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 of leaving the hospital, we chose to leave in the morning and bring the baby for phototherapy in the afternoon. In the afternoon, we took the baby to the hospital, and the highest skin bilirubin reading was in the 13s. The doctor then suggested that we decide whether to undergo phototherapy, offering the option to go home, expose the baby to sunlight, 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 required, and after admission, the urine test results showed a bilirubin level of 437. The doctor recommended starting with phototherapy and administering human albumin under anesthesia. If the level did not decrease, 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. The baby has no other complications, is feeding and napping normally, and shows no signs of bilirubin encephalopathy. Is the risk of encephalopathy high?Doctor's answer:
Baby was born on the third day, total bilirubin 265, requiring blue light treatment. Later, it fluctuated repeatedly. The baby has no other symptoms, eating, sleeping, and napping normally, and there are no signs of bilirubin entering the brain. The bilirubin has come down, and it is impossible for it to enter the brain anymore. Give the child more milk, more water, and more sun exposure. This will help reduce jaundice. I hope you can go to the hospital for an examination as soon as possible and strive for early treatment to get rid of the disease. Wish you health.