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4 week old daughter and pyloric stenosis: handhold please!

52 replies

plimsolls · 19/09/2016 03:37

Excuse any overly sleep deprived emotional ramble.

My 4 week old daughter was admitted to hospital on Friday after I took her to OOH due to frequent and increasing projectile vomiting and distress. I (and docs) assumed bad acid reflux but they kept her in for obs. The projectile vomiting continued although she seemed a little happier on the meds for acid.

They did an ultrasound just in case and detected a thickened lower stomach valve which indicates pyloric stenosis. Initially they said this would mean an op. But now they're saying it's only just within thickened limits and it's unusual to be present in girls so want to do further investigation tomorrow.

In the meantime, my tiny baby is on nil by mouth and has spent hours and hours screaming. She has spent her whole life comforted by my breast and now she can't have it.

I'm terrified of her having an operation, I'm dreading them saying not to operate yet (as what do I do about the vomit & distress?) and I can't bear the hours of her screaming on nil by mouth whilst everyone decides what to do.

I just can't stop crying.

OP posts:
Are your children’s vaccines up to date?
amysmummy12345 · 19/09/2016 19:45

Hey lovely, how's your little girl doing? Have they operated yet? I spent days 8-16 of dd2s life in hospital with suspected seizures, it was awful 😞 have you got a partner to support you? As a practical aside, as the nurses for a medical grade pump so that your supply doesn't drop (if you're not already pumping that is?) praying she makes a full recovery Flowers (also the ward I was on offered free meals to breastfeeding parents who were staying with their little ones, it saves me a fortune on food)

plimsolls · 19/09/2016 20:38

Just a quick little update : op went well and she's currently sleeping peacefully in my arms.

Will write a proper post in a little while. Thank you all so much.

OP posts:
bonzo77 · 19/09/2016 20:42

Lovely update. So pleased. Enjoy cuddles and the relief. Hope you are home very soon.

Noctilucent · 19/09/2016 22:05

This reply has been deleted

Message withdrawn at poster's request.

ghostyslovesheep · 19/09/2016 22:14

that's good to hear - take care of yourself op x

ILoveDolly · 19/09/2016 22:24

Just visited to send hugs. My dd was in hospital at 3wk old and it is so hard to see them distressed. But I hope you and your baby get through quickly and successfully xxx

SometimesItRains · 19/09/2016 22:25

That's great to hear, I hope she recovers quickly.

amysmummy12345 · 19/09/2016 23:00

Great update op Smile

DesignedForLife · 19/09/2016 23:08

Glad the op went well, hope she's recovering well

mintthins · 19/09/2016 23:12

Lovely to have an update. Best wishes.

NewIdeasToday · 20/09/2016 04:47

What a relief. Hope she continues to improve and you both get home soon.

DailyMailPenisPieces · 20/09/2016 04:56

Flowers glad all went well.

amysmummy12345 · 20/09/2016 15:25

Hope the little one is healing well? Does the vomiting improve straight away?

Hufflepuffin · 22/09/2016 09:53

I'm so pleased the op went well! I read this blog sometimes and her daughter also had pyloric stenosis and the op. www.attemptsatdomestication.com/maras-birth-story-beyond/

plimsolls · 22/09/2016 11:36

Hello! We're home from hospital, my daughter is snoozing on my chest after a feed and I feel relaxed enough that she's recovering to write a post about it. It might be fairly detailed, partly in case it helps any other frantic mother googling in the early hours!

Part of my despair at the start of this post was that we'd been in hospital for a few days and there'd been lots of delays in getting her diagnosed with anything other than reflux and having a neurotic first time mum Hmm (this was just one doctor. The others were incredible).

