ok, my son when he was born had a disorder, pyloric stenosis, which is a pyloric sphinctor not working properly in the stomach, meaning, that food would stay in his stomach and not digest, and he has started throwing up, like once a week he will just throw up, i mean he has always had problems with throwing up but its getting more regular, it used to be like 1x every few months now like i said its once a week, i thought it was a bad virus that he had caught from me but he only threw up 1x... im really nervous, and i would take him to the dr but i live on a military base and we have "fake drs" what should i do?
2006-09-13
14:53:54
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13 answers
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asked by
Leah
2
in
Pregnancy & Parenting
➔ Toddler & Preschooler
the only way i can get a "Professional" or "specialist" is if the "DR" on base thinks that there is a problem so i have to go to the base "dr" tell her whats going on and if she doesnt think there is a problem then she will not write a referral for me to get him to a speciallist and if i dont have the referral our insurance will not cover it
2006-09-13
15:01:17 ·
update #1
did i forget to mention that he has had the surgery for pyloric stenosis and is turning 4 this november?
2006-09-14
01:03:18 ·
update #2
So you take the kid to the doctor on Base (been there done that) and you TELL the doctor everything that has been going on...do NOT leave anything out. Do NOT hem and haw and say everything is ok. Then YOU tell the doctor you want a referral. If the doctor doesn't feel it is necessary you ask for a 2nd opinion. When you get the other doctor you go through the same thing, TELL the doctor EVERYTHING that has been going on and that you feel the need for a referral. Having been married to one in the military I know it is not that difficult to get a referral, I was able to get several for my daughter over the years when I thought there was a problem. It is all in the "delivery" of the information. Too many parents will omit parts because they don't want the problem to "seem" as problematic as it really is or they "forget" to tell the doctor something. Also you have to be forceful sometimes...not a ***** but don't take no for an answer. When the doctor tells you "it's normal" ask WHY he/she thinks it's normal...as for your "fake drs." line...I doubt that. Especially if it's U.S. military.
2006-09-16 22:20:07
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answer #1
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answered by Anonymous
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Diagnosis and Treatment
Your child's doctor will ask detailed questions about the baby's feeding and vomiting patterns, including the appearance of the vomit. The most important part of diagnosing pyloric stenosis is a reliable and consistent history and description of the vomiting.
The baby will be fully examined, and any weight loss or failure to maintain growth since birth will be noted. During the exam, the doctor will attempt to feel if there is a pyloric mass - a firm, movable lump that feels like an olive and is sometimes detected in the belly of an infant with pyloric stenosis. If the doctor feels this mass, it's a strong indication that the baby has pyloric stenosis; the baby will be referred to a pediatric surgeon and hospitalized for further treatment.
If the baby's feeding history and physical examination suggest pyloric stenosis but no "olive" is felt, then an ultrasound of the baby's abdomen will usually be performed. The enlarged, thickened pylorus can be seen on ultrasound images.
Sometimes instead of an ultrasound, a barium swallow is performed. The baby swallows a small amount of a chalky liquid (barium), and then special X-rays are taken to view the pyloric region of the stomach to see if there is any narrowing or obstruction.
Infants suspected of having pyloric stenosis usually undergo blood tests because the continuous vomiting of stomach acid, as well as the resulting dehydration from fluid losses, can cause salt (electrolyte) imbalances in the blood that need to be corrected.
Praying for him hope you get this treatement
When an infant is diagnosed with pyloric stenosis, either through physical examination, ultrasound, or barium swallow, the baby will be admitted to the hospital and prepared for surgery. Any dehydration or electrolyte problems in the blood will be corrected with intravenous (IV) fluids, usually within 24 hours.
A surgical procedure called pyloromyotomy, which involves cutting through the thickened muscles of the pylorus, is performed to relieve the obstruction from pyloric stenosis. The pylorus is examined through a very small incision, and the muscles that are overgrown and thickened are spread. Nothing is cut out - the stitches are under the skin and there are no stitches or clips to remove.
After surgery, most babies are able to return to normal feedings fairly quickly. The baby starts feeding again 3 to 4 hours after the surgery, and the baby can return to breast-feeding or the formula that he was on prior to the surgery. Because of swelling at the surgery site, the baby may still vomit small amounts for a day or so after surgery. As long as there are no complications, most babies who have undergone pyloromyotomy can return to a normal feeding schedule and be sent home within 48 hours of the surgery.
If you are breast-feeding, you may be concerned about being able to continue feeding while your baby is hospitalized. The hospital should be able to provide you with a breast pump and assist you in its use so that you can continue to express milk until your baby can once again feed regularly.
After a successful pyloromyotomy, your infant will not need to follow any special feeding schedules. Your child's doctor will probably want to examine your child at a follow-up appointment to make sure the surgical site is healing properly and that your infant is feeding well and maintaining or gaining weight.
