Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

129 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How to treat pyloric stenosis?

I am a 34 year old female weighing approximately 240 pounds. I smoked off and on for fifteen years and quit on my own in January 2011 for good. Shortly before I kicked the habit, I began feeling as if I had panic attacks. I went to my physician who prescribed me Buspar for depression / anxiety. I had a reaction to the medicine causing my heart to race, chest to hurt, and arms to tingle. I was advised to stop taking the medication and was not prescribed anything else. All throughout February I had what I thought were panic attacks, but they progressively got worse and lasted longer, always worse at night. I finally went to the Emergency Room on March 12th thinking perhaps it was Asthma, even though I have no cough or wheeze. I thought since we are renovating my mother s house and from years of cigarettes that I had Asthma for sure, but the doctor discovered through X-Rays that I had a large air bubble that had pushed up my left diaphragm causing me trouble breathing. They performed a dilatation where 4 pounds of air was pumped from my stomach and sent me home. I felt so much better and was able to sleep through the night like a baby. Then, four days later, I had trouble breathing again and this time had chest pain as well, so I went to the ER again. They performed a Stress Test, EKG, and MRI scans. They said that my chest was fine, but that I needed to see a Gastro Intestinal doctor as my stomach was bloated. Two days later, I went to the doctor and had an emergency Endoscopy that found I had Pyloric Stenosis (I have no ulcers or scarring and never had it as a child). I had no stomach pain, vomiting or acid reflux, the only GI symptoms I had were nausea, diarrhea, weight loss and bloating. The doctor prescribed Omeprazol & Reglan and had me go back in 2 weeks for a follow up. I felt great for 2 weeks, and at the follow up I was prescribed Paxil to help with IBS symptoms of diarrhea, simithecone to relieve gas and bloating, & Lisinopril for High Blood Pressure (which I did not have before all this). I also caught an ear infection in my right ear during all this and was prescribed Cefdinir, then Allegra and Nasonex to help, and I began having trouble breathing again. X-Rays again showed I had an elevated left diaphragm and air bubbles. I have had blood tests for diabetes and thyroid among other things, CT Scans, another Endoscopy, a colonoscopy, Pulmonary Function tests, Arterial Blood Oxygen tests, Sleep Apnea tests, a Fluoroscopic SNIF test and more X-Rays. I have been told that I have a very small hiatal hernia (too small to operate) and mild asthma (prescribed Pulmicort). I have no other GI tract issues, my heart is fine and my lungs are clear, yet I still have the elevated left diaphragm (which is not paralyzed - it is still functioning in my chest), which has pushed my heart over to the right side of my chest, and pain on my left side now. I stopped taking all meds except the Lisinopril, Gas-X & Pulmicort for Asthma. Some I was told to stop, others I stopped because they seemed to be making the diarrhea, pain and nausea worse. Two nights ago, I tried to lay on my left side to help reduce some of the pain and I immediately felt like I was starving, to the point where I got extremely nauseous and had pain radiating through the left side of my body! I took two bites out of an energy bar, but the feeling was still there. I thought I might be having a heart attack, so I called the doctor and left a message with his answering service. I began to dry heave uncontrollably and then quickly felt better. The doctor said that I should go to the ER if it continued, but it went away, so I did not. So, my current symptoms now are pain in my left side from my stomach / colon to my shoulder that gets worse at night and better in the morning. Sudden nausea with bouts of gas and constipation, PVC heart palpitations, bloating, losing weight quickly and then gaining it back very quickly, loss of appetite then sudden feelings of starving, & discomfort in my chest with physical activities (like sex - I have not been able to do that in 2 months now for fear of making this worse). My question is: What could be causing this and how do I make it stop? Any advice you can give is greatly appreciated! I am allergic to Morphine and Demerol Surgeries: Gall Bladder removed in June 1997, Endometrial Ablation and Tubal Ligation in July 2010. I have had (3) live births (all full term). My last pregnancy in 2005, I had Pregnancy induced hypertension and was on bed rest for one month. My father had a heart attack in his forties and died from a stroke at age 50 - he was a lifetime smoker and had controlled adult onset diabetes and controlled high blood pressure. My mother is still living - she has controlled high blood pressure and at age 58 had a stint put in her heart with a 99% blockage - she is now on blood thinners and doing well.
Mon, 19 Nov 2018
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,   ,   ,   ,   ,   ,  
Lab Tests
General Surgeon 's  Response
Hello,

As per my surgical experience, the pyloric stenosis of low grade can be managed conservatively with acute inflammation stage via Ryle's tube insertion, keeping nil by mouth, supportive IV fluids and in-house medical treatment.

