Pyloric Stenosis and long term effects

Posted , 76 users are following.

Hi - my son had this condition and was operated on at 4 weeks. We were told at the time it is usually noticed at 3 months plus and he was very young and the muscle was very thick. He is now nearly 21 but has always been thin but with a good appetite but always had a 'full' feeling. GP now thinks he may suffer from IBS. I have always wondered if the PS has had an effect and wondered if there were any studies undertaken to question long term effects or eating habits of boys with this condition. Any info would be appreciated.

4 likes, 146 replies

146 Replies

Prev Next
  • Posted

    What a distressing problem your son has - and that after an op most doctors will tell people will get rid of the Py and vomit problem for good. Most doctors don't have a clue (and don't care about) how to diagnose the long term issues which arrive not always but for all too many. A pediatrician or GI specialist may or may not be better from what others have found.

    I'm no doc but having had some other post-PS problems I've read a lot of what others have found. So here's a list of some of the possibilities - 1) adhesions from the op affecting the stomach region and or gall bladder, messing up digestion etc; 2) hyper-acidity in the stomach (those who have had PS keep this tendency and they may get gastric ulcers in later life); 3) unrelated to the PS but a separate stomach or esophagus problem; 4) a very strong gag reflex (not uncommon); 5) in recent years "Chronic Abdominal Pain in Childhood" has become recognised (a grab-all label for unexplained symptoms?) - I have posted on this on my blogsite "Surviving Infant Surgery"; 6) anxiety (one suggestion I found was to try medication for a month's trial). Not an exhaustive list and not personal professional advice but I hope it helps you get help for your young man.

  • Posted

    Thanks. I'll look into some of your suggestions. I definitely want to get to the bottom of this. Thanks for your feedback.
  • Posted

    Thank you Fred and everyone for sharing your ideas and stories... Still trying to find something that works for my son.. My prayers to each of you... good luck!!
  • Posted

    I've just come across this forum which has really thrown a light on the issues I've had for years. I too had pyloric stenosis operation (Ramstedt) at 3 weeks old and as far as I'm aware never had any after effects! I'm 36 now. The only time I thought about PS was when it came time to wear bikinis....something I've never done! My incision was really badly done and I have a lot of scar tissue hanging over the scar. I can grab the amount of scar tissue!! Mine is Y shape and aprox 6 inches long now which is not normal as far as I know. Anyone else have this shape scar? I've always had digestion problems....whether it's constipation or more recently diarrhoea. But for the past few years I've been a little wheezy but more recently having trouble breathing and have had acid reflux issues. I put the reflux down to eating the wrong foods but it now seems to be linked to my breathing difficulties. It's not that I can't breath it's that I feel that I can't. I finally went to the doctor (I tend to stay away from doctors) and she thought that the PS may be the root of the problem. She thought that maybe the opening that was made 36 yrs ago may have widened further and may be contributing to my current health problem. Causing the acid to be inhaled therefore effecting my breathing. I think I've been ignoring my ailments for years but reading the posts here has really opened my eyes.  The next step for me is to get a camera down to check out my stomach and also get the scar tissue removed. I fear there may be more surgery to follow. Has anyone had surgery long after their PS which is linked to the PS??
    • Posted

      Although I've responded here often and enjoy sharing some of what I've learnt about PS, I've missed your post till now - and I'm sorry. You have been going through the wars after your PS - and much of your strife is so typical. Your scar is certainly unusual: the average seems to be about 3-4 inches (8-10cm) and the Y shape is a mystery to me, but it sounds like the surgeon ran into some kind of trouble and extended the incision. Many horizontal scars do overhang, as the healing tissue in the cut grows into the underlying muscle or organs and then we grow too - scar tissue doesn't stretch much. Reflux and IBS /instability can be diet caused, but are standard after PS it seems - everyone who networks about PS has bowel issues, and it probably has to do with the high acidity which caused our PS and which the op doesn't change. Wary of doctors? So typical. The wheezing... have you read what Barbara has written here and are you a member of the open and "closed" PS Groups on Facebook? She and another person there have lung damage caused by inhaling acidic vomit (as you've been told too) when they had their PS, and it's only coming to light now. Not good news and hard to correct scarred lungs as we grow older. But sharing our stories and experience does help us to talk with doctors with more clarity and confidence. Again, the Fb Groups have several stories of people who have had adhesion or scar reconstruction surgery. Best wishe!
  • Posted

    My 18 yr old girl also had this surgery. She is very thin and suffers from nausea and abdominal pain frequently. For two yrs after surgery, she was given ranitidine and Cisapride (which was taken off the market in 2000 leaving me wondering if that also affected her health). I'm just concluding that her suffering is related to the PS surgery so I have no real advice yet. I found a FB page on PS. Look it up, it's been helpful. Also, someone on there suggested a GAPS diet.
  • Posted

    I had my PS operation in 1952

    i was 8 months old and was dying of malnutrition

    photos of me until I as six showed a thin limbed child with a huge stomach

  • Posted

    Sorry pressed wrong button

    my scar is ugly and when I was in my early twenties I pulled "thread" from it

    i had a very athletic life until I was in my mid forties but weight gain was always a problem

    i have suffered many serious lung infections but do not have asthma

    i was recently diagnosed with Bronchiestasis due to lowered IgG antibodies (very bottom range) and the recurrent chest infections

