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Infant having hard tummy, always feel hungry and bloated. What treatment is required?

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Posted on Wed, 2 Jan 2013
Question: 3 week old hard tummy always want to eat but is always bloated and throwing up and crying
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Answered by Dr. Uma Rajah Ananth (46 minutes later)
Hi,
Welcome to XXXXXXX

I have few questions to ask.

Does the baby have constipation?
What milk you are giving?
Is he losing weight?

Your baby's problems are suggestive of a condition called congenital pyloric stenosis which typically starts around this age of 2 weeks and there is projectile vomiting,usually in males,and can be diagnosed by ultrasound abdomen.
If this is ruled out ,thee are many other conditions like partial obstruction,metabolic problems,etc.
Kindly show the baby to the pediatrician and get him evaluated.

God bless
Dr Uma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Uma Rajah Ananth (2 minutes later)
He's not constipated he's pooping every five minutes. He's premature but he's gaining weight - he's getting gerber good start soy.
doctor
Answered by Dr. Uma Rajah Ananth (12 minutes later)
Hi,

Good, that means obstructions are unlikely!

Now the possibilities are

1. Electrolyte disturbances like low potassium
2. Milk intolerance--- anyway he is on soy milk
3 If the stools are loose and watery a condition called chloride diarrhoea
4-feeding technique problems-swallowing lot of air..- keep the bottle slightly tilted up in 60 degree to avoid air being sucked in.

Anyway what is your pediatrician's opinion after examining the baby?

Good luck
Dr Uma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Uma Rajah Ananth (8 minutes later)
It's 11pm here we haven't taken him to a pediatrician here in Florida. His stools are wet and liquid. He barely burps - he just cries alot and his stomach looks really big and when you gently press on it, it's hard.

What does eletrolyte disturbance mean and what do I do to cure this problem.

What do I do with chloride diarrhoea?
doctor
Answered by Dr. Uma Rajah Ananth (1 hour later)
Hi ,
It is OK.
You can go in the morning and take the appointment with your neonatologist or pediatrician whatever is the protocol there.

You can not do anything by your self for the above problems !

Electrolyte disturbances are checked by a blood test.
Chloride diarrhoea is the same by blood test.
If the abdomen is hard to touch an ultrasound examination or X-ray is needed.
If your pedia appointment is delayed please go to ER in the morning.
God bless
Dr UR
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Uma Rajah Ananth

Pediatrician, Neonatology

Practicing since :1970

Answered : 891 Questions

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Infant having hard tummy, always feel hungry and bloated. What treatment is required?

Hi,
Welcome to XXXXXXX

I have few questions to ask.

Does the baby have constipation?
What milk you are giving?
Is he losing weight?

Your baby's problems are suggestive of a condition called congenital pyloric stenosis which typically starts around this age of 2 weeks and there is projectile vomiting,usually in males,and can be diagnosed by ultrasound abdomen.
If this is ruled out ,thee are many other conditions like partial obstruction,metabolic problems,etc.
Kindly show the baby to the pediatrician and get him evaluated.

God bless
Dr Uma