Q. My newborn baby was found to have high bilirubin. Kindly advice.
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?
Hi,
Welcome to icliniq.com.
I can understand your concerns.
1. 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.
2. 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.
3. 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.
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?
Hi,
Welcome back to icliniq.com.
1. Usually, phototherapy for three to four days is required. Daily bilirubin levels guide the days needed for phototherapy.
2. 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.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Can same blood group of parents cause any problem to baby?
.. blood group not at all lead to any problem in conception. Same blood group people can marry and can produce a normal child. So as far as same blood group concerned do not worry about that. But as a doctor I will advise you to check your wife thalassemi Read full
My newborn baby was found to have high bilirubin. Kindly advice... 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. Read full
My bilirubin level is high and I feel nauseous. Why?Hello doctor, Sometimes I see flashes of light as kind of line in the side vision. That too where more light focus is there on the walls, etc. That too if I observe clearly. Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a Paediatrician Now* guaranteed answer within 4 hours.