Lacnuts, I REALLY need your help. This is what I have on Pyloric stenosis (R&A and Lawrence). Is there anything else that I should include? Is this okay just the way it is to submit to a newsletter? Is Pyloric Stenosis more prevalent in a certain disorders? I need to turn something in by Tuesday, October 27th, please help!! I am really new to all of this writing business, but I really want to make a go of it. Thanks in advance! Pyloric Stenosis Pyloric Stenosis, a hypertrophy of the pyloric sphincter, occurs about 2 to 5 of 1000 live births. It usually develops between the second and sixth weeks of life although it can occur anytime after birth. It is evident by vomiting that is intermittent at first and progresses to include every feeding and the vomiting is often projectile. These infants in time become anxious and irritable due to weight loss and dehydration. Mothers of these infants remark that their babies are eager feeders who bo back for more milk. The problem is usually not seen in a breastfed infant and if it does occur growth and health is often evident despite the problem due to the digestive enzymes found in breast milk. Breast milk is also the only feed that can be aspirated and not irritate the lungs. Mothers are encouraged to use the force of gravity to help keep the food down by feeding the baby in a more upright position and by keeping the baby upright after feeds. Thickening of feeds may also be necessary which will be determined by a doctor. According to Dr. Ruth Lawrence "Therapy consists of pyloromyotomy following correction of the dehydration and associated electrolyte abnormalities. If the procedure is uncomplicated, the infant can go back to breast in 6 to 8 hours after a trial of water and at 4 hours shows the infant is alert and sucking well. The breastfed infant may be discharged in 24 hours if nursing has gone well. If the duodenum is entered at the time of surgery, gastric decompression and intravenous fluids will be necessary and oral fluids delayed several days until signs of healing occur. A breastfed infant may resume nursing earlier than a bottle-fed infant returns to formula because of the rapid emptying time of the stomach and the zero curd tension of the milk." Smiles, Yvonne ********************************** Yvonne C. Bannister, LLLL, IBCLC Temporarily in Bordentown, NJ (USA) Private Practice/Baby's BestFeeding "A mother holds her baby . . . who lovingly holds her breast and gets the best!" Mail to:[log in to unmask]