Patient's question:
Baby was born on the third day with a total bilirubin level of 265, and the doctor said it was a bit high. On the fourth day, the baby was discharged from the hospital. The doctor measured the skin bilirubin at 15.8 and recommended phototherapy. Due to the urgency to leave the hospital, we chose to discharge in the morning and bring the baby for phototherapy in the afternoon. In the afternoon, when we brought the baby to the hospital, the highest skin bilirubin reading was in the 13s. The doctor then suggested that phototherapy was optional and that we could take the baby home to sunbathe and take Yinzhihuang probiotics. Of course, we agreed to treat the baby at home. We all thought the baby was fine, but on the sixth day, we brought the baby back to the hospital, and the highest skin bilirubin reading was 19.8. Hospitalization was recommended, and after admission, the urine test results showed a bilirubin level of 437. The doctor suggested starting with phototherapy and administering human albumin under anesthesia. If the level did not drop, direct phototherapy would be necessary. After 6 hours of phototherapy, a retest showed a bilirubin level of 342. Now, on the seventh day, the bilirubin level has dropped to 279. Hemolytic jaundice has been ruled out. Could it have been too late to admit the baby to the hospital on the sixth night? The baby has no other complications, is feeding normally, and is taking naps. There are no signs of bilirubin encephalopathy. Is the risk of encephalopathy high?Doctor's answer:
It should never be the case again. Generally, if the bilirubin level is below 342, it is considered for bilirubin encephalopathy, but it is also necessary to refer to the child's condition and recommend hospitalization for treatment. Follow the doctor's arrangements! Carefully observe the child's diet, bowel and bladder functions, and oral probiotics can be taken! This is the complete introduction for "Total bilirubin of 265 on the third day of the baby's birth." Finally, wish the patient a speedy recovery and a healthy life.