What should I do if my child's jaundice does not improve after being exposed to blue light twice for 44 days?

Patient's question:

Now the jaundice level is 19, it's still quite yellow when you look at it with the naked eye, breastfeeding, can eat and drink, in good spirits, and sleeping normally!

Doctor's answer:

Analysis of the condition: Yellow jaundice in children should be paid close attention to. Generally, physiological jaundice subsides within one week. Physiological jaundice typically appears 2 to 3 days after birth, peaks between 4 to 6 days, and disappears between 7 to 10 days. Premature infants have a longer duration of jaundice. In addition to mild loss of appetite, there are no other clinical symptoms. If jaundice appears within 24 hours after birth and does not subside within 2 to 3 weeks, worsens, reappears after subsiding, or begins only after one week to several weeks post-birth, it is considered pathological jaundice.
Advice: Treatment for neonatal jaundice:
1. Blue light irradiation
2. Use enzyme inducers: Phenobarbital is commonly used, with a dosage of 5-6 mg/kg/day.
- Phototherapy can lead to spontaneous recovery.
- Drinking more sugar water can accelerate jaundice subsidence, and treatment may not be necessary.
3. Traditional Chinese medicine for clearing heat, promoting diuresis, regulating qi and blood circulation, strengthening the spleen, and resolving dampness to promote bile discharge and jaundice reduction.

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