Patient's question:
The child is 42 days old and has been doing well. On the 29th, there were no abnormalities (breastfeeding after wiping the breasts with cool water). On the 30th, vomiting occurred, with difficulty in defecation, small amount of stool, and no abnormality in the stool. On December 1st, there was no improvement in vomiting, which became severe, with undigested and cottage cheese-like stool, normal and no abnormality in defecation, but the amount was reduced. The child's mental state is good, and when uncomfortable, he sits upright and leans his head against the shoulder, which helps. On the 1st, some water was given.Doctor's answer:
Hello: Based on the situation you described, newborns have a small stomach capacity, which is in a horizontal position, and their esophagus is relatively. The cardiac sphincter, which connects to the esophagus, is poorly developed. Additionally, the neuromuscular regulation function of intestinal motility, as well as the ability to secrete gastric acid and proteases, are also poor. This makes newborns, especially premature infants, prone to vomiting.The most common cause of vomiting is improper feeding, accounting for about 1/4 of all newborn vomiting cases. This is primarily due to overfeeding, incorrect concentration, unsuitable milk temperature, small nipple holes, lying flat immediately after feeding, excessive or early movement of the infant, and severe crying, among other factors.
Mild vomiting and spitting up have little impact on the body. However, repeated vomiting can lead to disturbances in water and electrolyte balance and acid-base equilibrium, manifesting as dehydration, seizures, and coma. Severe vomiting may cause vomit to be inhaled into the trachea, leading to aspiration pneumonia. It can also block the airways of weak or premature infants, resulting in suffocation and death.
If a child vomits, parents should first check the feeding method and correct any improper practices promptly. When feeding or giving water, the infant should be held upright, placed on the parent's shoulder, and gently patted on the back to burp and expel air from the stomach before putting them down. After feeding, avoid moving the newborn for at least half an hour. Operations like changing diapers should be done gently. Lying on the right side or elevating the head of the bed can help food move from the stomach into the intestines and reduce the risk of vomit being inhaled into the trachea. While adjusting the feeding method, it is also important to observe the infant's vomiting pattern, frequency, volume, odor, and any accompanying symptoms, as well as their medication history. Any child whose vomiting does not improve after adjusting feeding methods or whose overall condition is poor should be seen by a doctor promptly. City No.