Patient's question:
Your baby's jaundice index measured at 14.2 on the third day after birth through a skin test. After that, he/she was given Yinzhihuang and Mamiai. On the seventh day, a thorough check still showed a jaundice index of 14.2. By the twelfth day, a thorough check showed it had dropped to 9.5. Now it's the 20th day, and it only looks slightly yellow around the corners of the eyes and the whites of the eyes. However, there is yellowish stuff on the roof of the mouth and the lower jaw. What could be the reason for this? During this period, the baby was given 12 Yinzhihuang and 15 Mamiai. It hasn't improved yet. Could this affect the baby's intelligence? We're planning to go to the hospital in a couple of days for a thorough check. What kind of tests should we do? Thank you.Medical History and Treatment Effects:
My wife is O-negative blood type, and my husband is A-positive. The baby is O-positive. The baby was born via normal delivery at 39+5 weeks. At 34 weeks, the baby stayed in the hospital for 5 days, receiving dexamethasone and magnesium sulfate to prevent premature labor. At 36 weeks, the baby stayed for 3 days and received magnesium sulfate.
Desired Assistance:
Medical consultation and advice on the condition.
Doctor's answer:
Baby has jaundice, bilirubin levels generally decrease by about 10 days. Your baby's bilirubin level measured by transcutaneous method has risen at 12 days, with only mild scleral yellowing, all of which are signs of jaundice gradually fading. As for the yellowish substances in the upper and lower jaws, such as red and swollen pharynx and gums, it is considered an oral infection.Advice: Both your baby and your mother are Type O blood, ruling out hemolytic jaundice. Additionally, the bilirubin level is not high, so it will not cause bilirubin encephalopathy, and it will naturally not affect your baby's brain development. You can rest assured.
For reexamination, blood tests for liver function and complete blood count can be performed.