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Child has prolonged jaundice. Done tests. Normal reports?

hello sir, my baby male is 3 month 4 days old was having prolonged physiologcal jaundice for which all test were normal as told by paediatrician and they declared it as breast milk jaundice ALL REPORTS DONE by MD Pathologist previous reports dated 30/09/12 Total bili: 13.02 Direct: 2.34 indirect:10.68 sgpt:92.2 sgot:126 alk phos: 467.31 total proteins:5.10 reports dated 02/10/12 Total bili: 12.87 Direct: 3.21 indirect:9.66 , but today i have done his LFT which is as follows 22/11/2012 Total bili: 1.75 Direct: 1.45 indirect:0.30 sgpt:66 sgot:59 alk phos: 828.48 are these reports normal, should i repeat with other lab or wait for 15 days & then repeat
Asked On : Sun, 25 Nov 2012
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Pediatrician, Cardiology 's  Response
Breast milk jaundice is a very common cause of prolonged jaundice in neonates.
Most of the times it is a diagnosis of exclusion and may take 12-15 weeks for serum bilirubin to become normal.

Initial investigations are suggestive of indirect bilirubinemia ( common in breast milk jaundice). Your recent report is showing decreasing bilirubin levels but still values are above normal. In this report direct bilirubin is higher than normal which is not usual in breast milk jaundice.

But as your baby is asymptomatic and all other causes have been ruled out previously, I would suggest you to repeat the test after two weeks.
Answered: Sun, 25 Nov 2012
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