    My pulmonary physician and my immunologist have suspected occult GERD

    i also have heli bacter which is being treated now

    I am being referred to a Gastroenterologist to investigate whether I have been aspirating acid into my lungs

    It will be interesting if this traces back to PS

  • Posted

    Hi

    hoping this conversation is still current

    i am a 62 yo female

    I was operated on at 8 months old for PS in a stae of severe malnutrition

    I cannot tolerate milk at all

    The first five days of my life I was breast fed by the wrong mother then would not accept my Mother's milk

    My mother and I had a difficult relationship

    I had separation anxiety and wanted to be near her

    and she had no time for me

    i have had bronchitis all of my life with multiple cases of pneumonia, pleurisy and shingles

    i have just recently seen. respiratory Physician and an Immunologist for constant lung and sinus infections Ii have bronchiestasis and mild CVID

    I recently had a Bronchoscopy and no harmful bacteria were found

    it is now suspected that I have have been aspirating acid into my lungs causing life long infection resulting in incurable lung scarring/damage

    I will soon be seeing a gastroenterologist

    my specialist suspects that PS may be complicit

    i will keep you posted

    ps I have dreadful problems with diarrhoea, weight gain and bloating and fatigue

     

  • Posted

    Hello,

    I had pyloric stenosis more than 44 yrs ago.  I had the surgery and was good for quite some time.  At times throughout my childhood I had severe stomach aches.  These were rare, but they happened.  When I was 19, I woke up in the middle of the night with great abdominal pain.  My parents rushed me to the ER and I examined for appendicitus.  I had an appendectomy later that day.  While that surgery turned out that my appendix was fine, they performed an exploratory surgery and found I had bands around a small portion of my small intestines.  They cut that out.  I was fine until I was 28... I then had a similar surgery for adhesions.  In my 30s I had my gall bladder removed, too, but I have been good since then.  Every now and again after eating some meals (maybe once a month) my stomach gets upset or bloated, but I don't necessarily attribute it to my ps or other surgeries.  I am happy to share any additional information if others are interested.  Whle I am only 5'5" (which I have always wondered if the PS prevents full height of your body, but no way to know.  I have multiple brothers which range in height from 5'10"-6'1".  In college I used to compete in powerlifting and I don't think I had any ill problems from my PS.

  • Posted

    It seems you are one of the many (though still it seems, a minority) of PSers who have been left with a chronic adhesions problem. We've all been left with adhesions after abdominal surgery, but those who have them as a problem will unfortunately find it hard to shed this. I have corresponded with people who have had multiple surgeries to remove the latest growths, but each surgery tends to aggravate the issue in the longer term. Chances are your gall bladder was fine but its work choked with adhesions - many have been told this. Try to manage the discomfort and pain, or have them removed when you reach your limit.
    • Posted

      FredV,

      Thank you for your comments, but for me, my gall-bladder problem most likely was not related to my PS.  When I was in college, I was a weightlifter and kept my intake of certain foods to a minimum.  This caused my gall-bladder to not be used much, which in turn created gall-stones and then what described as sludge.  Scar tissue had nothing to do with it.  I should have been more clear about that.  Sorry.  Honestly, I think my problems have been minimal.  I live a normal life, have an occassional stomach pain, but nothing I can't live with.  I have only had one surgery due to scar tissue, and I believe it was due to the "banding" surgery when I was 19, which was much lower than my PS scar.  I am 45 and relatively problem free.  Thank you for your posting.

    • Posted

      metzel,

      When in college, and indeed after you finished, on the weightlifting, how were your results? I am sure my PS is related to what I perceive as a slender figure. Now 33, at 82kg I feel i am in good shape and can lift heavy but I still feel slnder in comparison to others around me lifting similar weight. 

    • Posted

      pomade,

      At 19, I was 152 lbs at 5'5"

      Shortly after I turned 19 I had my appendectomy and "band" surgery for my intestines.  In 10 days I lost 26 lbs.  Tube down the nose, etc.

      I had 28 inch waist and at one point I had more than 44 inch shoulders.  Physcially, I entered bench press competitions and at one point I could bench over 300 lbs.  My deadlift was aroun 450 lbs.  Physically I was very strong for my size.  My best body weight was 148 lbs in college, andI had a 27 inch waist.  Now, in my mid 40's my waiset is 32 inches.  In college I had a strict diet due to my lifting routine.  I would life weights for mor than 2.5 hrs a night, 6 days a week.  My body fat was measurd at 4% at oe point.  I would swim, too.  I was a competitive swimmer in high school.

      What is yor height?  At one point in college, I increased my calorie intake to 10,000 calories a day, but that only lasted a month due to too much weight gain too fast.  I was an interesting experiment.

       

  • Posted

    My little man had polyric stenosis at 3-4 weeks old his now 15 months . His got bright yellow poo and they have given him amoxcillian for tonsilitis but it's like his got bad wind pain and his had a cough for a while and sometimes brings up the congestion off his chest. His also scratching at his ears does anyone else have this with their baby the doctor keeps saying his belly is clear but gets rally unsettled through the day and night generally is a good baby that never cries or has tantrums .

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.