Patient's question:
Total bilirubin in newborn jaundice: 375 indirect bilirubin: 352 direct bilirubin: 23Doctor, my baby was born on November 18th. His appetite has been normal every day, and his urination and defecation are also normal. On the 22nd, due to the child crying and having a bluish complexion around his mouth, a skin test for jaundice at Lanzhou University Hospital showed 13.1 on his face, 11.1 on his back, and 11 on his chest. At that time, the doctor diagnosed moderate jaundice and recommended hospitalization for treatment. Due to personal reasons, we were unable to be hospitalized.
Two days after returning home, we noticed that the child's oral mucosa had turned yellow. We went to the county hospital for a blood test, which showed a total bilirubin of 376 (direct 23, indirect 352), with all other indicators normal, and normal liver function. The doctor recommended blue light therapy, with 8 hours of treatment per day for 2 days, as well as intravenous administration of brain protein, Yinzhiyellow, sodium bicarbonate, penicillin, and ganglioside. The child was hospitalized for 6 days, and his facial yellowing significantly decreased.
History and effectiveness of treatment: No treatment has been administered, and there is no history of heredity or allergies.
Help needed: Could you please ask the doctor if this treatment was appropriate? Is the child currently okay? No further tests were conducted after discharge. The pediatrician recommended continuing oral Yinzhiyellow. If it is to be taken, for how long should it be used?
Doctor's answer:
The baby's lab results at the time showed indeed high bilirubin levels, which posed a risk of brain damage, so the hospital promptly provided blue light therapy to reduce jaundice, brain protein, and ganglionic nutrition to support brain nerves. Sodium carbonate and penicillin were also administered for treatment. This is the standard approach in most hospitals.At that time, the baby's high bilirubin levels posed a risk of brain damage, and it is now uncertain whether any interference occurred. A cranial CT scan can be performed to confirm. If the baby's skin is still slightly yellow, they can take Yinzhihuang (a herbal medicine). If diarrhea recurs or the yellowing becomes less pronounced, the medication can be discontinued. Wishing you good health.
The above advice is for the question "Total bilirubin 375, indirect bilirubin 352 in newborn jaundice." It is hoped that this will be helpful to you. Wishing you good health!