Male1: Sometimes, a baby—small and premature and who is the nursery and its either the baby is distended, maybe getting a fever and I see some ear fluid—you have got to call a surgeon because there is something going on, what could it possibly be?
Male2: Yes, so there is a whole spectrum of things you are born with that can cause bowel obstruction in the first days of life. In utero, the baby is just drinking a little amniotic fluid, getting nutrients from the mother’s blood vessels, so the bowels are not really needed for nutrition in utero, but then as soon as you are born, if there was a little malformation going on, it starts becoming obvious. When you swallow some air, maybe drink milk, let us see, you can have plugs of meconium, the newborn stool, the first stools can be tenacious. That can be a very simple problem. If you recognize it and wash it out, a little enema, you can cure it. Or a part of the colon may just be small, a little bit small, called small left colon. You recognize it, you wait it out, the baby does fine.
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