Is newborn jaundice of 20 requiring hospitalization?

Patient's question:

When the grandson was born four days ago, he had some yellowing on his body. The hospital check showed a jaundice level of 20. Where we are is relatively backward, and it's a small hospital, so we don't feel very confident. Therefore, we want to ask the pediatric expert if a jaundice level of 20 in a newborn requires hospitalization.

Doctor's answer:

Neonatal jaundice can be divided into physiological jaundice and pathological jaundice. Physiological jaundice refers to transient jaundice caused solely by the characteristics of bilirubin metabolism. It occurs 2-3 days after birth, peaks between 4-6 days, and resolves within 7-10 days. In premature infants, it lasts longer. Except for mild anorexia, there are no other clinical symptoms. The jaundice index is currently significantly elevated. Considering the possibility of pathological jaundice, it is best for the hospital to use blue light therapy. Additionally, giving the child appropriate amounts of water can also help alleviate jaundice.

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