What are the symptoms of physiological jaundice in newborns?

Patient's question:

What are the symptoms of physiological jaundice in newborns? My baby reappeared with jaundice just two days after birth, with yellow skin and eyes. Now, in the infant ward, we've been under the light for almost a week, but the jaundice hasn't gone away. I'm worried it's not physiological jaundice but pathological. Expected help: What are the symptoms of physiological jaundice in newborns?

Doctor's answer:

Clinical manifestations 1. Physiological jaundice Mild cases appear pale yellow, limited to the face and neck, or extending to the trunk, with sclera that can turn yellow and fade within 2-3 days, returning to normal skin color by the 5th-6th day. Severe cases also start from the head and spread to the limbs, covering the entire body, with yellow vomit and cerebrospinal fluid that can also turn yellow. The duration can last for more than a week, and in some premature infants, it can persist for up to 4 weeks, with yellow stools and no bilirubin in the urine. 2. Jaundice color Mild cases appear pale, while severe cases have a deeper color, but the skin remains red and slightly yellowish. 3. Jaundice location is most commonly seen on the trunk, sclera, and proximal limbs, generally not extending beyond the elbows and knees.

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