Patient's question:
My baby has been three days old and hasn't passed the meconium yet. His stomach is still bloated, and sometimes he vomits. The whole family is worried and doesn't know what's wrong. Newborn not passing meconium, bloating, and vomiting?Doctor's answer:
Newborn abdominal distension without defecation may be due to Hirschsprung's disease or congenital hypothyroidism. Gentle abdominal massage can be effective. Offer the baby more fluids, and in severe cases, enemas can provide relief. Barium enema can be performed to confirm the diagnosis, and thorough preoperative preparation should be done to empty the colon. A saline enema combined with oral laxatives can improve the child's overall nutritional status. Standard bowel preparation should be carried out to ensure early surgical intervention.