What medicine to take for pyloric edema

In fact, it is impossible to detect pyloric edema under normal circumstances. Most patients still need to undergo a detailed examination before they can know through the test results that they have symptoms of edema. Once it occurs, they must take relevant treatment drugs, which must be related to reducing swelling. Only patients with more serious conditions need to undergo surgical treatment.

Drinking water or milk before the examination and lying on the right side are the best ways to eliminate gas in the stomach cavity. This disease is a congenital digestive tract malformation. There is no effective preventive measure and drug treatment cannot correct the deformity. Early detection and early treatment are the key to prevention and treatment. Therefore, you need to go to the hospital for pyloromyotomy as soon as possible, which has a better effect. Treatment options Pyloromyotomy is the best treatment. Preparation should be allowed 24-48 hours before surgery to correct electrolyte imbalance caused by dehydration. Supplement potassium. Malnourished people are given intravenous nutrition to improve their overall condition.

The surgical method is to incise the serosa and part of the muscle layer in the avascular area above and in front of the pylorus. The distal end of the incision should not exceed the duodenal end to avoid cutting the mucosa, and the proximal end should exceed the gastric end. Then use a blunt instrument to cut deep into the muscle layer to expose the mucosa. The incision is expanded to a width of more than 0.5 cm to allow the mucosa to bulge freely, and pressure is applied to stop the bleeding.

There have been reports of successful laparoscopic pyloromyotomy. Fasting is allowed on the day of operation. Sugar water is fed starting from 12 hours after operation, gradually increasing. Breastfeeding is started 24 hours after operation, and the amount is increased to the sufficient amount within 2-3 days. Early postoperative vomiting is still normal and will gradually improve later. Only a few cases can achieve spontaneous relief through treatments such as taking antispasmodics, careful feeding, and regular saline gastric lavage. It is not recommended to adopt it.

There is no special prevention and prognosis.

Differential diagnosis of pyloric mass: It should be differentiated from the following diseases, such as improper feeding, systemic or local infection, pneumonia and congenital heart disease, central nervous system diseases that increase intracranial pressure, progressive kidney disease, infectious gastroenteritis, various intestinal obstructions, endocrine diseases, gastroesophageal reflux and hiatal hernia, etc.

Based on the typical clinical manifestations, the diagnosis can be confirmed by seeing three main signs: gastric peristaltic waves, palpable pyloric mass and projectile vomiting. The most reliable basis for diagnosis is palpation of a pyloric mass. If a mass cannot be palpated, real-time ultrasound or a barium meal can be performed to help confirm the diagnosis.