What are the symptoms of pyloric spasm

Pylorospasm is mainly caused by the inability of the pyloric duct to relax normally. Patients are prone to vomiting, bloating, anorexia and other adverse symptoms. If it lasts for too long, it will cause problems such as sallow complexion, fatigue, dry lips and thirst, and dry stools. Therefore, we need to understand these symptoms, diagnose the disease in time, and actively respond to treatment.

1. Characterized by vomiting in the evening after eating in the morning or vomiting in the morning after eating in the evening. Pyloric spasm or obstruction causes unbearable abdominal distension. Patients often want to vomit with their fingers. The vomit is not bitter, but has a rotten and sour taste. After vomiting, the symptoms are relieved and the appetite is poor. Patients are afraid of abdominal distension and vomiting and are unwilling to eat. After a long time, the patient will become emaciated, have dry and loose skin, sallow complexion, fatigue, dry lips and thirst, and dry and hard stools.

2 Physical examination shows a full and bulging abdomen, visible gastric peristaltic waves, or a mobile mass can be felt. Percussion of the abdomen and abdomen is tympanic, with obvious gurgling sounds and the ability to smell water.

3. X-ray examination: Huge gastric bubbles can be seen under fluoroscopy. After gastric lavage, barium gastroenteroscopy was performed, which showed an enlarged stomach and difficulty in emptying. If it is pyloric spasm, a longer observation time may show temporary discharge of gastric contents when the pylorus relaxes, or pyloric relaxation may also be seen after injection of 654-2. In case of pyloric stenosis caused by mucosal edema and scar spasm, ulcer niches or deformation of the duodenal bulb may be seen.

4. Gastroscopy: pyloric spasm, mucosal edema or mucosal prolapse and scar stenosis may be seen, and the size, location and shape of the ulcer may be seen.

5. Saline load test: first drain the gastric contents, then inject 700ml of normal saline within 3-5 minutes, and then suck out the saline in the stomach after 30 minutes. If more than 350ml is drawn out, it indicates pyloric obstruction. If less than 200ml, there is no pyloric obstruction.