Necrotizing enterocolitis is an infection and inflammation of a newborn's intestine. It can be mild or severe, leading to bowel obstruction and tissue death.
Symptoms in a newborn may include a swollen or tender belly, poor appetite or throwing up, constipation, and dark, black, or bloody stools. A newborn may also have a low or unstable body temperature and not be very active or energetic.
Necrotizing enterocolitis is believed to result from a combination of factors, including premature birth and immature immune and digestive systems.
This condition requires treatment in the hospital. The newborn is fed intravenously to allow time for the intestines to heal. And antibiotics are used to prevent or treat infection. Surgery is sometimes needed.
Symptoms depend on how severe the problem is. They may include:
Feeding the baby breast milk from the mother or a donor may help prevent necrotizing enterocolitis.
The doctor will examine your baby. The doctor may do tests, such as:
This condition is treated in the neonatal intensive care unit (NICU). Your child's care team will work with you to help your baby. You can also ask the NICU staff about counseling and support.
Doctors aren't sure what causes this condition. It may occur when the immune and digestive systems do not develop in the right ways. This can happen when a baby is born early or when there are problems during pregnancy or delivery.
Necrotizing enterocolitis is less common in babies who are fed breast milk.
Necrotizing enterocolitis (say "NEK-ruh-ty-zing en-tuh-roh-kuh-LY-tus"), or NEC, is serious damage to tissue in the intestine (bowel). It is usually caused by a lack of blood flow to a part of the bowel. Bacteria can grow there and cause an infection. This may damage the bowel more. As NEC gets worse, the baby will not be able to feed.
NEC can happen in infants and babies. It happens more often in premature newborns.
If the damage is not severe and treatment works well, the baby may be able to feed within 3 to 10 days.
Your baby may need special care, such as being in the neonatal intensive care unit (NICU). This may be scary for you. But the hospital staff understands this. They will explain what happens and will answer your questions.
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