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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bilirubin Question..

my baby is 5 weeks old. his bilirubin total level is 21.5 and the bilirubin indirect total is 2.0. hemoglobin is 8.6 hematocrit is 24.9 wbc 8.8 neutrophils 25.1 lymphocytes 64.4 monocytes 10.5 platelets 279. what does this mean?
Sun, 27 Mar 2011
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  Anonymous's Response
's  Response
Hi welcome to Healthcare Magic ...
Bilirubin of > 21.5 g/dl is really a matter of concern in a 5 week old baby.
Other disturbing factor is the heamoglobin level of 8.6 g/l .It looks either she is having a heamolytic disorder - i.e blood is getting destroyed in her body(eg:Hereditary Spherocytosis) or she is loosing blood in her body.So a Peripheral smear , Direct coombs test would be other priliminary tests to diagnose the cause of hyperbilirubinemia.
Get a pediatrician consultation , this may be something of concern , needing urgent management.
Please do not delay and take appropriate treatment...
Thank you ...Hope i was helpful.
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Bilirubin Question..

Hi welcome to Healthcare Magic ... Bilirubin of 21.5 g/dl is really a matter of concern in a 5 week old baby. Other disturbing factor is the heamoglobin level of 8.6 g/l .It looks either she is having a heamolytic disorder - i.e blood is getting destroyed in her body(eg:Hereditary Spherocytosis) or she is loosing blood in her body.So a Peripheral smear , Direct coombs test would be other priliminary tests to diagnose the cause of hyperbilirubinemia. Get a pediatrician consultation , this may be something of concern , needing urgent management. Please do not delay and take appropriate treatment... Thank you ...Hope i was helpful.