Pyloric stenosis should not recur after a complete pyloromyotomy. If your baby continues to display symptoms weeks after the surgery, it may suggest another medical problem, such as inflammation of the stomach (gastritis) or GERD - or it could indicate that the initial pyloromyotomy was incomplete.
When to Call Your Child's Doctor
Pyloric stenosis is a medical emergency that requires immediate treatment. Call your child's doctor if your baby has any of the following symptoms:
persistent or projectile vomiting after feeding
poor weight gain or noted weight loss
decreased activity or lethargy
few or no stools over a period of 1 or 2 days
signs of dehydration such as decreased urination (more than 4 to 6 hours between wet diapers); wrinkly or doughy appearance of the skin on the arms, legs, or belly; sunken "soft spot" on the head; sunken eyes; or possible jaundice (yellowing of the skin)
2006-09-13 15:06:56
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answer #2
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answered by chrissy 3
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Is there more then one "fake Dr"? You could see about a second opinion. I would bring up the Pyloric stenosis and see if that helps. My cousin had this but once they did the operation he never had any more problems.
2006-09-13 15:08:33
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answer #3
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answered by D J 2
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As a parent or patient you have a right to a second opinion. Tell your doctor you want a referral to an off base doc. If she says she can get another doc for the base tell her no. You can demand that she give you a referral for an off base doc. Call your medical insurance and find out what your recourse's are if the doc refuses. I would think you always have options. I hope this helps
2006-09-13 15:06:08
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answer #4
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answered by jagbeeton 4
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I had this exact problem with my son when he was born. Fortunately for me, he grew out of it & never had to have surgery. I'm sorry your son is still suffering. But we were told to mix acidophilous with his food. It helps the stomach digest the food he is getting down & kill any "bad" bacteria in there (without spoiling the "good" bacteria). Also, we had to keep my son upright at all times (yes, ALL times). We had his crib mattress on an angle & he spent alot of time in the swing as an infant. Maybe you can try to keep him from lying down after he eats? Keep a journal of what you're feeding him (all meals, snacks, etc)... after several weeks, if he's still vomiting, maybe you can trace it back to a certain food or a like-ingredient in different foods? I know what dr's on military bases are like (I was a military wife). Depending on your base, there should be local hospitals you can take him to. It will be expensive, I know. But for your sons' health, it may be worth it...? Good luck & I hope your son feels better.
2006-09-16 15:33:50
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answer #5
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answered by pc_girl_2005 5
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I work for a GI specialist....go to your doctor on the base and tell them that you think your son needs to see a GI doctor. If they've been seeing your son for a while, I'm sure they know about his previous surgery.If they don't...tell them. Be firm and demanding and most of the time the doctors will go ahead and refer. Unfortunately, since you have an HMO, you'll have to go to the doctor on the base first. Hopefully they'll be reasonable and go ahead and refer you to a GI doc. If they refuse....call the insurance company and have your base doctor changed. Good luck! Email me if I can help you out in any way..I deal with this stuff every day :-)
2006-09-14 03:49:14
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answer #6
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answered by Justinsmom 3
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Take your sweet son to a Doctor off base. You need to do that soon, as this is not good. Make sure he is not loosing weight and if he is suffering then do it now. My little boy passed away and to this very day, I continue to grieve for him, like it was only this morning. He died from a quick viral infection. Was only sick for a few hours. If he is throwing up that often, then chances are he does not feel well. He sleeps a lot and probably cries a lot. Sure sign that things are not good for him. Please take him soon. The quicker the better. I will pray for his sweet little life and you too. Take care and God bless you and your sweet children, Always !
2006-09-13 15:05:20
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answer #7
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answered by Norskeyenta 6
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oh no. i am so sorry. I know there is a surgery for an artificial sphincter. If you could possible get off base that surgery, i think would cure him.
Throwing up is not good at all. For now treat him like he has bad acid reflux..sit up after eating. Even sleep at a 30 degree angle so nothing can come back up as easily.
I hope he will get better!
2006-09-13 14:58:51
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answer #8
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answered by Rx 4
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Your son has a known disorder, they shouldn't deny him medical treatment. I would make that clear to them. So take him to the dr and see what they say. If they do deny you, then they are liable if anything goes terribly wrong. Then I would go see a real dr. The cost doen't even come close to the value of your son.
2006-09-13 15:41:07
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answer #9
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answered by btyboo 3
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I have a daughter with a developmental disability. We also use military doctors. I honestly feel that if we had not been near that base, her diagnosis would have been missed. I am sorry if you have had bad experiences with military doctors, but they saved my daughter. You need to take your child to a doctor, if you don't like the military doctors, then pay out of your own pocket for a civilian.
2006-09-13 14:59:54
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answer #10
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answered by armywifetp 3
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