
So update went to a different doctor he had the ultrasound he’s on meds for reflux now that said scan for this came back normal they had him drink sugar water and did things a bit different but still got the scan ATLEAST
Any comments on why he wasn't diagnosed sooner? Non-bilious projectile vomiting after feeding in a two week old first born son is so dead-obvious. Seems like he should have been diagnosed in the two week check up.
TwoFacedSkeleton I knew something was wrong with my baby. So I took her to her doctor and er 5 times they told me im crazy nothings wrong she's fine. 6th time they tested her for it and it was positive. They told me If I wasn't persistent it could have led to seizures coma and death all while we slept.
Cool to see after having this at a couple of weeks old and never really looking into what my scar is all about! Quite odd tho that I the youngest of my 2 other brothers and the one in the middle both had it yet my eldest brother didn't!
my son was diagnosed with pyloric stenosis not by 1 hospital but 2 we get him admitted and a different doctor says he doesn't have it and the other doctors are wrong even the pediatric surgeon who said he had p.s he is 6 months now he is arches his back all the time and after each feed he either vomits or the top of the stomach under the ribs bulge out really bad and he crys more at night or if the physical therapist bends or touches his stomach wrong he crys and im just not sure what to do he has a very very small opening to let very little food in but not enough for his food to pass properly they tell me he will just out grow it even though he has been admitted to the hospital 20times staying for 3 to 4 days at a time
I had this and almost died from it and after we found out my wife was pregnant, at the doctors they asked about medical history and we told them I had it, 3 or 4 different doctors said that it was hereditary in first born males. So we worried about it a lot and found out from a midwife that it wouldn't make sense for that to be true. Now I have a 2year 8month old boy and a 6month old boy and neither have this.
Yo I had this shit when I was a baby xD kinda weird this is in my recommended vids🤔 in my opinion after the surgery it’s no big deal I’ve never had any sort of issue after 20 years and the scar is so tiny thanks docs 👍🏼
I didn’t know about seizures, but if the baby is not able to properly digest food and absorb nutrients it definitely detrimental to their overall health and well-being. A lot of young FTT babies are diagnosed with pyloric stenosis.
@@zinfandel61 it sooths them. Also pats and back rubs sooth them. When they were in the womb, they would sleep during the day due to the mother's constant movements
I had that when I was born and had the surgery to fix it. My mother didn’t have the money to pay for it. After going to many hospitals, she finally found a doctor who would do the surgery for free. I was born weighing 8lbs 12 ozs, less than 2 months later, I weighed only 2 lbs 3 ozs...The doctor was a Pastor at a local church as well. Thank God for that man who saved my life
My son had the identical case 14 yrs ago. Had emergency surgery at 6 weeks old. Praise God and the doctors he made a full recovery.
+di4scott725 Yes, definitely.
We u did that surgary
Poor little guy. I had Puloric Stenosis fixed around his age, over 30 years ago. Wish the little man luck in life.
As a nursing student, I am a visual learning and these videos you do i appreciate so much!!! i am able to remember the sign and symptoms of most diseases based on ur videos because i remember what the patients legal guardian or child experiences. Thank you so much!!!
I hope parents know how informative this is. As an NNP student it is nice to have a visual case presentation in order to recognize these problems in other infants.
Thank you!! I'm in PA school and these videos of real pt are extremely helpful!
The surgery done to rectify this is THE most gratifying procedure you can imagine - the infant responds immediately and the vomiting stops. My son had this - a thickening the band surrounding the space where the stomach connects to the intestine. It causes everything to come back up.
My daughter had surgery for this at 12 days old. She started vomiting at 7 days old and by 11 days old she didn't have a pee diaper for 12 hours. Her ped thought it was an allergy to formula or breast milk. Can't blame her it was a weird case. I just hope providers and students keep this in mind.
My first born daughter actually had this at 2 weeks old. I took her to the doctor the next day after her projectile vomiting started, and luckily it was immediately found. This was almost 20 years ago. It was traced back to my father's side of the family, and I passed that gene along. My second born child, boy, had no issues. Both of my kids know that they could possibly pass this to their kids. Sad this little boy went 3 weeks:(
Thank you for posting this! We have a Pediatrics exam and this was very helpful!
