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What Causes Increased Bilirubin Levels In Infant?

Posted on Tue, 27 Jan 2015

Question: My wife had C-section on 16-dec-2014 coz of the loop chord entangled around the baby neck.However the baby & the mother both were fine but my baby girl's bilirubin level increased on the third day & she ws kept in double phototherapy fr total 4 days & gardinal ws gvn to her orally twice every 24hrs...on 21st her bilirubin reduced to 11.5 frm 16.5 on 18th dec..and after continuing phototherapy fr more 24 hrs finally got discharged and ws advised sunshine fr half an hr twice a day for 15 days..she is much better thn before bt still area around her lips and chin and neck looks little yellow..just want to knw by wen it will get completly cured???

Answered by Dr. Richa Agarwal (6 hours later)

Brief Answer:
3-4 weeks to one month.

Detailed Answer:
Hi,

Thanks for writing once again to me and believing me.

Congratulation!

I can understand your concern here.

As your infant is having yellow skin above her umbilicus the level of bilirubin is not harmful to her.

Normally the level of bilirubin becomes normal (less than 2mg/dl) in 2-3 weeks times, but sometimes yellow skin becomes normal in one month time.

In exclusive breastfed baby it may take more than a month also but because the levels are low there is no need to worry.

Hope it is useful, feel free to ask more.

Good luck.
Regards
Dr.Richa

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (4 hours later)

Thnk u so much XXXXXXX .
We went to the municipal hospital recently just to ensure everything is ok...there also doctor said no need to worry & prescribed A to Z drop..5-5 drops a day...its a multivitamin drop, multimineral & lysin content drop bt we hv nt givn it yet to the child...shud it b gvn to the baby??

Also coz our hospital ws private they hd not gvn BCG, OPV & Hepatitis B to the baby & asked us to get it frm any govt hospital within a month as they hv fresh stock..
However yesterdy in municipal hospital they hd gvn her only BCG & OPV bt hepatitis B ws nt gvn and hd ask us to visit after 1 mnth fr another vaccine..
Want to knw y they hd nt gvn hepatitis B vaccination??
Shud i visit and ask them again or shud i ask r gynaec??

Answered by Dr. Richa Agarwal (5 hours later)

Brief Answer:
Give her hepatitis-B vaccine now and vitamin -d drops.

Detailed Answer:
Hi XXXX,

Nice to hear from you once again

You are welcome here always.

You should vaccinate your little one with hepatitis-B vaccine now and at the age of 1 month and 6 months (0, 1 and 6).

Just inquire your doctor for the same.

As your infant is on exclusive breastfeeding, she requires vitamin-D drops because it is low in breast milk and it is a vital vitamin for baby growth.

Multivitamin drops supplementation as such not require in healthy newborn. But this medication is safe you can give.

Hope it is useful, feel free to ask more.

Good luck.
Regards
Dr.Richa

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju