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Infant with Jaundice, low Neutrophils and Lymphocyte count, given phenobarbitone syrup. Suggestion?

hello doc.... this is priya karthikeyan and i am a dental surgeon. my one month old son master.mohith has been diagnosed for jaundice , hence few tests were taken in which his neutrophils count is 25, lymphocyte is 69, in liver function test his sgot is 81 and sgpt is 39 and serum gamma gt is 152. his abdominal scan is also normal..other tests are normal. please explain me the reason for abnormal levels. my pediatrician asked me to give phenobarbitone syrup 2ml twice for a week for mohith. why this medication when his bilirubin total is 10.2 , bilirubin direct is 0.8 , and bilirubin indirect is 9.4 ? please help me....
Asked On : Mon, 14 Jan 2013
Answers:  1 Views:  119
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
Your son is having jaundice his age is 1 month, in this age there are few possibilities which are most common,intially enzyme glucuronosyltransferase which normally converts unconjugated bilirubin to conjugated bilirubin that can be excreted into the gastrointestinal tract may be there.
By this age physiological jaundice should improve,
Other problem may be breast feeding jaundice and breast milk jaundice.
Usually sunlight or photo therapy is good enough.
But if your Pediatrician has given phenobarbitone it is known hepatic enzyme inducer so as to induce enzyme and convert unconjugated bilirubin to conjugated one and improve it fast.
Take care
Best of Luck.
Answered: Mon, 14 Jan 2013
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