Hi,I am Dr. Subhankar Chakraborty (Gastroenterologist). I will be looking into your question and guiding you through the process. Please write your question below.
Infant Has Not Passed Motions After NEC Surgery, Passes Fluid With Pink In Bowels. Reason?
Hi , My baby is 70 days old - she went through the sugery for NEC on the 10 day of her birth - they didnt joined the remaining two parts of the intestine ( kolostomy ) from then - last week(wednesday) after sufficient weight gain ( baby birth weight is 2.5 and they waited for the baby to cross 3 KG we admitted the baby for the closure of the stoma . baby was given peglec solution for bowl the previous night - the next day morning when they tried to infuse blood to the baby - baby showed symptoms of infection ( heart rate increased to 200+ and pulse got down) - immdiately baby was treated - they kept in ventilater and surgons decided to open and see for any infection in the bowl - they did the surgery on the same night and found some bowel perforation so they removed / trimmed that part and kept in the same way as before (they didnt closed it ) - now the baby is quite ok ( diagonesd to have candida infection in the fluid that present in the bowl) its getting treated for the same. baby kept in ventilater , aspiration is coming as green in NG tube But from the surgery baby didnt passed any motion till now - only water/fluid with pink / red color is coming from the bowl.what will be reasons - is the intestine is working or not - how long it may take for the intestine to push the motion. please advice
* As the Baby is on a ventilator and recent surgery is done, there will be a variable period of time for the intestines to settle down and pass the stool.
* Whether intestines are working or not at present is best decided by treating gastro surgeon via checking abdomen with a stethoscope and listening for the bowel sounds present in the abdomen.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Bhagyesh V. Patel, General Surgeon
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Infant Has Not Passed Motions After NEC Surgery, Passes Fluid With Pink In Bowels. Reason?
Hi, * As the Baby is on a ventilator and recent surgery is done, there will be a variable period of time for the intestines to settle down and pass the stool. * Whether intestines are working or not at present is best decided by treating gastro surgeon via checking abdomen with a stethoscope and listening for the bowel sounds present in the abdomen. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon