Doctor insights on:
Pneumomediastinum In Newborn
Chest xray or ct: Pneumomediastinum is air in the central chest near the heart and great vessels . It can spread into the neck soft tissues.It can come from the lung, airways, esophagus or trauma. It can be seen often on a chest x-ray alone. Ct is very sensitive for even small amounts of this displaced air and can also evaluate the cause. ...Read more
Air between lungs: The mediastinum is in the center of the chest between the two lungs containing the heart, esophagus, trachea and great blood vessels. Air in the mediastinum (pneumomedistinum) can occur from a perforated esophagus, trauma, severe asthma with alveolar rupture, after surgery, or in barotrauma in scuba diving . The underlying cause may need to be treated emergently. ...Read more
It might recur: You might get the pneumomediastinum again as smoking marijuana is often associated with vigorous inhalations and holding the breath for an extended period of time under pressure. This can cause air to pop out from the lung and surround the mediastinal structures....Pneumomediastinum. Getting air around the lung, pneumothorax, can also occur and can be much more serious. ...Read more
Nothing good: one of the things that we do when we smoke, sometimes unconsciously, is to hold one's breath to increase the amount of time the smoke spends in our lungs so that we get more nicotine out of it. Breath-holding increases the chance of a Valsalva maneuver, which can exacerbate a pneumothorax or a pneumomediastinum. Plus it does all its usual damage.Please talk to your doctor about ways to quit now!! ...Read more
No: You should not fly in a plane if you have air in your mediastinum. The condition could get worse with the lower air pressure at higher altitude. ...Read more
Nothing Good: You will continue to damage your lungs and worsen emphysema as well as increasing your risk of developing lung cancer as well as cancer of the stomach, esophagus, colon, kidneys and bladder. You will continue to accelerate atheroclerotic changes to your vascular system, raising your risks for heart attack, stroke, and peripheral vascular disease. ...Read more
My 2 years boy had a pneumomediastinum in dec. Our doctor ask us to pass a second x-ray, x-rays are not bad for him at this age?
It depends: There should be minimal risk in obtaining a second radiograph to determine if the pneumomediastinum has resolved. Chest CT scans have much more radiation than a chest radiograph. The link between complications of radiation usually involves much higher levels of radiation exposure, eg multiple CT scans. ...Read moreSee 1 more doctor answer
Could ehler's danlos present w/spontaneous pneumomediastinum? Desperate for answers. Ongoing GI bleeds and low-grade fevers (6+ months) with no explanation, livedo reticularis, definitely hypermobile
A qualafied yes: Ehler-danlos is no just one conditiont. There are quite a few variations lumped together under this term. A vascular sub-type may typically cause bleeding. I suggest either a visit to place like mayo clinic or contact the ehlers-danlos national foundation. ...Read moreSee 1 more doctor answer
2 recent ER trips. One w/spontaneous pneumomediastinum; one w/likely bowel obstruction (resolved). Had high WBC both times; no other signs of infection. If no infection, why given antibiotics?
I had spontaneous pneumomediastinum. My CT scan noted "minimal interlobular septal thickening @ lung apices consistent w/pulmonary congestion". What does that mean and did the sp cause it?
Spontaneous pneumo-: Mediastinum by itself is benign and resolves on its own, as opposed to pneumothorax which can be dangerous. Sp can be caused by activities that rasie pressure in the airway, such as in trumpet players or extensive coughing. The septal thickening is most commonly seen with fluid in the lung/pulmonary edema, which wouldnt itself cause sp unless it made you cough a lot. ...Read moreSee 1 more doctor answer
Er 2day w/severe back pain following straining w/bm (ongoing constip & dark blood in stool). diangosis w/high WBC + pneumomediastinum (cat scan). No asthma, no perf in esoph or lungs ... What's going on?
See below: They are pediatricians that are undergoing further training. This training will help them to provide care for premature and sick babies. During their training, they will be involved with the care of neonates and help educate pediatric residents. ...Read more
Affects babies <1mo: In cultures where tetanus immunization is not common, babies are born without any tetanus protection they would otherwise gain from their mother. If you add this to inconsistant hygene, unsterile tools used at delivery, or the application of dung(in some cultures) to speed the separation of the umbilical cord stump, these babies may acquire tetanus and die in the first month. ...Read moreSee 1 more doctor answer
Depends on the state: Many states have either few or extensive tests on the newborn for treatable or significant conditions. In my state dozens are covered including phenylketonuria, sickle cell, thyroid and too many others to mention. Sometimes we check for anemia, blood sugar or infection, : blood tests for ABO reactions are common if mom is o+ and we commonly test for jaundice without drawing blood using a meter. ...Read moreSee 1 more doctor answer
JITTERINESS;: Newborn are normally jittery for sometime, refluxes are brisk, jark with sound, light, simple movement like taping the bed, etc. This is due to immaturity of nervous system, incomplete myelinization of axons, immaturity of neurotransmitters in brain, etc. Other causes: birth asphyxia (less oxygen), insult/injury to brain, poor feeding with low blood glucose, low calcium, maternal drugs, etc. ...Read more
Depends: A brand newborn (1-3 days old) may eat only 1/2 ounce at a time, but a rule of thumb is 2.5 ounces per pound, per 24 hours. Divided into 8 -12 feedings. If the baby is breastfeeding it's harder to gauge, so we usually follow urine output instead -- at least 6 - 8 wet diapers / 24 hours. ...Read more
Spontaneous movement: The babies immature nervous has random muscle movements which maintain the size and tone of muscles long before the baby has any way to control them. It's sort of like a car running in neutral until they shift into gear. Muscles with no stimulation or movement shrink (think spinal cord injury or leg in a long cast).So the wiggles maintain basic muscle size until the kid learns haw to use them. ...Read more