Patient's question:
Neonatal jaundice persists without improvement (it has been 38 days now, but the jaundice is gradually decreasing), and it is not kernicterus, nor has breast milk jaundice been ruled out. What could be the cause? Is phototherapy effective? How should it be treated?Doctor's answer:
Hello, treatment for neonatal jaundice1. Physiological jaundice generally does not require hospitalization. Sunlight therapy at home, increased intake of glucose water, and oral medications to support the normal intestinal microbiota can help alleviate jaundice.
2. Treatment for pathological jaundice: Neonatal hemolytic disease often occurs in the delivery room or high-risk infant ward. Depending on the condition, treatments such as blood transfusion, phototherapy, and medications may be needed. For jaundice caused by infectious diseases, treatment of the primary illness should be combined with jaundice-reducing therapies.
For breast milk jaundice, sunlight therapy and oral jaundice-reducing medications can be used. If necessary, breastfeeding may be temporarily discontinued for three days (replaced with formula milk for three days) before resuming. Hospitalization is not required. Biliary atresia requires surgical treatment.