So glad you had this! I am on a peds rotation and thought a newborn had this but attending said he was too old. U/S didnt show stenosis, so I am glad you had one here for me to see! I think the step 2 answer was get a chem 7 concerned for metabolic alkalosis and hypochloremia so this was PERFECT! Thanks again Dr Mellick.
You are welcome.
I was born in 1958 down on the Ohio River ( just over the hill from our house)!
I had pyloric stenosis & the docs all said I was too small for surgery or didn’t’ do that back then! My poor folks spent a month listening to me scream & projectile vomiting (sorry).The lady across the street was a nurse,so when my folks couldn’t take it anymore, she’d come over & watch me! My folks went all over and finally at the Wheeling Hospital, they gave me a baby dose of phenobarbital and it relaxed my stomach enough to get the food down! I still have trouble with my stomach when I’m anxious! I thank God babies can get the surgery now!! 🩷
Thanks for sharing. That must have been traumatic for your mother.
Im 55 & was born with it in ‘66. Growing up in a very rural area, it took 3 months before it was diagnosed & that’s because my parents were told the hometown doctors could do nothing else. Luckily, the city children’s hospital knew as soon as they saw me. Got a nice scar across my stomach. Makes a nice conversation piece at the pool/beach. Plus, cool side note, the doctor who did my surgery (Dr Judson Randolph) appeared on a short lived medical docu-drama in the mid 70s on NBC.
Went through that w/our daughter 28 1/2 yrs ago. Projectile vomiting started at approx 1-week old within seconds after each feeding. Went to the doctor (pedetrician) 6 times in 6-weeks, seeing 3 different doctors in the process. At that time, they weren't looking for Pyloric Stenosis because it was so very rare to appear in a female. Wasn't until we saw the same doctor that I had seen as a child that the correct diagnosis was found. She had corrective surgery the very next day, with no looking back.
Thanks!
I found this video really interesting.23 years ago my daughter was finally diagnosed with pyloric stenosis after 7 terrible weeks of backwards and forwards to the drs,it wasn’t picked up on barium swallow it was from an ultrasound and she had ramstadt procedure that day.our daughter was our 3 rd child so that made it difficult to find and she’s female,our first born son never had it.we always knew she wasn’t ever right but no one could tell what exactly it was,she projectile vomited every feed and had reflux too and hardly gained any weight.and now 23 years later she has had a healthy baby boy of her own 💙
I had pyloric stenosis when i was a baby, i am now 14 years old and still have the scar from the surgery, i always feel hungry and im not a skinny kid! I was 200 pounds at 13
dude we medical students only chance upon limited things on certain times. hes doing a great job here showing everyone this and to add to that he always ask consent from patients on his other videos!
there is consent from the patient anyways. These are excellent videos for students and parents. Thank you Dr. Mellick
I am a 2nd year med student. We are in our GI system and this was very useful. Thank you!
Cool!! Glad it was helpful.
what a nice family to allow this there's no way I ever could I'm so introverted and such a private person ...what an amazing thing to do... and also you know the doctor anytime you're going to get some free knowledge we gotta soak it
up huh!! :)♡
my daughter was diagnosed with this when she was 6 wks old.. they didnt know that was what she had only because she is female. it started with her when she was 2 wks old.. they also said that they didnt know because she didnt lose any weight because i would put another bottle right in her mouth.. for 4 wks i was in and out of hospital and doctors but no one could tell me what was wrong. she constantly cried and was in pain.. this is a good video to make. thank you
Monique Martinez Excellent! Thanks for your comments.
Hay hii
how is yr daughter now
She had surgery or not
I had pyloric stenosis. I underwent surgery at 8 weeks of age. By that time I was less than birth weight and had developed a tumor. I was not expected to survive but thrived after surgery. My son had the most severe form of Hirschprung's. His treatment was removal of his complete colon and six inches of the small intestine and creation of a j-pouch. I have read that there is some indication that if one of these conditions exist in the family the other is more likely to occur.
my son also had pyloric stenosis a few weeks after birth and needed emergency surgery. he loss so much weight it was a very scary experience
You are the best Dr. Mellick
I had PS. My dad and aunt also had it. Doctors say its not genetic but i think it is. Thank god we all survived
I had this condition when I was six weeks old and I had to have surgery. I'm cured thank God.
