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Neonatal jaundice
Causes of recurrent neonatal jaundice
Neonatal jaundice is one of the common symptoms during the newborn period, especially in early newborns. It can be a symptom that appears in the normal development process, or it may be a manifestation of certain diseases. Generally, neonatal jaundice is divided into physiological jaundice and pathological jaundice. Typically, physiological jaundice gradually increases to a certain level and then subsides, and does not recur. If the jaundice recurs, or if it significantly increases after decreasing, or reappears after subsiding, it is definitely pathological jaundice. Pathological jaundice has many possible causes, commonly including infections, hemolysis, or other genetic metabolic diseases, or some red blood cell disorders, all of which can affect the recurrence of jaundice. Therefore, if the jaundice recurs, it is advisable to visit a hospital. A neonatologist will conduct relevant examinations based on the baby's condition to confirm if it is pathological jaundice. The cause should be clearly identified for targeted treatment, followed by symptomatic treatment, and timely intervention is necessary.
Does neonatal jaundice need medication?
Neonatal jaundice is one of the common symptoms in newborns, especially in early newborns. It is a symptom that occurs in the normal development process of newborns, but it may also be a manifestation of certain diseases. Therefore, neonatal jaundice can be a normal phenomenon, but sometimes it may be pathological. Generally, physiological jaundice, which is the normal condition, does not require intervention. Once the jaundice reaches a certain level, it will gradually subside, and the baby generally remains in good condition. At home, it is only necessary to regularly monitor the jaundice without too much worry. If the jaundice appears early and progresses quickly, it may be appropriate to take some medication to reduce the bilirubin. If the jaundice continues to rise, or the baby has other discomforts, it is then necessary to go to the hospital promptly where a neonatologist will conduct relevant examinations and intervene with timely treatment if necessary.
How to test for neonatal jaundice?
Neonatal jaundice is relatively common during the newborn period, with about 80% of full-term babies showing visible yellowing of the skin. Typically, jaundice is measured using a jaundice meter, such devices are available in common community hospitals as well as in major hospitals like People's Hospital or maternity and children's health facilities, or other comprehensive hospitals. This is generally done through transcutaneous bilirubin measurement. If the transcutaneous bilirubin levels are high, it is necessary to determine the specific degree of jaundice, at which point a blood test to check liver function is required to assess the bilirubin levels more precisely.
What is considered high for neonatal jaundice?
Neonatal jaundice is common during the neonatal period and can be divided into physiological jaundice and pathological jaundice. Physiological jaundice does not require intervention or treatment, and the baby's condition is generally okay. For physiological jaundice, the bilirubin level typically does not exceed 6 within the first 24 hours after birth, then not exceeding 9 from 24 to 48 hours, not exceeding 12 from 48 to 72 hours, and not exceeding 15 after 72 hours. If the monitored bilirubin levels exceed these ranges, there may be pathological jaundice, indicating abnormally high levels.
Newborn jaundice can be divided into several types.
Neonatal jaundice is one of the common symptoms during the neonatal period, especially in early newborns. It can be a symptom of the normal developmental process of newborns, or it can be a manifestation of certain diseases. Neonatal jaundice is relatively common in newborns, with about 80% of full-term infants visibly showing jaundice. Jaundice is classified into physiological jaundice and pathological jaundice. If it is pathological jaundice, there are different classifications. Based on different characteristics of bilirubin elevation, it is divided into high direct bilirubinemia and high indirect bilirubinemia. Physiological jaundice does not require intervention. However, if it is pathological jaundice, it is necessary to clarify its classification and determine which type it belongs to. Generally, if it is pathological jaundice, timely intervention and treatment are needed. If untreated, and if the jaundice level significantly increases, it may lead to serious complications.
Which department should a newborn with jaundice go to?
If a newborn has jaundice, it is first necessary to distinguish whether it is physiological jaundice or pathological jaundice. For physiological jaundice, it is self-healing, so there is no need to visit a hospital. As for pathological jaundice, it occurs within 24 hours after birth, or the daily increase in jaundice is particularly large, exceeding the normal range. In such cases, the child should be taken to the hospital for timely medical treatment. Generally, for general hospitals, it is appropriate to visit the pediatric department. If it is a children's hospital or a municipal maternal and child health hospital, then the child should be taken to the neonatology department. Neonatologists will actively treat the child's jaundice and, as a rule, pathological jaundice requires hospitalization.
Neonatal jaundice bath Chinese medicine
Neonatal jaundice is called "fetal jaundice" in Traditional Chinese Medicine (TCM). It primarily refers to infants born with jaundice as the main symptom, characterized by yellowing of the skin and facial area. This condition is related to prenatal constitution, hence it is also known as fetal jaundice or fetal dyspepsia. The causes of fetal jaundice are divided into internal and external factors. Internal factors involve the fetus being affected by the toxins of damp-heat or the evil of deficient-cold and damp-cold from the mother. External factors mainly include the baby being affected by damp-heat or cold-damp evils during or after birth, with damp-heat evils being more common. The main affected organs are the liver, gallbladder, spleen, and stomach, with the key pathogenic mechanism being prenatal damp retention. Commonly used Chinese herbal baths for neonatal jaundice, particularly suitable for damp-heat type jaundice, are generally selected based on the specific conditions of the child, adjusting formulas like Yinchenhao Tang to tailor to the exact pattern of the baby.
Will newborn jaundice cause the ears to turn yellow?
Neonatal jaundice is one of the common symptoms in neonates, especially in early newborns. It can be a symptom of normal development in newborns, or it can be a manifestation of certain diseases. Jaundice is generally divided into physiological jaundice and pathological jaundice, with the main symptom being the yellowing of the skin and mucous membranes. Typically, jaundice starts from the face and then spreads to the trunk and limbs. If the degree of jaundice is relatively severe, yellowing will appear on the entire body, including the ears. Generally, if the baby is visibly yellow, it is advisable to monitor the jaundice. If the jaundice value is significantly high and confirmed to be high in the blood, it is considered pathological jaundice, and it is recommended to seek timely intervention and treatment.
Is a bilirubin level of 20 high for a newborn?
If a newborn's skin jaundice reaches a level of twenty, it is a warning sign that the jaundice is significantly elevated. It is advised to promptly go to the hospital for an examination. If the bilirubin levels in the blood are indeed that high, timely intervention and treatment are necessary. Normally, for physiological jaundice, the levels should not exceed fifteen after seventy-two hours in infants. Even during the peak period of four to five days, it should not surpass fifteen. If the jaundice noticeably increases within the first three days and exceeds twenty, the severity of the jaundice might be worse. The younger the newborn, especially with levels above twenty, the higher the risk of bilirubin entering the brain, potentially leading to bilirubin encephalopathy. Therefore, with jaundice reaching twenty, it is still recommended to promptly go to the hospital for intervention and treatment.
Do newborns with jaundice love to sleep?
In newborns with jaundice, it is important to determine whether it is physiological or pathological jaundice. Typically, babies with normal physiological jaundice are generally in good condition, able to eat and sleep well. If they are hungry or uncomfortable, they will cry and wake up. However, if a baby continuously sleeps without waking up for a long period of time, does not wake up even when stimulated, it might indicate a condition of excessive sleepiness, which then falls into a pathological state. If the jaundice significantly worsens and affects the brain, it is often referred to as bilirubin encephalopathy, which might initially manifest as excessive sleepiness. Severe infections or other diseases can also present excessive sleepiness as a symptom. Therefore, if you notice that the baby is sleeping significantly more than usual, and appears lethargic and unresponsive, it is advisable to seek medical attention promptly.