Recurrent jaundice in newborn infants

Patient's question:

The child was born four days ago. The previous treatment and its effectiveness: Underwent two days of blue light therapy and two days of intravenous infusion. The jaundice level dropped from 13.5 to normal, so the blue light therapy was stopped. After a day, the jaundice level rose again, and a thorough examination was conducted. The doctor said the child's blood count was high, but the child...

Doctor's answer:

It is caused by the disintegration of aged red blood cells and heme-containing components in the body. When the accumulated bilirubin in the blood is lower than the amount metabolized by the liver into the intestine, jaundice may reappear. It is well-known that excessive bilirubin is harmful to infants, but the reason for the slight decline in bilirubin levels after birth remains unclear. In healthy infants, bilirubin levels can rise to 15-20 mg/dL within one week after birth. However, severe jaundice (bilirubin > 25-30 mg/dL) can lead to brain damage if left untreated. Treatment for severe jaundice includes phototherapy, where blue light exposure can convert bilirubin into complexes that are easily excreted in the urine. The above suggestions are for the issue of "jaundice recurring in newborn infants." It is hoped that this will be helpful to you. Wishing you good health!

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