Phototherapy is also called light therapy. It is a medical treatment that involves exposure to fluorescent lights, halogen lights, sunlight, and light-emitting diodes for treating certain medical conditions. It is used to treat newborn jaundice and lowers bilirubin levels present in the baby's blood through photo-oxidation. It is used for treating various forms of eczema in children and adults by reducing itching and inflammation. The common side effects of phototherapy are dry skin, nausea, folliculitis, blisters, and itchy skin.
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I am a 19-year-old undergoing phototherapy for vitiligo for the past six months and the white spots on my palms, fingers, and lips are getting darker. Why?
Query: Hello doctor,I am 19 years old, have vitiligo and I am taking phototherapy along with medicines for about six months now. The white spots on the palms and fingers in hands and in lips have not spread but some spots have become darker. How long will it take for it to cure? Should I consider other kin... Read Full »
Answer: Hello, Welcome to icliniq.com. Vitiligo on palms and soles are usually quite resistant to therapy and takes a very long time depending upon the extent of involvement. Also, there are chances that it may not completely resolve too in such locations. Phototherapy is a safe and effective treatment ap... Read Full »
My newborn has a bilirubin level of 9.1. Is it a cause for concern?
Query: Hello doctor, My baby is 48 hours old now. Her bilirubin level is 9.1 mg/dL. Is it a cause for concern? Thank you. Read Full »
Dr. Bhaisara Baraturam Bhagrati
Answer: Hello, Welcome to icliniq.com. I will need more details to analyze the report. 1. What was the birth weight? 2. What is the blood group of the mother and baby? Usually, for a full-term baby with a birth weight of more than 3 kg, the mother's blood is not Rh negative or O Rh negative; it is cons... Read Full »
Why does the bilirubin level keep changing in my 12-days-old son?
Query: Hi doctor, I am really concerned with the bilirubin levels of my 12 days old son. His bilirubin was 14.2 within 24 hours of his birth, so the doctor decided to start phototherapy, which reduced the bilirubin level to 12 and he got discharged. After a day, he turned pale yellow, so we rushed again to... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand that you are upset with your baby's condition. Your baby has ABO incompatibility (mother O and baby A blood group) induced exaggerated NNJ (neonatal jaundice). It is a condition where there will be an excessive breakdown of baby's red blood cells than com... Read Full »
Kindly suggest a treatment for vitiligo.
Query: Hello doctor, I have vitiligo on my face, and my skin and hair are turning white. This is a major problem for me. Please suggest some treatment. What should I do? Read Full »
Answer: Hi, Welcome to icliniq.com. For vitiligo, there are many lines of management. If the patch is unstable, then oral medications can be advised. But if the vitiligo patch is stable, that is no change in the size of the patch over six months, then surgery can be done to re-pigment the vitiligo patch... Read Full »
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 »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns. I have seen the report that you have sent (attachment removed to protect patient identity). Today is day 4 of your child and bilirubin total is 8.7 mg/dL and indirect bilirubin is 8.2 mg/dl. This is slightly higher in this age and the ... Read Full »
Why does my newborn baby have high bilirubin?
Query: 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? Read Full »
Answer: 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 indirec... Read Full »
What is your suggestion about bilirubin level 15.36 in a 9 days old baby?
Query: Hello doctor, Our baby boy was born 9 days ago. Mom and the infant, both have B plus blood group. His weight at the time of birth was 3.03 kg. After five days, his bilirubin level was 13.06. Today, the bilirubin level was 15.36. Our doctor advised vitamin D3 oral dose for one year. What is your sugg... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concerns. Your child is now 9 days old. Since, both mother and child have same blood group, there are less chances of pathological hyperbilirubinemia. On the 9th day of life, the bilirubin level of 15.36 does not require phototherapy and only... Read Full »
Why is my baby's bilirubin levels fluctuating even after 96 hours of phototherapy?
Query: Dear doctor, My 18 day old baby had gone for 96 hours of phototherapy. Her total bilirubin is fluctuating from 19.5, 14.5, 13.5, 13, 11, again 14 in 12 days. What can be done now? Read Full »
Answer: Hi, Welcome to icliniq.com. Before advising you about the child, I need some information: What are the blood groups of baby and mother? What was the birth weight of the baby? Was the baby born at term or preterm? Bilirubin may fluctuate during the treatment with phototherapy and the level ... Read Full »
Will jaundice cause brain damage in a preterm baby?
Query: Hi doctor, My daughter is a 3-month-old baby, and she is early term baby delivered on the seventh four months ago. On the seventh day, we found out she has jaundice and admitted her. Her level is severe 30 mg/dL, but after phototherapy, for six hours, it reduces 20 mg, and it is gradual to 13. We d... Read Full »
Answer: Hello, Welcome to icliniq.com. Very high bilirubin can cause some brain injury. There are various factors that cause raised bilirubin. You said bilirubin was 30, then dropped to 20 in six hours. It is unlikely. It could be some error. If your baby is active, playful, and feeding well no need to wo... Read Full »
My partner has white patches literally from the shoulder to toes. Is it caused due to eczema?
Query: Hi doctor,My girlfriend is 20 years old. She suffers from mild and controllable eczema. But for the past six months, she has some worsening effects due to skin irritation. It has affected her self esteem. She has varied white patches on the skin. It is dry and itchy. Around twenty percent of the bod... Read Full »
Answer: Hi, Welcome to icliniq.com. It is necessary to consult a dermatologist soon and get a biopsy done. As it looks like atopic eczema, your history concurs with it and it is good to rule out other possibilities as the disease is widespread. Apply moisturizer multiple times a day on the affected region... Read Full »