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Newborns present with bilious or non-bilous vomiting (depending on where in the duodenum the obstruction is) within the first 24 to 48 hours after birth, typically after their first oral feeding. Radiography shows a distended stomach and distended duodenum, which are separated by the pyloric valve, a finding described as the double-bubble sign.
The most prominent symptom of intestinal atresia is bilious vomiting soon after birth. [1] This is most common in jejunal atresia. [2] Other features include abdominal distension and failure to pass meconium. The distension is more generalised the further down the bowel the atresia is located and is thus most prominent with ileal atresia.
Symptoms include projectile vomiting without the presence of bile. [1] This most often occurs after the baby is fed. [1] The typical age that symptoms become obvious is two to twelve weeks old. [1] The cause of pyloric stenosis is unclear. [2] Risk factors in babies include birth by cesarean section, preterm birth, bottle feeding, and being ...
Intact maternal detoxification protects baby during intrauterine life, yet after delivery, the baby struggles with the aflatoxin in its blood and liver. Moreover, the baby feeds aflatoxin M 1 from its mom, as aflatoxin M 1 is the detoxification product of aflatoxin B1. It is a milder toxin that causes cholangitis in the baby. [19]
Bile can enter the vomit during subsequent heaves due to duodenal contraction if the vomiting is severe. Fecal vomiting is often a consequence of intestinal obstruction or a gastrocolic fistula and is treated as a warning sign of this potentially serious problem ( signum mali ominis ).
The neonatal bowel obstruction is suspected based on polyhydramnios in utero, bilious vomiting, failure to pass meconium in the first day of life, and abdominal distension. [3] The presentations of NBO may vary. [4]
Patients with chronic, uncorrected or undiagnosed malrotation can have recurrent abdominal pain and vomiting. Malrotation may be asymptomatic. [2] Postnatal presentation occurs with indistinct symptoms which can include abdominal migraine or pain, recurrent vomiting, failure to thrive, weight loss and other non-specific gastrointestinal issues. [1]
Necrotizing enterocolitis (NEC) is an intestinal disease that affects premature or very low birth weight infants. [4] [1] Symptoms may include poor feeding, bloating, decreased activity, blood in the stool, vomiting of bile, multi-organ failure, and potentially death. [1] [2] The exact cause is unclear. [1] However, several risk factors have ...