The extensive lumen narrowing with obstruction requires immediate surgical intervention via various options as a mere incision or pyloroplasty.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel,
General Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

Hello. I am a 68 years old female in pretty good health and just found out I have pyloric stenosis. Is there a special diet I should follow? Also, I am a type 2 diabetic and if I get hungry, my blood sugar goes down and I get I get nervous and and usual signs. Thank you, Shirley M.

doctor1 MD

I am a healthy 81 year old woman. When an infant I was diagnosed as having pyloric stenosis..was treat orally with atropine. All my life, when I eat, almost immediately some food returns up into my mouth. It is not burning at all and I am quite used to it. I have no heart burn and it apparently has no acid in it when it comes up. In fact, my stomach often sorts out anything might not be to it s liking; i.e.; for instance something like the skin on a tomato a piece of not not thoroughly chewed up. These are just an example of how my stomach brings up anything it does not approve of..haha. But now my doctor says I have acid reflux. And has prescribed an acid pill. When this material comes up, it does not burn and I am so used to it that I pay no attention. I have not told all this to the doctor as he made the decision and there was no further comment..period. Should I be alarmed?

doctor1 MD

I have a friend who has a 2 year old daughter. She has all the symtoms of Pyloric Stenosis. I know for babies, there treatment is sometimes surgery to correct the opening of the muscle. what is the treatment for a child that age if that s what she has?

Recent questions on  Mild asthma

doctor1 MD

hi, i am due to have surgery (decompression on my elbow) in a weeks time. I am currently taking a short course of steroids and antihistimine for severe hayfever, i have a dry un productive cough which is still present i have mild asthma but this is worsened during the summer months. will they still perform the surgery?

