Patient's question:
The child is over 40 days old. Jaundice appeared three days after birth. After undergoing blue light treatment and taking Yin Zhi Huang oral liquid, the child was discharged. At the one-month check-up, it was found that the jaundice had not fully subsided. The doctor recommended continuing to take Yin Zhi Huang. After administering the medication for four days, the child's facial and skin yellowing were observed to have subsided. However, due to taking Yin Zhi Huang, the child experienced abdominal pain and cried uncontrollably for three consecutive nights. The child was taken back to the hospital for treatment. Blood tests revealed a bilirubin level of 32.5 umol/L. The doctor diagnosed it as "mild-to-moderate jaundice with delayed resolution, possibly breast milk jaundice."Questions:
1. How high does bilirubin need to be to be considered jaundice?
2. Will a child in this condition have poor prognosis?
3. About breastfeeding
Doctor's answer:
Bilirubin levels that exceed the normal range are considered jaundice. If there is no visible yellowing of the skin or mucous membranes, it is called (subclinical jaundice). If there is visible yellowing of the skin or mucous membranes, it is called (obvious jaundice). The normal serum total bilirubin concentration is 1.7～17.1 μmol/L, with 1-minute bilirubin (conjugated bilirubin) being less than 6.8 μmol/L. When serum total bilirubin is between 17.1～34.2 μmol/L and jaundice is not visible to the naked eye, it is called (subclinical jaundice) or (subclinical jaundice). When the serum total bilirubin concentration exceeds 34.2 μmol/L, jaundice can be clinically observed, also known as (obvious jaundice).