If a baby about three to eight weeks old is always about half an hour after the Thickened muscles of the stomach outlet may be the cause. “Thickened muscles in the stomach outlet prevent food from entering the intestine.
Vomiting in babies: gastric gate can be narrowed
The symptom is typically gushing vomiting about 30 minutes after feeding. Before the baby vomits, parents may be able to detect movements in the stomach area if the stomach wants to move the food through the constriction. Since this so-called hypertrophic pyloric stenosis (anborn narrowing of the gastric outlet / gastric porter) prevents food intake in the intestines, babies often feel hungry again after vomiting. In the long run, they won’t gain weight. If an infant has to vomit in gushes several times after eating, parents should take them to the pediatrician.
Small children in particular can dehydrate quickly due to the loss of fluids, ”warns Dr. Ulrich Fegeler, pediatrician and member of the expert committee of the professional association of paediatricians (BVKJ). The pediatrician also clarifies, among other things, whether there are other reasons for the vomiting, such as an infection, backflow of gastric acid (reflux) or a food intolerance.
Actions to take when a baby vomits
When babies vomit, parents should sit them upright to avoid swallowing vomit. If a child vomits while lying down, you should immediately lift them face down.
“If hypertrophic pyloric stenosis is suspected, the diagnostic ultrasound examination of the gastric outlet can help. It can be used to reliably identify whether the muscle of the gastric outlet (sphincter muscle) is thickened, ”explains Dr. Fegeler. “If thickened gastric ring muscles are the reason why the baby cannot keep the food down, a small operation – openly surgical or minimally invasive – has to be carried out in which the excessively developed ring muscle is split. Often the baby can get formula as early as 2 to 4 hours after the operation. “
About 2 in 1000 babies have gastric emptying disorder. Boys are about four times more likely to be affected than girls. As the disorder occurs more frequently in some families, genetic factors are suspected to be the trigger. But why the muscles of the stomach outlet thicken is not yet fully understood.
Editor’s note: Sometimes paediatricians prescribe a special food (AR = anti reflux). In some cases it can help if the stomach door is not too tight. In this way you can bridge a few months until the baby has grown a little. The AR food is a little thicker than “normal” bottle food, and for this reason is processed a little differently by the stomach. In some cases, this can make surgery unnecessary.
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