Thursday, August 21, 2008

Pyloric Stenosis Troubles...


Our little man gave us a good scare on Tuesday. I'm going to back track and give you the history behind what lead us to Tuesday's events. Adrey has not been keeping his meals "down". He's been prone to spitting/throwing up after eating which I thought was just Adrey's "normal". About a week ago, the vomiting became projectile and the spitting up was constant. I called our pediatrician and he prescribed Pepcid and suggested we do a few things to see if they helped. They didn't. The day of Tropical Storm Fay, I decided that the next day I would take Adrey to the doctor because he wasn't improving. Well, we didn't make it to Wednesday! Tuesday night around 5:45 I breastfed Adrey and then burped him. He started to cough, which is what he does before he vomits, and then he threw up. After he threw up he just kept gasping for air. He couldn't seem to catch his breath and he turned beet red... he was trying to cry but not making any noise. I used the bulb syringe to try to get the liquid from his nose and mouth but it wasn't working. John came in and took Adrey and immediately started patting his back and working with the syringe. I, of course, completely freaked out and ran to the phone and called 911. The ambulance was there in about 5 minutes. They quickly took Adrey and started to suction out his mouth and gave him oxygen... his poor belly was so distended. Poor thing. I rode in the ambulance to Physicians Regional (on 951) and John drove. We were in the ER until about midnight where they stabilized Adrey and ran tests. They did an ultrasound of his abdomen and determined he has what's called Pyloric Stenosis. This is a condition that, as strange as it sounds, affects primarily Caucasian, first-born males. Adrey fit the bill! When a normal person eats food it goes to the stomach, filters through the Pyloric sphincter and goes into the small intestine. With Pyloric Stenosis, the Pyloric Sphincter thickens which doesn't allow the food (breastmilk) to enter into the small intestines, so it can only go "up" causing him to vomit/spit up. Surgery is necessary in order to correct the problem, as it will not correct itself. We met with a surgeon and he said he was able to do the surgery the next morning, Wednesday, at 7:30. After meeting with the surgeon, we were admitted into a room at the hospital.

By this time, my boobs are bigger than my head, and throbbing, because I hadn't been able to feed/pump for 7 hours!! I pumped and was all better! We got settled in the room and they took Adrey to another room to have a new IV put in his arm. He was beside himself crying when he came back so I held him and was able to soothe him until he fell asleep. He was perfectly content, covered with a blanket and resting comfortably and the nurse comes in a decides she wants to swaddle Adrey so she moved him around and WOKE HIM UP and he started screaming again. ARE YOU KIDDING ME?!?!?! Adrey couldn't calm down. After that, his breathing became labored and at times he was only taking in 5 breaths a minute, so they decided he needed to be transferred to the Pediatrics ICU at NCH. John and I were beside ourselves with fear and felt so horrible for Adrey. We were taken by ambulance to NCH. Once we got there Adrey was "hooked up" to all the machines and his vitals completely stabilized.

In that we had to switch hospitals, we were no longer able to do the surgery at 7:30 a.m. We had to reschedule the surgery, with the same surgeon, at NCH. Adrey ended up having the surgery at 12:30 on Wednesday. The LONGEST hour and a half of my entire life. ALL WENT PERFECTLY fine!! The doctor met us in the waiting room and told us about the surgery. He said that the pyloric sphincter was TWICE the size it should have been and we were lucky we caught it when we did. He said it was nearly 100% blocked. We met Adrey back in the room after the surgery... he was looking pretty rough (lots of tubes, cords, bandages, etc.) but he was HEALTHY and on the road to recovery!! YAY!! He spent the rest of the day mostly sleeping. He hadn't eaten anything since 5:45 the night before (the feeding just before he threw up and went to the hospital) and I was told he still couldn't eat until the next morning.

Soooo, this morning at 5:00 a.m. Adrey had his first post-op "meal".... and he kept it down! We've been feeding him regularly ever since and he's doing great! The surgeon and the pediatrics specialist both came to see Adrey today and said he's doing beautifully. She said Adrey is now a healthy baby boy so they removed all of the monitors from his chest! He's looking a little more like himself now!

Dr. Titus (surgeon) and Dr. Lopez (pediatric specialist) were awesome and did such a good job with Adrey. We feel so fortunate and blessed that all went so well. I know that we had a TON of prayers and positive energy with us from all of you guys too, so THANK YOU!! WE LOVE YOU ALL!!

1 comment:

Me said...

Wow Leah! I'm so happy to hear that Adrey is doing better.