Get E-Book on COVID-19

Q. My newborn baby was found to have high bilirubin. Kindly advice.

Answered by
Dr. Deepak Patel
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 17, 2016 and last reviewed on: Jul 04, 2020

Hi doctor,

Our newborn baby was found to have serum bilirubin 20 and direct 18 on the 4th day. Kindly suggest appropriate advice. If we are going for photo therapy, then which light is better?

Dr. Deepak Patel

Child Health Paediatrics
#

Hi,

Welcome to icliniq.com.

I can understand your concerns.

  • Serum bilirubin of 20 is high for the baby. The value of 18 mg/dL should be indirect bilirubin, because indirect bilirubin is increased in most cases. If direct bilirubin is so much, then the treatment is different.
  • If it is indirect bilirubin, then phototherapy should be done. The child should be put in phototherapy units; these are special lights which emit radiation at a particular range.
  • Also, blood group of mother and child and DCT levels (direct Coombs test) should be done in the child. I advise you to admit the child in the hospital and start phototherapy.

For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician


Was this answer helpful?

 | 

Thank you doctor,

I have admitted mother and child to the hospital. How many hours are needed for phototherapy? Can you brief more on DCT?

Dr. Deepak Patel

Child Health Paediatrics
#

Hi,

Welcome back to icliniq.com.

  • Usually, phototherapy for three to four days is required. Daily bilirubin levels guide the days needed for phototherapy.
  • If DCT is positive, then the chances of further raise of bilirubin are high. It is considered as a bad prognostic factor in bilirubin treatment.

For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician


Was this answer helpful?

 | 

Related Questions:
My blood group is positive and my fiance's is negative. What problem do we need to face?
Can same blood group of parents cause any problem to baby?
Bilirubin is high but other liver functions are normal. Should I worry?
Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Kindly comment on my son's bilirubin report.

Query: Hi doctor, I just want you to check the report of my son, who is 3 days old. Kindly check the report and tell me about his health. Is everything fine in the report?  Read Full »

Also Read


Miscarriage
This article provides you with all the information that you should be knowing about miscarriage. Although this is an emo...  Read more»
COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»

Ask your health query to a doctor online?

Ask a Paediatrician Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.