Friday, January 23, 2009
Lucas was sent home from PCMC....he is back with his family! Don't know details, but it's just a good thing that he can be home.....
The Fullmer's just replied explaining what caused Lucas to go into the hospital...in their words:
Lucas couldn't keep anything down, he was throwing up all night. The last time he did this he had NEC. We called the doctor and he said come to the ER. They took an xray and it showed just air like always and no obstruction. He did good all night no throwing up, so we were discharged home.
Here is a description I found about NEC and you will know and see why the family and doctors are really cautious and concerned when Lucas is having trouble...
What causes NEC?
No single factor has been established as the cause of NEC. It is now thought that NEC is the result of a combination of several factors. The two consistent findings are prematurity and feedings. The premature intestine reacts abnormally and develops an acute inflammatory response to feedings leading to intestinal necrosis (death). Some postnatal issues including heart abnormalities, obstruction of circulation in the bowel, infection or gastroschisis are also associated with NEC.
What are the signs and symptoms of NEC?
NEC is difficult to diagnose. The baby may have lethargy, poor feeding, bilious vomiting, distended abdomen and blood in stools. Physical examination may show the baby to have abdominal tenderness, periumbilical darkening or erythema (redness, or a fixed loop of bowel that can be felt.
How is NEC diagnosed?
Abdominal X-rays are done frequently if NEC is suspected. These films will show the neonatal team if there are any fixed or distended loops of bowel that may indicate an ileus (obstruction). Pneumatosis intestinalis (air in the bowel wall) can be seen early in NEC and can resolve over a number of hours. Pneumoperitoneum (air in the abdomen) is an indicator for immediate surgery. Air in the abdomen shows that the bowel has perforated (torn).
Thank Heavens he went home happy and didn't have NEC....