Patient's question:
Baby is 35 days old. After taking Yinzhihuang Granules and probiotics, there is no diarrhea. Is this helpful for jaundice? Can breast milk jaundice be managed by continuing breastfeeding without completely stopping, but instead by increasing the frequency of breastfeeding to closely monitor?Doctor's answer:
I'm glad to help you clarify your doubts. There are many factors that can lead to hemolytic jaundice in pathological jaundice, including hemolytic, infectious, and obstructive ones. Bilirubin is mainly metabolized in the intestines. Due to certain components in breast milk interfering with newborns' ability to metabolize bilirubin, it forces the enterohepatic circulation of bilirubin to increase, which in turn leads to hyperbilirubinemia. If you want to determine whether a newborn has breast milk jaundice, you first need to exclude other factors and stop breastfeeding for three days. If the bilirubin level drops, you can then focus on resuming breastfeeding. If the bilirubin level rises again at this point, it can be diagnosed as breast milk jaundice.