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Suggest Treatment For Jaundice In A Newborn Baby

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Posted on Tue, 27 Dec 2016
Question: i have a 2 weeks old infant with g6pd...has jaundice which dispite phototheraphy refuse to go...baby was 37 weeks gastational witamink given at birth...breast n formula fed...why is the jaundice lingering...
doctor
Answered by Dr. Diptanshu Das (43 minutes later)
Brief Answer:
Please let me know the bilirubin level and body weight

Detailed Answer:
Thanks for asking on Health care magic.

Before the birth the baby has a hemoglobin level higher than the mother so that it can extract oxygen from the mother 's blood. This extra hemoglobin is no longer needed afterbirth and breaks down to produces bilirubin. The acceptable range varies with day of life and weight in kg.iI would insist you to mention the level so that I can state whether it is acceptable and needs and whether it needs monitoring. Inadequate feeds could play a role in the bilirubin level staying high. Still if the yellowishness reaches the sole of feet you will need to visit a doctor and get the level evaluated.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (5 hours later)
the last blood test showed billiruben levels at 240 .the baby weight was 3.44 kg
doctor
Answered by Dr. Diptanshu Das (24 minutes later)
Brief Answer:
Not a cause for concern.

Detailed Answer:
Thanks for writing back. I hope that you mean that the bilirubin level is 240 mmol/L. If that is the case, for a child of 2 weeks of age and 3.44 kg body weight, it is within the tolerable range and nothing needs to be done about it. You may however, expose her to the morning rays of sun. Give her feeds in increased amounts if possible. I am sure that things would be fine.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Diptanshu Das (1 hour later)
billiruben keeps going up and dwn.... when she has phototheraphy it goes dwn ... if she comes off the light it start to go bk up
doctor
Answered by Dr. Diptanshu Das (3 hours later)
Brief Answer:
Not a cause for concern.

Detailed Answer:
Thanks for writing back. I understand. Although the bilirubin level rises, it does not rise to levels that are a cause for concern. So, you need not worry. The mentioned level does not call for phototherapy. Your doctor still gives phototherapy to be on the safer side but I doubt if it is required. As such, the G6PD deficiency has a role to play in this, but nothing can be done about the same. Could you please mention the highest bilirubin level that has been reached till date?

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Suggest Treatment For Jaundice In A Newborn Baby

Brief Answer: Please let me know the bilirubin level and body weight Detailed Answer: Thanks for asking on Health care magic. Before the birth the baby has a hemoglobin level higher than the mother so that it can extract oxygen from the mother 's blood. This extra hemoglobin is no longer needed afterbirth and breaks down to produces bilirubin. The acceptable range varies with day of life and weight in kg.iI would insist you to mention the level so that I can state whether it is acceptable and needs and whether it needs monitoring. Inadequate feeds could play a role in the bilirubin level staying high. Still if the yellowishness reaches the sole of feet you will need to visit a doctor and get the level evaluated. Regards