Although P.S had been mooted, one doctor wanted to discount it because it was rare in girls and also she wasn't presenting as very dehydrated or underweight. I argued that was because we were in hospital early in the process (due to me contacting OOH on a Friday night)...a different timing would probably have meant I spent a week back and forth to the GP before we got to the hospital admittance stage. This went down pretty badly with that particular doctor as although she then agreed I was correct, I think she was annoyed I had disagreed with her. So, OH and I (and one rather exceptional nurse) lobbied for an ultrasound, which was eventually agreed.

The ultrasound showed a thickened pyloris and a distended fluid-filled tummy. Both radiographer staid they believed this was a stenosis.

I was upset at this point at the thought of an operation and potential complications of anaesthesia (I know nothing about anaesthesia so the concept scared me)

However, partly because it was a Sunday afternoon and partly because that bloody doctor seemed determined to prove herself right, there was then some inter-doctor discussions about whether my daughter really did have pyloric stenosis.
At this point, she was already on an IV drip and had an NH tube to empty her tummy. The process of insertion of both was pretty harrowing and we were both finding the "nil by mouth" thing tortuous. She screamed for food for hours, and I couldn't bear being unable to comfort her.

So being told that it would have to continue indefinitely whilst they decided whether she'd need an operation or not (I was told we may wait a week!) was just awful. I was a wreck and on the edge of completely losing my shit (I was very sleep deprived too). OH had been present in hospital for most of the day times but wasn't allowed there later on. Due to bad coincidences, all of the conversations with the doctors took place when he wasn't there so I'd been battling that on my own. In hindsight, I think that took a toll, too.

However, the head surgeon came round in the morning, reviewed her notes, took a history from me, and said it was pretty unequivocal that she would need the op and he would schedule it for that day, once the drip had corrected her blood chemistry.

By that point, the operation seemed less scary than a week of not knowing. The paediatric anaesthecian (spelling??!) came to talk to us to explain the process which helped so much. We were both reassured by that point.

The team of surgeons were amazing- they communicated so well before the operation that we (OH and I) felt really confident about the procedure. We went down to the Prep room with her and kisses and stroked her while they attached all the wires, put the surgical robe on her etc. It was pretty wrenching to leave her there lying on the table surrounded by people on scrubs, but all of the medics had been so kind and so brilliant that we knew she was in good hands.

We were allowed to go and get her about two hours later (we'd been told the op went well about an hour before that). All the recovery team were making a big fuss of her, saying how cute she was and so on. It made me feel like she'd been really genuinely cared for, which felt good.

She slowly came round and started to respond to cuddles from me and her dad, which was a relief.

I was allowed to give her a small amount of expressed milk after 6 hours, and the some more a few hours after that. She was delighted!

We were back to breastfeeding the following afternoon. She was sick once which I am told is normal, but so far (touch wood) no more vomiting and one happy baby.

Thank you so much for the kind messages and the advice about self-care and expressing. I read all the messages at the time and they really really helped.

Also, the self-care ones were good to read as the nurses and my OH had been saying the same thing but it just felt so selfish when my tiny baby was in such distress. So, it was good to have a chorus of people on here telling me it was important, too.

Thank you Flowers

OP posts:
moobeana · 22/09/2016 12:52

I'm so pleased to hear it's all gone well. I felt myself tearing up reading it knowing you are cuddling a happy baby now, well done you have been clear and fought for your baby. You are a superhero right now!

MothersGrim · 22/09/2016 13:28

I'm in tears reading what you have been through let alone what it must have been like for you. All the self care ones still apply!! You have all been through a horrible trauma and you must not expect yourself to get over it lightly. You must take time to bond again, lots of skin to skin, cuddles. Nice dinners with your partner and time to reconnect. Look after yourself and talk about it as much as you can Flowers

What you've written would be very helpful as you say if someone else is concerned about PS - would you like me to report this thread to MNHQ and ask for it to be moved to Children's Health? Otherwise it will be deleted in 3 months. It might be a nice record for someone else who has a girl and is debating PS.

How is your baby now? Does she still need checks or anything?

