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Stellen Sie Ihre Frage an Manuel Metzger.
Manuel Metzger
Manuel Metzger, Dr. med.
Kategorie: Kindermedizin
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Mein Baby hat sich seit vorgestern erbrochen, und manchmal

Diese Antwort wurde bewertet:

Mein Baby hat sich seit vorgestern erbrochen, und manchmal kommt es mit gelblichem Schleim.
JA: Bitte nennen Sie mir Ihr Alter, Geschlecht und Medikamente, die Sie einnehmen.
Customer: He is 2 weeks old
JA: Vielen Dank. Gibt es noch etwas, dass der Kinderarzt wissen sollte?
Customer: Kann er Englisch sprechen?
Kunde: hat geantwortet vor 21 Tagen.
Er drängt auch viel, mit einigen Anzeichen von Leid. Ich konnte eine gewisse Erleichterung feststellen, nachdem er gestern gekackt hatte, aber nach dem Füttern kam es wieder zurück. Wir haben Aptamil PRE HA ausgesetzt, und jetzt stillt er nur noch, hat aber immer noch eine Menge Reflux und Schluckauf.
Kunde: hat geantwortet vor 21 Tagen.
Mein Deutsch ist nicht gut, tut mir leid.

Dear questioner,

I'm sorry to hear your baby is sick. I'm Dr. Metzger and I am a pediatrician with more than 10 years of experience. It is my pleasure to help you today. Please give me a moment while I write you something. Thank you for your patience.

Yours truly,

Dr. M. Metzger

Kunde: hat geantwortet vor 21 Tagen.
Thank you very much Dr, and thanks for answering in english.

Dear questioner,

I can understand you are worried about your baby. Vomiting in a newborn is a serious concern. Please go see your doctor immediately if you notice any of the following:

  • Lethargy, very sleepy and hard to wake, reduced response to contact persons
  • frequent vomiting
  • he seems very sick or has a fever
  • he refuses to drink or has trouble nursing
  • you notice any sign of fluid deficiency, like for example dry mouth, infrequent urine, weight loss

If you did not see any of this I have a few questions to better understand the situation of your son:

  • What is his current body weight and length? What day was he born?
  • What were his birth weight and length?
  • How well does he nurse?
  • How many times did he have to vomit in the last 24 hours? When did he vomit last?
  • Does nursing make the vomiting worse?
  • Does he have diarrhea? When was his last stool? Was it normal?
  • What is his body temperature? (the most exact place to measure is rectally with a digital thermometer).
  • Does he have pain or does he cry a lot? Is he hard to console?

Your answers help me give you better advice.
Yours truly,

Dr. M. Metzger

Kunde: hat geantwortet vor 21 Tagen.
What is his current body weight and length? What day was he born?
Currently he is 4.08 Kg, just mesuared him
What were his birth weight and length?
03.03.2020, weight 3.2 Kg, 51 cm
How well does he nurse?
He eats every 3/4 hours, and sometimes when he vomit, he wants to eat a little again (like to recover)
How many times did he have to vomit in the last 24 hours? When did he vomit last?
3 times, the last time was at 11.
Does nursing make the vomiting worse?
Looks like it happens when he is full and some reflux and burps comes out, sometimes it comes at same time with burps (but not always), and sometimes a little time after feeding while he is resting
Does he have diarrhea? When was his last stool? Was it normal?
Last well done stool was 17:00, and a very small one right now when we measure the temperature
What is his body temperature? (the most exact place to measure is rectally with a digital thermometer).
37.2 degrees (with rectal thermometer)
Does he have pain or does he cry a lot? Is he hard to console?
Is not so hard to console him, but sometimes it looks like is pushing too much, don't always cry but he makes sounds pushing and you can see he is doing effort. I normally help him moving legs a little like bike, stretch them, and it seems to help him little, but he is easy to console when this happens, his mom takes him and makes him rest in her chest (sometimes he ask for more milk after vomiting and we are not sure if we should keep feeding him, right after vomit)
Kunde: hat geantwortet vor 21 Tagen.
Thank you very much for your time.

Thank you very much for the additional information. He has a good weight for his age and has gained weight well since his birth. It's good to know he does not have a fever, has no diarrhea and has good appetite. Nevertheless I recommend you go see your local doctor with him. He needs to be examined in order to exclude a condition where the muscle that controls the emptying of the stomach does not function well and does not allow to pass sufficient food to the intestine (hypertrophic pyloric stenosis). With this condition the vomiting gets continually worse until babys vomit forcefully after every meal and start showing signs of acute fluid loss.

It might also be that what you are observing is just age appropiate reflux (every child burps and loses some excess food to varying degrees after each feeding), but without seeing him in person I can't be sure about this.

With the situation being as it is, you might want to phone your local pediatrician first and inquire about an appointment with non-infectious kids.

I hope this information helps you a little. Of course you can write me, if you have any further questions concerning this topic.

Yours truly,

Dr. M. Metzger

Kunde: hat geantwortet vor 21 Tagen.
Will do ass you recommend, thank you very much Doctor.

You are very welcome, I hope your little one gets well soon!

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