Question
A newborn has been experiencing vomiting since birth, unable to eat normally, and has a rare cry. Initially, the vomit was coffee-colored, which later turned into green bile-like fluid. The abdomen is visibly swollen, and this has been going on for four days. How should it be treated, and what diseases might the newborn have?
Answer
Hello, this situation should be considered as a possible case of congenital pyloric stenosis or bile duct obstruction in the newborn. Due to the obstruction, the stomach cannot empty properly or bile ducts are blocked, leading to bile not being able to be excreted normally, causing abdominal swelling. Further examinations are needed for a definitive diagnosis, and it is recommended to undergo MRI, ultrasound examination, and liver function tests. After diagnosis, consult with a gastroenterologist for appropriate treatment. This condition requires close observation; if diagnosed with a congenital issue, the treatment will be more complex. Wishing the baby can grow up healthy.