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Tummy Trouble?

A Guide to Your Newborn's Digestive System

By Jennifer Lacey

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Gastroenteritis is caused by an inflammation of the gastrointestinal tract. A common problem in newborns, especially in babies who suffer from immune suppression or who are enrolled in daycare, symptoms of gastroenteritis include fever, vomiting and diarrhea. Gastroenteritis is contagious and can be spread through the oral-fecal route. To date, there is no known cure for this condition.

Dehydration is a major side effect. Fluids that may help prevent dehydration include unflavored/flavored oral rehydration solutions, commonly known under the brand names Pedialyte‚ Infalyte or Kaoelectolyte. However, consult with your pediatrician before you administer these fluids to your baby.

Gastroesophageal Reflux
When one swallows food, it travels down a path through the esophagus and into the lower esophageal sphincter. In most newborn babies, this sphincter is immature, making spitting up a common occurrence. Gastroesophageal reflux (GER) usually occurs during or after a feeding when the stomach contents regurgitate into the esophagus.

"More than half of all babies experience reflux in the first three months of life, and most infants stop spitting up between 12 months to 18 months of age," Dr. Hochman says. According to Dr. Sacks, GER can be toned down through changes in feeding techniques, changes in infant positioning, changes in the infant formula or thickening the formula with rice cereal.

Gastroesophageal reflux may develop into a more severe condition called gastroesophageal reflux disease (GERD). Signs and symptoms of GERD include weight loss, breathing problems, feeding problems and spitting up blood. In these cases, Dr. Sacks says that acid suppression medications should be prescribed and are usually well tolerated. He says surgery is rarely needed.

Necrotizing Entercolitis

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