How does neonatal jaundice resolve quickly?

Written by Li Jiao Yan
Neonatology
Updated on September 08, 2024
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Neonatal jaundice is one of the common symptoms during the newborn period. It can be divided into physiological and pathological jaundice. Physiological jaundice typically appears in full-term infants two to three days after birth and peaks around the fourth to fifth day. It usually subsides around ten days and generally doesn't last more than two weeks. Physiological neonatal jaundice typically doesn't require intervention. If it is pathological jaundice, where the jaundice progresses quickly and is severe, it is important to consider whether hospital treatment is necessary. The quickest and most effective treatment for severe jaundice is phototherapy with blue light to reduce the bilirubin levels. Additionally, if there are pathological causes, such as infection or hemolysis, treatment should target these underlying causes. Even though phototherapy can reduce bilirubin levels, jaundice may rebound if the underlying issues are not promptly controlled. Therefore, treatment of pathological jaundice should focus on addressing the causes and symptomatic phototherapy.

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Written by Li Jiao Yan
Neonatology
1min 3sec home-news-image

What is the normal bilirubin value for newborn jaundice?

Neonatal jaundice is the most common occurrence during the newborn period, and it is routine to monitor jaundice in babies after birth until they are one month old. During the peak period of jaundice, the frequency of testing tends to increase. Normally, we say that jaundice levels should not exceed 6 within 24 hours, 9 within 48 hours, 12 within 72 hours, and ideally not exceed 15 after 72 hours. If the levels are higher than these values, or if the jaundice progresses too quickly, meaning that the rate increases by more than five milligrams per deciliter every twenty-four hours, this might indicate a pathological condition. In such cases, it is advisable to go to the hospital promptly for a specialist neonatologist to conduct a detailed examination of the baby to see if intervention is needed. Generally, if the baby's jaundice level has risen, it is best to monitor jaundice daily whenever possible after two weeks.

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Written by Li Jiao Yan
Neonatology
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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.

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Written by Li Jiao Yan
Neonatology
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How to treat neonatal jaundice

Neonatal jaundice is the most common phenomenon during the neonatal period and generally falls into two categories: physiological jaundice and pathological jaundice. As the name suggests, physiological jaundice is a normal physiological phenomenon. It typically appears in full-term babies on days 2-3, peaks on days 4-5, and gradually decreases around day 7, and completely subsides within two weeks. This type does not require intervention as the baby is generally in good condition and usually does not need treatment. Jaundice that appears early, progresses quickly, is severe, or lasts a long time is considered pathological jaundice. The diagnosis of pathological jaundice is generally made by a doctor. It is recommended that babies be monitored daily for jaundice within the first two weeks after birth. Based on the bilirubin levels, if it is high, it is advisable to seek a thorough examination from a neonatologist. Pathological jaundice requires timely intervention, especially considering liver function. If there is a significant increase in indirect bilirubin, this type of jaundice can be neurotoxic. Persistent high jaundice might affect the brain, so prompt intervention is necessary. Hospitalization for jaundice treatment will depend on the cause, and treatment will be symptomatic. The cause might be other pathological factors; removing the cause while treating the jaundice is the usual approach. Common treatment for high indirect bilirubin involves phototherapy. If conjugated bilirubin is elevated, the underlying cause might be more complex and treatment more challenging. Therefore, if jaundice is detected and there is uncertainty, it is advised to promptly visit a hospital for intervention by a neonatal specialist and necessary treatment.

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Written by Shi Ji Peng
Pediatrics
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What are the symptoms of neonatal jaundice?

Neonatal jaundice generally appears on the 2nd to 3rd day after birth and can manifest with yellowing of the skin, conjunctiva, and oral mucosa. The degree of jaundice varies, usually more noticeable on the face and chest, but not present on the palms of the hands or soles of the feet. It is most apparent on the 4th to 6th day after birth. The duration of jaundice also varies; in full-term infants, jaundice typically subsides within 10-14 days after birth, whereas in premature infants, it can last until the third or even the fourth week. During this period, infants with physiological jaundice are generally in good condition without any other discomfort and do not require treatment. However, pathological jaundice must be investigated for its cause. Pathological jaundice is primarily characterized by an early onset, severe degree, prolonged duration, or recurrence of jaundice. In such cases, it is classified as pathological jaundice, and it is crucial to actively search for the cause and treat accordingly based on the identified cause.

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Written by Li Jiao Yan
Neonatology
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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.