Hello All, Sorry for the long story, couldn’t keep it any short. My 5 month old daughter (twin) was initially (August 2016) undergone colostomy surgery due to colon perforation. Her bowel movements were all well until she developed a severe small bowel obstruction after one and half month post colostomy, therefore she was operated once again and 20cm of jejunum (small bowel) was removed which was in clinically bad state leading to jejunostomy.
With 4 stomas, it had become an impossible task for the doctors to maintain her dehydration and electrolyte levels. Thus it was decided and performed stoma reversal on November 24th 2016. At the time of reversal the surgeons had an exhaustive look at the condition of the intestine (anastomosis leak was feared due to the damaged jejunum) and confirmed the healthy state of small and large bowel. They also performed a barium dye study on the unused large bowel before stoma reversal which was successful and shown no obstruction.
Post stoma reversal baby passed stools on the second day. She was on parental nutrition and nothing was fed orally for almost 5 days post-surgery. After 5 days oral feeding started at 5ml per hour which she tolerated very well for one full day and then developed this vomiting reflex. Doctors suspected early intestinal adhesions or obstruction and for which they decided and performed a prolonged barium dye test which included 14 sessions of Xray at various intervals on last night and the outcome of the scan is clean. NO obstruction was seen.
Anything more than 7ml/hour she’s unable to tolerate and pukes (Yellow and White milk) multiple times a day, it is followed by symptoms like lots of irritation and excessive crying. This still continues ï We are trying everything – Burping, feeding in erected position, changed her sleeping position to slightly elevate.
How long it takes her to settle down on the feeds? Am afraid if she again developed any partial obstruction (however she’s passing stools at least twice a day) It is been 4 and half months since she was hospitalized and the journey is still continuing….
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5 Months Baby Colostomy & Jejunostomy