Patient's question:
Baby was born 6 days ago with jaundice, with a level of 15.9 on the face. A thorough examination revealed total bilirubin 443.9, direct bilirubin 23.7, total protein 51, albumin 38.6, and globulin 12.4.Treatment history and outcomes: The baby was cured through phototherapy and discharged. Upon discharge, the jaundice level was 3.9. A re-examination three days later showed a level of 5.4, and the hospital said it was normal, advising more sun exposure and increased fluid intake at home. However, the discharge records mentioned that the baby's phototherapy was not fully effective, and when I placed my finger in his hand, he did not grasp it.
What kind of help is needed: Will there be any aftereffects after the jaundice is treated?
Doctor's answer:
Reappearance of jaundice is generally considered to be due to damp-heat, which manifests as dry mouth, bitter taste in the mouth, aversion to cold water, and easy exacerbation of heat after consuming fried foods. Symptoms also include yellow urine, yellow, thick, and greasy tongue coating. If pathological jaundice does not progress to kernicterus, there are no long-term consequences.Recommendation: If pathological jaundice progresses to kernicterus, it indicates associated neurological damage, and this situation may lead to long-term complications.