A 6-week-old girl was born to a healthy mother via uncomplicated vaginal delivery at full term and subsequently had a normal newborn screen. She had a birthweight of 4.48 kg (large for gestational age, 97% percentile). At her 1-month health supervision visit, she weighed 3.7 kg. Although offered 2 to 3 oz of pumped human milk each feed, she was taking approximately 1 oz every 2 hours without cyanosis, tachypnea, or sweating. She had no trouble latching onto the bottle, a normal suck and swallow, and no choking with feeds. After feeding, she had frequent nonbloody/nonbilious vomiting episodes that most often occurred soon after a feed, but occasionally a few hours later. Her primary care provider recommended fortifying the human milk with formula to 22 kcal/ounce, but it was not well-tolerated due to vomiting. On a repeat weight check 2 weeks before admission, she demonstrated continued poor weight gain and...
Electrolyte Disturbance in an Infant with Failure to Thrive
Dr Neu has participated in multicenter research funded by Amgen, Roche, Relypsa, and Luitpold. Drs Kim, Hesselton, and Fadrowski have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
- Views Icon Views
- Share Icon Share
- Search Site
Hannah Kim, Amanda Hesselton, Alicia M. Neu, Jeffrey Fadrowski; Electrolyte Disturbance in an Infant with Failure to Thrive. Pediatr Rev October 2020; 41 (Supplement_1): S82–S84. https://doi.org/10.1542/pir.2018-0268
Download citation file: