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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Plug In The Rectum Of New Born?

Good day I have a three month old with the following: 28/10/10-Born on said date with cord wrapped around neck three times      29/10/10-Mnring examination by the Pedatrician showed she had a plug      in her rectum. Was given a suppository and the Peaditrician       said due to the plug she may or may not have a slight case       of jaundice. If she does it will go away and we don’t have to walk       her in the sun.      10/11/2010-frst doctor s visit. She was examined and no signs of jaundice       was present. She did however have an umbilical hernia and a       small red dot on her back. The doctor said the dot was a birth      mark and both the hernia and birth mark would go away in time.      20/11/10-Wasiven formula was the first time       Prior to this she was only on breastmilk.      2/12/2010     -Scondoc visit for first vaccine shot. Examination showed she       had yellow in her right eye and the small dot had grown to a small      button size by now. On said day she was sent for a urine and       blood test. The results took three days and it showed that she       had a UTI. Her bilirubin level was 6.5. Her weight was 8.5 lbs My wife was also put on a diet of no cheese, milk products,       chocolates, high levles of protien for one week because the doctor       felt that Ari was a bit cranky and felt the mother s diet had       something to do with it.      8/12/2010     -Started a one week course of Augmentin for the UTI      17/12/10 -Returned to the doc, her weight was now 10lbs. She was sent for the same tests. Results came back after two days and her      bilirubin level was now 7. She was sent for an ultrasound of the liver and spleen. The mother s diet did show improvements in the behaviour of the child. 22/12/10-     First stool for the morning found green particle chunks in her stool. Did ultrasound at Westshore, results showed all organs to be normal. 24/12/10-     Found a green chunk in her stool again, normally her stool is cream in colour but this chunk was found within the stool. My question is what is going on with my child?
Thu, 10 May 2018
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Pediatrician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

The plugin her rectum that was present at birth represents dried meconium. The name of the substance that fills the baby's intestines while she is in the womb is called meconium. After the plug was removed, you might have seen that the subsequent meconium flowed out spontaneously and was moist. By the end of the first few days of life, the meconium clears the intestines. Then the residue of milk(breast /formula), cells that flake off from the intestinal lining, bacteria, and secretions from organs that empty into the intestines fill the intestines. This composition is carried along the intestinal tract and becomes the stool.

Breastfed babies pass mushy stools, like cream soup that are light-yellow. Milk stools turn green or brown when exposed to air. Chunks are not worrisome representing undigested intestinal contents. When your infant is old enough to eat solid foods, you may notice undigested food particles in the stool.

Jaundice in a baby who is nursing may be present for the first 1-2 months. The birthmark is most likely an infantile hemangioma which is very common and increases in size during the first few months of life.

Regarding the UTI, I would be interested in learning how the specimen was obtained, what the urine culture result was, and what was the result of the urinalysis? Try not to be anxious. It appears that your infant is healthy and you have things under control.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Arnold Zedd
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What Causes The Plug In The Rectum Of New Born?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The plugin her rectum that was present at birth represents dried meconium. The name of the substance that fills the baby s intestines while she is in the womb is called meconium. After the plug was removed, you might have seen that the subsequent meconium flowed out spontaneously and was moist. By the end of the first few days of life, the meconium clears the intestines. Then the residue of milk(breast /formula), cells that flake off from the intestinal lining, bacteria, and secretions from organs that empty into the intestines fill the intestines. This composition is carried along the intestinal tract and becomes the stool. Breastfed babies pass mushy stools, like cream soup that are light-yellow. Milk stools turn green or brown when exposed to air. Chunks are not worrisome representing undigested intestinal contents. When your infant is old enough to eat solid foods, you may notice undigested food particles in the stool. Jaundice in a baby who is nursing may be present for the first 1-2 months. The birthmark is most likely an infantile hemangioma which is very common and increases in size during the first few months of life. Regarding the UTI, I would be interested in learning how the specimen was obtained, what the urine culture result was, and what was the result of the urinalysis? Try not to be anxious. It appears that your infant is healthy and you have things under control. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd