The Dangers of Holiday Festivites…A PWS (USA) Alert
November 18, 2010
Risk of Stomach Necrosis and Rupture
Possibly Related to Chronic Gastroparesis
A Cause of Death from Sepsis, Gastric Necrosis or Blood Loss
Possibly Related to Chronic Gastroparesis
A Cause of Death from Sepsis, Gastric Necrosis or Blood Loss
Signs and symptoms of stomach necrosis and rupture:
- Vomiting -Any vomiting is very unusual in Prader-Willi syndrome
- Loss of appetite- (ominous sign)
- Lethargy
- Complaints of pain, usually non-specific
- Pain sensation is abnormal in Prader-Willi syndrome due to high pain threshold; rarely complain of pain
- Pain is often poorly localized
- Peritoneal signs may be absent
- Abdominal/ stomach bloating and dilatation
- Fever may or may not be present
- Temperature regulation is altered in Prader-Willi syndrome
- Guaiac positive stools (chronic gastritis)
THESE SIGNS SHOULD RAISE SUSPICION OF STOMACH NECROSIS/RUPTURE AS A POSSIBLE DIAGNOSIS WHICH CAN BE LIFE THREATENING!
History may include:
- History of binge eating within the week
- Hyperphagia and binge eating are characteristic of Prader-Willi syndrome, regardless of whether obese or slim
- Frequently occurs after holiday, or social occasion with less supervision of intake
- History of gastroparesis
- Common in Prader-Willi syndrome, though often undiagnosed
- Often slim or history of significant obesity followed by weight loss
- May leave the stomach wall thinned
For more information go to www.pwsausa.org or call 800-926-4797.
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