Lactobezoar

From WikiMD's Wellness Encyclopedia

Lactobezoar A lactobezoar is a type of bezoar, which is a mass found trapped in the gastrointestinal system, usually in the stomach. Lactobezoars are specifically composed of undigested milk and mucus. They are most commonly found in infants, particularly those who are premature or have certain medical conditions that affect digestion.

Etiology[edit | edit source]

Lactobezoars form when milk curds accumulate in the stomach and are unable to pass through the digestive tract. This can occur due to:

  • Premature birth: Premature infants often have underdeveloped digestive systems, which can lead to difficulties in processing milk.
  • High-calorie formula: Formulas that are high in calories or contain certain additives may increase the risk of lactobezoar formation.
  • Dehydration: Insufficient fluid intake can lead to the thickening of stomach contents, promoting bezoar formation.

Symptoms[edit | edit source]

The symptoms of a lactobezoar can vary but may include:

  • Vomiting
  • Abdominal distension
  • Feeding intolerance
  • Constipation or changes in bowel habits

Diagnosis[edit | edit source]

Diagnosis of a lactobezoar typically involves:

  • Physical examination: A healthcare provider may feel a mass in the abdomen.
  • Imaging studies: An abdominal X-ray or ultrasound can help visualize the bezoar.
  • Endoscopy: In some cases, an endoscopic examination may be necessary to confirm the presence of a lactobezoar.

Treatment[edit | edit source]

Treatment options for lactobezoars include:

  • Dietary changes: Adjusting the type or concentration of formula can help prevent further bezoar formation.
  • Hydration: Ensuring adequate fluid intake can help dissolve the bezoar.
  • Enzymatic therapy: In some cases, enzymes may be administered to help break down the bezoar.
  • Surgical intervention: Rarely, surgery may be required to remove the bezoar if it causes an obstruction.

Prevention[edit | edit source]

Preventive measures for lactobezoars focus on:

  • Monitoring and adjusting feeding practices, especially in premature infants.
  • Ensuring proper hydration.
  • Regular follow-up with healthcare providers to monitor growth and digestion.

See Also[edit | edit source]

External Links[edit | edit source]

NIH genetic and rare disease info[edit source]

Lactobezoar is a rare disease.

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Contributors: Prab R. Tumpati, MD