What should I do if the newborn keeps crying and can't sleep?

Patient's question:

The child is just 24 days old today and has been crying a lot without sleeping. He has also been defecating yellow rice-like pellets. Just came back from the hospital where his jaundice level was around 23. He stayed in the hospital for 6 days and was given some medication upon discharge.

Doctor's answer:

High bilirubin levels are not directly related to a child's crying. The liver enzyme system of newborns is not yet fully developed, so they cannot metabolize bilirubin promptly. Additionally, the gut of newborns is sterile, which also affects the decomposition and metabolism of bilirubin. The combined evaluation of these factors leads to a continuous increase in bilirubin levels in newborns, causing recurrent jaundice. Normal jaundice typically fades within two weeks after birth. However, the duration of jaundice in your baby is a bit longer, and it should be considered as pathological jaundice.
The "yellow rice-like stool" your baby is experiencing is caused by indigestion or a cold. This condition can be treated and managed by taking probiotics or using Jianpi San (a traditional Chinese herbal formula for strengthening the spleen). It is recommended to gently massage your baby's abdomen, provide more fluids, keep them warm, and expose them to sunlight more often.
The above advice is for the question, "My baby is 24 days old today and keeps crying and not sleeping, with yellow rice-like stool." I hope it helps. Wishing you good health!

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