What is the aetiology of pyloric stenosis?
Pyloric is an uncommon disease in infants in which food is blocked from entering the small intestines. Typically, pylorus, a muscle valve between the stomach and small intestines, holds the food until it is ready for the digestive process. The pyloric stenosis makes this muscle valve abnormally large thus narrowing the pyloric channel. Consequently, food or liquid cannot pass out of the stomach into the small intestines. This disease is estimated to affect 3 out of every 1000 babies born across the world. pyloric stenosis is most likely to affect the first-born male child and less likely to affect the female infants. In the United States, this disease mostly affects infants with Caucasian decency. Most children who suffer from this disease come from a family with a history of the condition. The infant is more likely to develop the condition if the mother had it, compared to the father. However, genetic predisposition is not strongly supported. The main cause of the disease is believed to be hyperacidity and hypertrophy of the pylorus.
How does the pathophysiological process of pyloric stenosis lead to the signs and symptoms?
Pyloric stenosis usually leads to forced vomiting. With persistent vomiting, water loss leads to hypochloremic. This condition brings about increased aldosterone and renal absorption of sodium and water which leads to loss of the hydrogen ions in the body, alkalosis. This phenomenon leads to the manifestation of the signs and symptoms of pyloric stenosis. This happens within 3-5 weeks after birth. Common signs and symptoms include vomiting after feeding, dehydration, stomach contraction, and persistent hunger.
What teaching would the Family Nurse Practitioner provide to the parents who are managing this infant at home?
Once parents notice any sign of pyloric stenosis, they should immediately take the infant to the hospital. The treatment for this condition is operational. The surgeon cuts through and spreads the thickened muscles of pylorus thus relieving the blockage. After the operation, the parent should continue giving the baby pain relief as advised by the doctor. They should keep the eye on the wound and take the baby for regular check-ups.
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