What is the reason for the baby's repeated jaundice?

Patient's question:

The baby is ten days old and was admitted to the hospital on the fifth day of birth due to jaundice. After twenty days, the condition has been fluctuating, and the baby has been in the hospital for twelve days without being discharged. The numbers keep bouncing around two hundred, but the hospital's thorough examination of all aspects shows normal results, ruling out hemolysis. What could be the reason?

Doctor's answer:

Most newborn jaundice does not require treatment, and feeding with sugar water can help accelerate its resolution. For severe symptoms, phototherapy can be used. If bilirubin levels continue to rise, exchange transfusion may be necessary. If the baby experiences recurrent jaundice after initial improvement and hemolytic jaundice and breast milk jaundice have been ruled out, it is advisable to consider testing for the five prenatal screening items, particularly cytomegalovirus antibodies. It is also recommended to undergo a liver and biliary ultrasound simultaneously.

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