Patient's question:
Your baby's jaundice index measured at 14.2 on the third day after birth through a skin test. After that, they were given Yinzhihuang and Maimiai. By the seventh day, a thorough check still showed a jaundice index of 14.2. On the twelfth day, a thorough check showed it had dropped to 9.5. Now, on the 20th day, it appears only the corners of the eyes and the sclera are slightly yellow, but there are yellowish substances on the palate and lower jaw. What could be the reason for this? They have taken 12 Yinzhihuang and 15 Maimiai so far, but it hasn’t improved. Could this affect their intelligence? They plan to go to the hospital in a couple of days for a thorough check-up. What kind of tests should be done? Thank you.Medical History and Treatment Effects:
My wife is Type O blood, and my husband is Type A. The baby is also Type O. The baby was born via normal delivery at 39+5 weeks. They stayed in the hospital for 5 days at 34 weeks, receiving dexamethasone and magnesium sulfate to prevent premature labor. They stayed for another 3 days at 36 weeks, receiving magnesium sulfate.
Desired Assistance:
Medical consultation and advice on the condition.
Doctor's answer:
Baby has jaundice, with bilirubin levels generally decreasing by about 10 days. Your baby's bilirubin level has risen at 12 days after transcutaneous measurement, and only mild scleral jaundice is present. These are all signs of jaundice gradually fading. As for the yellowish substance in the upper and lower jaws, such as red and swollen pharynx and gums, it is considered an oral infection.Advice: Both your baby and your mother are Type O blood. Hemolytic jaundice can be ruled out, and the bilirubin level is not high, so it will not lead to bilirubin encephalopathy. Naturally, it will not affect your baby's brain development. You can rest assured.
For reexamination, blood tests for liver function and complete blood count can be performed.