Neonatal melena digital illustration

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ICD-10 code: P54.1

Disease category: P54: Other neonatal hemorrhages

Understanding Neonatal Melena: Causes, Symptoms, and Prevention

Neonatal melena refers to the passage of dark, tarry stools by newborn infants. This condition can be concerning for parents, but understanding its causes, symptoms, and prevention methods can help alleviate worries and ensure the well-being of the baby.

Causes

  1. Swallowed maternal blood: During the birthing process, infants can ingest small amounts of maternal blood, which can cause the stools to appear black and tar-like.
  2. Gastrointestinal bleeding: Neonatal melena can also occur due to gastrointestinal bleeding, which may be caused by various factors such as intestinal malformations, infection, or a blood clotting disorder.

Symptoms

  • Dark, tarry stools: The primary symptom of neonatal melena is the presence of black, sticky stools. These stools may have a distinct odor and can be alarming for parents.
  • Weakness or lethargy: Infants with neonatal melena may exhibit signs of weakness, fatigue, or excessive sleepiness.
  • Paleness: The baby's skin may appear paler than usual due to the loss of blood.
  • Irritability: Some infants may become fussy or irritable due to discomfort or pain in their gastrointestinal tract.

Prevention

  1. Prenatal care: Proper prenatal care can help identify any potential risks or complications that may contribute to neonatal melena, allowing for timely intervention.
  2. Blood clotting evaluation: Assessing the baby's blood clotting function shortly after birth can help identify any underlying disorders that may lead to gastrointestinal bleeding.
  3. Sanitary practices: Maintaining good hygiene during childbirth and postnatal care can reduce the risk of infections that could cause neonatal melena.
  4. Monitoring: Regular monitoring of the baby's stool and overall health can help detect any abnormalities early on, allowing for prompt medical attention if needed.

It is important to note that neonatal melena requires medical evaluation and diagnosis by a healthcare professional. If you notice any concerning symptoms in your newborn, it is crucial to consult a pediatrician for proper diagnosis and guidance.

Remember, staying informed about neonatal melena and its causes, symptoms, and prevention methods can help parents navigate this condition with confidence and ensure the best care for their precious

Treatment of Neonatal melena:

Treatment Options for Neonatal Melena

Neonatal melena refers to the presence of dark, tarry stools in newborns, which can be a cause for concern among parents. While it is important to consult a healthcare professional for an accurate diagnosis and personalized treatment plan, there are several treatment options commonly used for neonatal melena.

  1. Fluid Repla...

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