Patient's question:
Baby had a skin test for jaundice at 8 days with a reading of 16.8, and was given Yinzhihuang. At 30 days, the skin test showed jaundice at 6.8. At 42 days, a blood test revealed total bilirubin of 109.64 umol/L. The doctor recommended taking probiotics and stopping breastfeeding for three days. Could this be breast milk jaundice?Doctor's answer:
It is generally believed that newborns have a high content and activity of glucuronidase in their small intestine. This enzyme, primarily derived from breast milk, can ferment conjugated bilirubin and convert it into unconjugated bilirubin. This process occurs in the newborn's small intestine, and since the intestinal motility of infants is relatively slow, a large amount of bilirubin that should be metabolized is enzymatically converted into unconjugated bilirubin, leading to increased levels and potentially recurring breast milk jaundice. The doctor has asked you to stop breastfeeding to see if it is related to breast milk. You don't need to worry too much; you can still focus on breastfeeding in the future. The above advice is for the question "Baby's skin test jaundice at 8 days is 16." I hope it helps you. Wishing you good health!