Your baby had persistent jaundice which is now decreasing and he is gaining weight adequately. You have mentioned the direct bilirubin
only in the latest report which is normal. His SGPT and SGOT levels are also almost normal for his age. There are many causes of persistent jaundice and your doctor has ruled out the common causes (hypothyroidism
, G6PD deficiency
, hemolytic anemia
). I would like to know if your child is passing clay coloured stools? If your child has history of passing clay coloured stools you should immediately get an ultrasound
abdomen done and consult a paediatric surgeon.
If he is passing normal green/yellow/brown coloured stools then I agree with your doctor's decision to repeat the tests after 2 weeks. If the bilirubin is
You are giving your child lactulose
since the last 2 weeks for constipation
. Has your doctor discussed the cause for constipation in your baby? Lactulose can be given for a few days for constipation but not continuously and that too not three times a day. Please discuss this with your doctor and adjust the dose and duration accordingly. But more importantly what is the cause for his constipation. If your baby is breast fed then such severe constipation needs to be worked up for a cause. On the other hand formula feeding is known to cause constipation - please ensure you are using correct dilution and you can try changing the brand of formula which you are using.
Hope that helps.
Wishing you good luck.