Proud 56 year pyloric stenosis survivor. #pyloricstenosisstrong
Proud 61 year old(Female) pyloric stenosis survivor
I am 68, female, and had a pyloric stenosis op at three weeks old. Today I suffer from bad heartburn and certain foods do not digest.
I just ran across my post below while researching new GI health issues I'm facing. After my surgery, as an infant, my mother was told to expect that I would continue to have GI problems during my lifetime and I have. I've recently been diagnosed with Barret's Esophagus and Chronic Gastritis and a tumor discovered in my pyloric antrum. It makes me wonder if there truly is a connection to the pyloric stenosis.
😇.. Dr. Mellick .. 😇.. We Need The Treatment & Ultimate Outcome for This Very Vulnerable Patient .. 🙏
I was born with pyloric stenosis, and had surgery to correct it when I was 4 weeks old.
i know this is great i love these videos im a medical student as well and im currently working as a nursing aid at a hospital i just never new this was possible.
Hoping this isn't the case for my little guy. Projectile vomiting has been increasing over the last several days. He's 4 weeks old.
My daughter is almost 9 and she almost died from that, it is very seriouse. If any child is vomiting after they drink their bottle or eat and if yiu tryed soy and lactose free milk or formula and the symptoms do not go away, the sever vomiting will cause severe dehydration leading to death in your infant or child, got to the hospital asap and ask for a MRI scan, its not in the intestines it's the valve opening and closing your stomach to your digestive system!
Thanks!
Omg that's my story. He is having surgery today.
If anyone can answer… projectile vomiting only about 3 times in the last week, spits up almost after every feed. Should I be worried about pyloric stenosis???
Is the baby losing weight? As a mother if you are concerned always take them to a healthcare professional.
@natalienaylor1333
What was cause then? did it recovered automatically? my baby had similar vomit yesterday
Very interesting. My father had HPS, he was the first born male. He had his surgery back in 1929. I am the fifth of five daughters, and had my HPS surgery at five weeks old in 1968. My dads scar looks like a huge bellybutton…like six inches diameter. He told people it was a bayonet wound from the Korean War. 🤣 My sisters tell stories about me puking all the way across the room. 😬
my daughter has been projectile vomitting. we took her to the E.r and they tested slow feeds on her when she threw up again they sent us to another hospital where she would get surgery and they did an ultrasound which came back normal but I'm still concerned because she does vomit after almost every feeding
Gloria Celestial How is she now??
This is clinically pretty difficult to find. I don't remember checking for it.
dr mellick what was treatment in this case and what was the out come
These cases are are often misdiagnosed, often as reflux esophagitis, which begins at birth, not at 2 to 3 weeks. If a baby's weight is less than the birth's weight at 4 weeks, something serious is going on. Vomiting causes the expulsion of HCl, thus the hypochloremia (low chloride). Thanks for posting.
Thanks Dr. Mellick, your videos are really helpful
Your are welcome. Thanks for the thanks!
Dr., what about Gastroparesis in addition to this. (stomach muscle stuff)?? Just wondering, thank you!
Frank
So is this treated with emergency surgery? Hope the little guy is doing good.
My son who is 6 weeks old has severe reflux and was tested for PS about 2.5-3 weeks ago and they said he does not have PS but he is the first born son and fits all those check marks, what are the odds of them misdiagnosing him and missing it on the xray? They did the xray twice (two different hospitals in the same night, the second place was a children's hospital)
Did he have palpable olive mass? Or is this less common, clinically?
i was just learning about this in nursing school .. cool, thanks doc
This is treated surgically.
No identification of the patient. Parent understands and signs release.
Interesting to see.. I had this at only a few weeks old
My sister had this when she was a newborn. I think she was only a few days old when she needed surgery. She was definitely a lot smaller on the pictures and they had to put the IV in her scalp.
i still have the scar on my stomach from when i had surgery has an infant. im 17 now.
sam Be careful you will have complication and scar tissue in your abdominal area. when you workout hard it will rip
My baby has been excessive vomiting since birth he’s 5wks old weight loss was already an issue vomiting has become worse projectile and formula comes back up almost separated it’s shooting atleast a foot if not more doctors are super dismissive….. he’s always crying like he’s in pain… he’s also my first born son so… any advice on were I could take him if he has this
The baby needs an ultrasound of the pylorus ASAP it sounds like.
