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Intussusception & pyloric stenosis

Invaginatio intestinalis et stenosis pylori hypertrophica · Invaginace střeva a hypertrofická stenóza pyloru

What it is

Two infant emergencies: bowel telescoping into itself, and a thickened stomach outlet. Rotavirus vaccines add about 1–6 intussusceptions per 100 000 babies; RotaShield was withdrawn in 1999 for a larger risk.

Symptoms & signs

  • Intussusception: colicky screaming, drawing up legs, redcurrant-jelly stool
  • pyloric stenosis: projectile vomiting at 3–6 weeks, hungry baby, visible peristalsis

🚩 Get help if…

  • call 112 / 911 now Baby with bouts of screaming and drawing up the legs, pale between bouts
  • call 112 / 911 now Stools that look like red currant jelly or contain blood
  • call 112 / 911 now Green vomit, a swollen belly or a floppy, drowsy baby
  • see a doctor soon Forceful vomiting after every feed in a baby of 2 to 8 weeks

Where it strikes

Medical treatment

  • Air or contrast enema reduction
  • surgery if it fails
  • Ramstedt pyloromyotomy after fluid and electrolyte correction

Natural & lifestyle

  • None — both need hospital the same day

Emerging & experimental

  • Ultrasound-guided hydrostatic reduction
  • laparoscopic pyloromyotomy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Home remedies — both need hospital the same day; waiting costs bowel anecdotal / traditional
  • Gripe water and colic remedies — can delay the diagnosis anecdotal / traditional

ICD codes