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stomach

If your child swallowed something that's not sharp or otherwise potentially dangerous and it doesn't seem stuck in his throat, he'll probably do just fine on his own, passing the object in his stool and ending up no worse for the experience.

While you wait, keep a close eye on him and call his doctor if he starts vomiting, drooling, refusing to eat, running a fever, coughing, wheezing, or making a whistling sound when he inhales. Also call the doctor if you don't see the object in your preschooler's stool in the next couple of days. (To check, put the poop in a strainer and run hot water over it.)

If your child may have swallowed something sharp (like a toothpick or needle) or otherwise dangerous (like a watch battery or more than one small magnet), take him to the doctor right away even if he seems fine. These things may need to be removed rather than allowed to pass, because they may perforate your child's esophagus, stomach or intestines; leach dangerous substances; or even create a small electric current.

What will the doctor do?

This will depend on what your child swallowed and whether it seems to be stuck. The doctor may take an X-ray to find out where the object is.

If the doctor thinks that the object will move safely through your child's system on its own (as most objects do), he may tell you to keep an eye on your child and her bowels over the next few days. During this time, he may take additional X-rays to track the progress of the object.

If the object is in your child's airway or stuck in her esophagus or stomach – or if it's dangerous to wait for the object to pass because it's sharp or otherwise hazardous – the doctor will remove it. Most likely he'll use an endoscope (a long, thin, lighted tool) if the object is in her esophagus or stomach. If it's in her airway, he'll use a similar instrument called a bronchoscope. In some instances, surgery is necessary to remove an object.

What if my child is choking on the object?

For information on how to administer first aid for choking, see our guide to choking and CPR. It's a good idea to learn these techniques before you'll ever need them by taking a CPR course.

Is there any way to keep my child from putting stuff in her mouth?

It's very common for a young child to put any old thing in her mouth, but by school age many kids have started to outgrow this method of learning about the world.

If you find that your grade-schooler is still in the habit, you may be able to convince her that it's not such a great idea. Tell her about germs on toys and about how dangerous it can be to swallow something that shouldn't be in her mouth. Then give her gentle reminders as needed.

And again, it's important for you and all of your child's babysitters and childcare providers to be trained in CPR.

Contents

Causes

Symptoms

Exams and Tests

Treatment

Outlook (Prognosis)

When to Contact a Medical Professional

Alternative Names

 

Pyloric stenosis is a narrowing of the pylorus, the opening from the stomach into the small intestine.

Causes

Normally, food passes easily from the stomach into the first part of the small intestine through a valve called the pylorus. With pyloric stenosis, the muscles of the pylorus are thickened. This prevents the stomach from emptying into the small intestine.

The cause of the thickening is unknown. Genes may play a role, since children of parents who had pyloric stenosis are more likely to have this condition.

Pyloric stenosis occurs most often in infants younger than 6 months. It is more common in boys than in girls. 

Symptoms

Vomiting is the first symptom in most children:

  • Vomiting may occur after every feeding or only after some feedings
  • Vomiting usually starts around 3 weeks of age, but may start any time between 1 week and 5 months of age
  • Vomiting is forceful (projectile vomiting)
  • The infant is hungry after vomiting and wants to feed again

Other symptoms appear several weeks after birth and may include:

  • Abdominal pain
  • Burping
  • Constant hunger
  • Dehydration (gets worse as vomiting gets worse)
  • Failure to gain weight or weight loss
  • Wave-like motion of the abdomen shortly after feeding and just before vomiting occurs

Exams and Tests

The condition is usually diagnosed before the baby is 6 months old.

A physical exam may reveal:

  • Signs of dehydration, such as dry skin and mouth, less tearing when crying, and dry diapers
  • Swollen belly
  • Olive-shaped mass when feeling the upper belly, which is the abnormal pylorus

Ultrasound of the abdomen may be the first imaging test. Other tests that may be done include:

  • Barium x-ray - reveals a swollen stomach and narrowed pylorus
  • Blood tests - often reveals an electrolyte imbalance

Treatment

Treatment for pyloric stenosis involves surgery to widen the pylorus. The surgery is called pyloromyotomy.

If putting the infant to sleep for surgery is not safe, a device called an endoscope with a tiny balloon at the end is used. The balloon is inflated to widen the pylorus.

In infants who cannot have surgery, tube feeding or medicine to relax the pylorus is tried.

Outlook (Prognosis)

Surgery usually relieves all symptoms. As soon as several hours after surgery, the infant can start small, frequent feedings.

When to Contact a Medical Professional

Call your health care provider if your baby has symptoms of this condition.

Alternative Names

Congenital hypertrophic pyloric stenosis; Infantile hypertrophic pyloric stenosis; Gastric outlet obstruction