Neonate Vomited blood!.Shortguts Podcast Dr Mohamed Farouk

Added: 2026-06-02

[00:00:00]In the name of God, the Most Gracious, the Most Merciful.

[00:00:04]Is it possible for a 10-day-old baby to get it? Yes, it's possible, but I don't really think so. I also think that if there's a frank blister, it happens.

[00:00:29]There's a tear or crack in the breast, and it doesn't happen with the infant's traction and the nipple. It's like a stretching of the nipple edge, and it often happens. The mother might say, "No, it's not bleeding, it hurts, it's not a tear, but it's not bleeding." No, it might bleed a little and go down into the baby's stomach, and then the baby vomits it up. So, this is a possibility. This is the possibility I see.

[00:01:08]First, she might get this blood and the frank blister.

[00:01:12]Yes, it can happen. So, how will we know? We'll know if the mother can express breast milk and see if the milk is good enough to feed the baby. If the milk is contaminated with blood, then the blood is probably from the mother herself, or... and of course, we do n't really like this. But we can do a transfusion for four to two days if the bleeding disappears. This is if it was persistent, of course, not an occlusive event, meaning it was experimental, and it was a ruptured breast.

[00:01:49]And of course, if the bleeding stops, we'll know immediately that the issue wasn't hematoma. So, the possibility is maternal blood.

[00:02:00]What's the second possibility in the child? The second possibility, of course, is if this means infant blood or blood of the newborn, it could be hemorrhagic disease of the newborn if they didn't receive a vitamin K injection immediately after birth.

[00:02:17]Unfortunately, not all places in Egypt give it; 5% of places, even the big ones, don't all give vitamin K after birth. So please ask about vitamin K administration after delivery. And if it's not possible, sometimes you can tell from a place's protocol whether they do this or not. Now, the third thing that could be... what is it? Of course, it could also be tang tang or tang tang.

[00:02:44]It could be the leg itself, or The wound itself opened, and the child swallowed and vomited again. This would then be due to either the trauma itself or the wound itself. Although this could have happened on the first day, not two or three days later, it was traumatic. So, could this child have underlying problems that would cause hematuria in the first 10 days? It's difficult, but it's possible with cases of hematuria. It's also possible with cases of colic. It can present as a kind of presentation from the first few days.

[00:03:22]We see it.

[00:03:26]And it's possible that this child has an abnormal gastric ectasia, or an angio-abnormal stasis. He has no stasis, meaning he has an angio- abnormal stasis. He doesn't have anything that would cause this to happen. But even physiologically, in the first 10 days, stasis is very active. Acid production power is very active.

[00:03:54]We said before from the beginning that stasis capacity is two Produce HSL 1 on 430 of adult power, and then it gradually increases until it reaches 1 to 1/27 at four months of age, which is the age at which we can start feeding. So it increases by approximately 16. It's difficult for the fish to be very weak and for the acid to be weak, so there's something wrong, like, okay. So, I mean, I'll have the nurse do a section first. If there's a bleed, then vitamin K, I forgot to mention this. For example, if there's a hematoma, if there's fish, then then vitamin. But if everything is fine and nothing happens again, then if there's a relapse, we'll do an express intravenous breast milk and see, or we'll do a transient and dialysis of the breast milk. It was done and things aren't working and it's still not calming down.

[00:05:24]Of course, I mean, a section of cos milk with proton as a control.

[00:05:34]If this happens after a section, I'll go back to feeding the mother again. And of course, if this is the case, then Number one is Al-Asad Food, and at its head is Al-Kouz, the king, because they are the most popular.

[00:06:00]Peace be upon you and God's mercy. Okay.