Question
The newborn has been vomiting since birth, doesn’t eat anything, and cries very little. Initially, the vomit was like coffee, later turning green and resembling bile. The abdomen is very bloated. It has been four days now. What is going on? What should I do?
Answer
This situation should be considered as a possible congenital pyloric stenosis or bile duct obstruction in children. Due to the obstruction, the stomach cannot empty, or the bile duct is blocked, preventing bile from draining, leading to abdominal bloating. This requires further investigation for a definitive diagnosis. Tests such as MRI, ultrasound, and liver function tests can be used. These tests should be conclusive. This condition must be closely monitored. If it is a congenital issue, it can become more complicated. It is recommended to visit a local 3A hospital for a detailed examination.