doctor1 MD

I am a 34 year old female weighing approximately 240 pounds. I smoked off and on for fifteen years and quit on my own in January 2011 for good. Shortly before I kicked the habit, I began feeling as if I had panic attacks. I went to my physician who prescribed me Buspar for depression / anxiety. I had a reaction to the medicine causing my heart to race, chest to hurt, and arms to tingle. I was advised to stop taking the medication and was not prescribed anything else. All throughout February I had what I thought were panic attacks, but they progressively got worse and lasted longer, always worse at night. I finally went to the Emergency Room on March 12th thinking perhaps it was Asthma, even though I have no cough or wheeze. I thought since we are renovating my mother s house and from years of cigarettes that I had Asthma for sure, but the doctor discovered through X-Rays that I had a large air bubble that had pushed up my left diaphragm causing me trouble breathing. They performed a dilatation where 4 pounds of air was pumped from my stomach and sent me home. I felt so much better and was able to sleep through the night like a baby. Then, four days later, I had trouble breathing again and this time had chest pain as well, so I went to the ER again. They performed a Stress Test, EKG, and MRI scans. They said that my chest was fine, but that I needed to see a Gastro Intestinal doctor as my stomach was bloated. Two days later, I went to the doctor and had an emergency Endoscopy that found I had Pyloric Stenosis (I have no ulcers or scarring and never had it as a child). I had no stomach pain, vomiting or acid reflux, the only GI symptoms I had were nausea, diarrhea, weight loss and bloating. The doctor prescribed Omeprazol & Reglan and had me go back in 2 weeks for a follow up. I felt great for 2 weeks, and at the follow up I was prescribed Paxil to help with IBS symptoms of diarrhea, simithecone to relieve gas and bloating, & Lisinopril for High Blood Pressure (which I did not have before all this). I also caught an ear infection in my right ear during all this and was prescribed Cefdinir, then Allegra and Nasonex to help, and I began having trouble breathing again. X-Rays again showed I had an elevated left diaphragm and air bubbles. I have had blood tests for diabetes and thyroid among other things, CT Scans, another Endoscopy, a colonoscopy, Pulmonary Function tests, Arterial Blood Oxygen tests, Sleep Apnea tests, a Fluoroscopic SNIF test and more X-Rays. I have been told that I have a very small hiatal hernia (too small to operate) and mild asthma (prescribed Pulmicort). I have no other GI tract issues, my heart is fine and my lungs are clear, yet I still have the elevated left diaphragm (which is not paralyzed - it is still functioning in my chest), which has pushed my heart over to the right side of my chest, and pain on my left side now. I stopped taking all meds except the Lisinopril, Gas-X & Pulmicort for Asthma. Some I was told to stop, others I stopped because they seemed to be making the diarrhea, pain and nausea worse. Two nights ago, I tried to lay on my left side to help reduce some of the pain and I immediately felt like I was starving, to the point where I got extremely nauseous and had pain radiating through the left side of my body! I took two bites out of an energy bar, but the feeling was still there. I thought I might be having a heart attack, so I called the doctor and left a message with his answering service. I began to dry heave uncontrollably and then quickly felt better. The doctor said that I should go to the ER if it continued, but it went away, so I did not. So, my current symptoms now are pain in my left side from my stomach / colon to my shoulder that gets worse at night and better in the morning. Sudden nausea with bouts of gas and constipation, PVC heart palpitations, bloating, losing weight quickly and then gaining it back very quickly, loss of appetite then sudden feelings of starving, & discomfort in my chest with physical activities (like sex - I have not been able to do that in 2 months now for fear of making this worse). My question is: What could be causing this and how do I make it stop? Any advice you can give is greatly appreciated! I am allergic to Morphine and Demerol Surgeries: Gall Bladder removed in June 1997, Endometrial Ablation and Tubal Ligation in July 2010. I have had (3) live births (all full term). My last pregnancy in 2005, I had Pregnancy induced hypertension and was on bed rest for one month. My father had a heart attack in his forties and died from a stroke at age 50 - he was a lifetime smoker and had controlled adult onset diabetes and controlled high blood pressure. My mother is still living - she has controlled high blood pressure and at age 58 had a stint put in her heart with a 99% blockage - she is now on blood thinners and doing well.

doctor1 MD

Hello, In November after visiting gym I ve got stuffed and 100% plugged nose, later developed chest caugh, pain, tiredness, thought I might have had pneumonia.. Took a lot of rest, lung teas, herbal tinctures, veget. and fruit juices etc. Lung Xray was OK. 2 weeks of antibiotics didn t clear it up. Up to now having smelly yellowish mucus coming out of my Bronchi s. Much worse after any kind of small walk, excercise. I am very concerned, it feels like infection in my chest that is not going away. Dr. ordered spirometry and metacholine tests, that suggested mild Asthma. Recommended cortison puffers only. I gave sample of yellow mucus - came out as inflamation only. What should I do next? So far I stayed off work last 3 months, taking care of myself, it seems getting slowly better until I go for a little walk when symptoms come back big time. What other test should be done to find out the real cause? I feel, that if it is not cleared, it will be getting worse over time. I used to do a lot of sports here as well as in Europe since childhood, until 3.5 months ago, and I am very worried about the future of this medical issue. Thank You, Radka

doctor1 MD

I am recovering from a fairly serious cellulitis infection for which I was hospitalized. When I was running fever I felt alot of tightness in my chest. No more fever, but I still feel the tightness even while resting. My heart seems to beat rather strongly when I move around. I have mild asthma and take medicine for that so my breathing is fine.My question is: is it normal to feel this when fighting a severe infection?

doctor1 MD

I am a 40 year old male with no health problem in the past apart from mild asthma and oesophagitis. 3 years ago i performed a cardiac check with an electrocardiogram and echocardiograph which was fine. Six months ago I went to the cardiologist who...

doctor1 MD

Have had coughing on and off the last couple of months, with some mild asthma . Also, have had regular bouts with acid reflux . My doctor has done an x-ray with everything coming back fine. There have been no other symptoms.

doctor1 MD

I was diagnosed with very mild asthma 3 years ago. In the last few weeks my asthma (or so I thought) has been acting up. I had my pulmonologist appointment and overall, the news was good. My breathing is normal and I have no wheezing . However, he...