Footle · 22/09/2016 13:52

I often wonder whether there has been any follow-up with the doctor who was so obstructive, when one of these stories comes to light. In the case of one of my children, I don't think the misguided doctor heard any more about it as we were due to change to another hospital anyway. I do hope the patchy care for your daughter leads to some retraining for that doctor. So good to hear you're back home now.

plimsolls · 22/09/2016 14:35

Thank you for your kind responses. And thanks moobeana, that's a lovely thing to say!

I will report the thread and perhaps ask if they can change the title to include Pyloric Stenosis to make it more informative. Good idea mothersgrim (btw we are having a proper nesting week this week and it's lovely!)

As long as she continues to feed well, doesn't vomit (more than would be expected for any baby) and her incisions heal, then no follow up needed either. It's amazing!

footles yes, I wonder the same thing. Reading between the lines of a conversation I had with the lead surgeon when he got involved, he was unimpressed with what the doctor had been doing/saying about it so hopefully there was some comeback there. A couple of other doctors (and many nurses!) also indicated they felt the same so I really do hope that at least the doctor reflects on what happened and behaves differently in future. If nothing else, to be more open minded of "rare" presentations and definitely to be less dismissive of parents! I hope your child is ok now and that your hospital experience wasn't too bad.

OP posts:
KatherineMumsnet · 22/09/2016 16:23

Hi everyone,

As we said to you in our mail, OP, we've edited the title for you, and we'll move this over Children's Health shortly.

Very best wishes from MNHQ Flowers

plimsolls · 22/09/2016 16:23

Thank you Smile

OP posts:
Footle · 22/09/2016 16:31

My child has her own children now and is fine , though she has a constant physical reminder of the first doctor's incompetence. The end result would have been a lot worse if we hadn't moved hospitals. Thank you for asking - these events do fade if we're able to let them, but they stay with us. Enjoy your little girl, and remember none of this was your fault.

muminmanchester · 22/09/2016 16:38

I'm so glad you're over your awful experience now. My son had PS and was operated on at 5 weeks after 5 days nil by mouth. It was the most horrendous experience of my whole life and I'm so sorry that you've had to go through it too.

For what it's worth, my son has been tippity top ever since, stayed at a steady growth rate and was discharged as 'clinically cured' 8 weeks after his op. It's not impacted his life in any way (he's 9 months now)

Hope you can recover from it emotionally as soon as possible. It did take me a few weeks to accept that things were going to be ok... So give yourself lots of TLC as well as DD! xxx

Herschellmum · 22/09/2016 17:04

So glad your over this experience. My eldest has pyloric at stenosis too ... We had a family history my husbands MOTHER (yes female) and uncle both had it, my eldest was sick but took so much milk he didn't loose weight, because he was my only child. (At the time) I didn't realise multiple bath sheets to mop up weren't part of the course and the HV was determined I was an over anxious mum and it was "just reflux" ... It wasn't until we visited my family down in Wales that having people around saying "that's not normal" did we question it, we managed to get an appointed with my mums GP, who sent us straight for a scan which confirmed it, and how badly it has affected his blood chemistry. Like you we had to wait for that to resolve and had to be transferred to another hospital. Surgery went well and he recovered very quickly.

He was left with reflux, it affected him up until about a year ago, he's 6, and he still is sick sometimes in the car, after eating etc but we rarely medicate now. I suspect this is from being sick for often (he was 6 weeks when it was discovered).

Otherwise he has very tiny scars and that's it, massive hugs to you. X

Herschellmum · 22/09/2016 17:09

Oh, one consultation is that if you have other children (I'm sure it's far too soon to even say that) they seem to take you super serious, lol, I had 3 others (twins and singleton) and whenever so about being sick and I would say they spit up, i was asked if they wanted them to arrange scans lol. I didn't, they have been fine.

Interestingly a year after our experience my husbands cousins baby also had it, they had to fight too, but having a even stronger family history helped.

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