Patient's question:
Baby was tested for jaundice at 48 hours and the value was 220. The doctor said it was fine and to wait and see. At 27 days, the baby was tested again and the value was 20.3. The doctor said I have O blood type and there's a risk of hemolysis. Later, we went to the city children's hospital where they said it couldn't be hemolysis and ordered a blood test for the liver and prescribed some medication to take home. We followed up for three more days of blue light treatment and took medicine intermittently for over ten days. At 44 days, the baby was tested again and the value dropped to 9.7. We were told to continue taking medication at home. However, there are a few red blood vessels on the face, some redness at the corners of the eyes, and yellowish sides of the mouth. What could be the reason?Doctor's answer:
Disease Analysis: The baby's jaundice level was high at 48 hours after birth. Considering the mother's blood type is O, it is recommended to check the baby's blood type. If the baby is not O-type, combined with a history of jaundice, the possibility of neonatal hemolytic disease is still very high. Now the baby is 44 days old and still has jaundice, which should be classified as pathological jaundice.Recommendation: It is suggested to perform liver function tests, thyroid function tests, and liver and bile duct ultrasound to guide treatment.