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 30sec home-news-image

The harms of neonatal jaundice

Neonatal jaundice is one of the common symptoms in newborns. It can be a manifestation of normal development in newborns, or it could be a symptom of certain diseases. Generally, neonatal jaundice is classified into physiological jaundice and pathological jaundice. Babies with physiological jaundice are generally in good condition and the jaundice will quickly recede, having little impact on the baby and posing no harm. However, if the jaundice appears early, progresses quickly, is severe, or lasts for a long time, it is then considered whether it might be pathological jaundice. Pathological jaundice could be an external manifestation of some diseases, such as severe infections, where intense jaundice might be the only symptom. If such cases of jaundice are not promptly intervened and treated, they could lead to kernicterus, potentially affecting future cognitive and auditory function, or even causing significant developmental delays in motor skills. Additionally, if there is abnormal liver and gallbladder function and elevated jaundice is not treated in time, severe cases can lead to liver failure. Significant liver failure can be life-threatening. Therefore, for pathological jaundice, timely medical intervention and treatment are recommended.

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Written by Zhang Xian Hua
Pediatrics
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Newborn jaundice should visit which department?

Which department to visit for neonatal jaundice depends on the child's specific situation and the departments available in the hospital. For hospitals with only a general pediatrics department, it is advisable to visit the pediatric outpatient clinic during normal working hours and the pediatric emergency department during non-working hours such as noon, evenings, weekends, and holidays. In specialized children's hospitals, if the jaundice is in a preterm infant, then the preterm infant clinic should be visited. If it is a normal full-term infant, a visit to the neonatology outpatient clinic is generally sufficient. However, if there is a suspicion that the baby's jaundice might be caused by surgical factors, such as congenital biliary atresia or choledochal cyst, then a visit to the hepatobiliary surgery clinic is advised.

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Written by Li Jiao Yan
Neonatology
1min 18sec home-news-image

How long should a newborn with jaundice be exposed to sunlight each day?

Neonatal jaundice is one of the common symptoms in newborns, usually appearing early in the neonatal period. It is normal for babies to exhibit signs of jaundice, typically appearing on days 2-3, peaking around days 4-5, and then subsiding within two weeks. If the baby's jaundice levels are high and close to pathological values during the peak period, it's advisable to expose them to some sunlight. It's recommended to sunbathe the baby during the early morning or late afternoon when the sun is gentle but not too hot or too cold outside, and when there is not much wind. Sunbathing for jaundice requires direct skin exposure without the interference of glass, so ideal times are from 10 to 11 A.M. or between 3 to 4 P.M., usually for about half an hour to one hour. Care should be taken to avoid direct sunlight on the eyes and if the skin shows obvious signs of reddening, sun exposure should be stopped to prevent sunburn, as newborn skin is delicate. If jaundice seems significantly worse or rebounds noticeably, it is recommended to see a doctor who can decide if medical intervention is necessary and treat the condition promptly.

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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 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.