Patient's question:
BR> Patient gender: Male. The child began showing jaundice 3 days after birth and it did not subside after 36 days. Hospital examination revealed a total bilirubin level of 305.0 μmol/L, direct bilirubin of 43.3, indirect bilirubin of 261.7, and total bile acid of 112.3. All other tests were normal. The child was hospitalized for 5 days, and upon discharge, the examination showed a total bilirubin of 152.4, indirect bilirubin of 130.8, and direct bilirubin of 21.6. A week later, a follow-up examination was conducted, which revealed a total bilirubin of 107.3 μmol/L, direct bilirubin of 36.5, indirect bilirubin of 70.8, and total bile acid of 134.5 μmol/L. PleaseDoctor's answer:
The current bilirubin level of the child has indeed decreased, but is the skin still yellow? In fact, there are many reasons for neonatal jaundice. Prolonged jaundice could be caused by viral hepatitis, neonatal hemolytic disease, biliary atresia, breast milk jaundice, or some congenital genetic metabolic diseases such as hyperammonemia, tyrosinemia, galactosemia, etc. This would require additional tests.