Bayi aku juga sama pas usia 4 mg mulai ada muntah,,, dan dia didiagnosis stenosis pilorus,,, dan sekarang dia sudah berusia 11 th
Demand an ultrasound
So update went to a different doctor he had the ultrasound he’s on meds for reflux now that said scan for this came back normal they had him drink sugar water and did things a bit different but still got the scan ATLEAST
Thanks doc...much appreciated
Thanks Larry!
Any comments on why he wasn't diagnosed sooner? Non-bilious projectile vomiting after feeding in a two week old first born son is so dead-obvious. Seems like he should have been diagnosed in the two week check up.
How will they nourish the baby until surgery? How common is this? Is it genetic? If not, how does a baby develop this condition?
Thanks!
I nearly died from pyloric stenosis from a misdiagnoses, my mother said that if we had waited about a week longer I would have died.
TwoFacedSkeleton I knew something was wrong with my baby. So I took her to her doctor and er 5 times they told me im crazy nothings wrong she's fine. 6th time they tested her for it and it was positive. They told me If I wasn't persistent it could have led to seizures coma and death all while we slept.
I had this. They didn't catch it because its more common in boys. I got surgery when I was 8 weeks old and now I have an ugly scar -__-
Surprised the Pediatrician didn't notice it... Gotta love emergency medicine... Jack of all trades, sometimes better than the masters.
Excellent. Thanks dr larry mellick
You are welcome.
I had surgery for this when I was 3 weeks old.
I had it when I was a baby not even a month old and had to have emergency surgery.
Cool to see after having this at a couple of weeks old and never really looking into what my scar is all about! Quite odd tho that I the youngest of my 2 other brothers and the one in the middle both had it yet my eldest brother didn't!
My baby just had surgery for this😔
great job....
my son was diagnosed with pyloric stenosis not by 1 hospital but 2 we get him admitted and a different doctor says he doesn't have it and the other doctors are wrong even the pediatric surgeon who said he had p.s he is 6 months now he is arches his back all the time and after each feed he either vomits or the top of the stomach under the ribs bulge out really bad and he crys more at night or if the physical therapist bends or touches his stomach wrong he crys and im just not sure what to do he has a very very small opening to let very little food in but not enough for his food to pass properly they tell me he will just out grow it even though he has been admitted to the hospital 20times staying for 3 to 4 days at a time
Maybe ask for a second opinion. Or a pediatric GI specialist might help.
My boy had this :( got treated when he was 3 weeks
Thank you!
Thank you for sharing
It is nice for us , surgery residents
Oh shit i had this, ended up living a normal life with a sown on belly button lol
my sister she got pyloric stenosis
I had this and almost died from it and after we found out my wife was pregnant, at the doctors they asked about medical history and we told them I had it, 3 or 4 different doctors said that it was hereditary in first born males. So we worried about it a lot and found out from a midwife that it wouldn't make sense for that to be true. Now I have a 2year 8month old boy and a 6month old boy and neither have this.
WHAT ABOUT HIPAA CAN YOU LEGALLY DO THIS
Yo I had this shit when I was a baby xD kinda weird this is in my recommended vids🤔 in my opinion after the surgery it’s no big deal I’ve never had any sort of issue after 20 years and the scar is so tiny thanks docs 👍🏼
Must be nice, my scar from the surgery is absolutely enormous 🙃😅
It would have been a big deal for your poor parents at the time please think of them
I was told it can cause seizures coma even death. If not treated
I didn’t know about seizures, but if the baby is not able to properly digest food and absorb nutrients it definitely detrimental to their overall health and well-being. A lot of young FTT babies are diagnosed with pyloric stenosis.
Why does mum have to keep rocking the child? Must be irritating.
Clearly you don’t have a child. It’s soothing for the baby.
@@tramey3070 I've had 2! But how would you like to be constantly jerked around when unwell?
@@zinfandel61 it sooths them. Also pats and back rubs sooth them. When they were in the womb, they would sleep during the day due to the mother's constant movements
@@zinfandel61 babies like it