Question

After about two days of observation, the bilirubin level was found to be 299.4. Is this considered severe jaundice? The parents’ blood types are O and B, can the possibility of hemolytic jaundice be ruled out?

Answer

Based on the provided information, hemolytic jaundice can be ruled out since the father’s blood type is O and the mother’s is B. There are various reasons that can lead to elevated indirect bilirubin levels, and it is necessary to visit a regular hospital for a comprehensive examination to determine the specific cause of the elevated indirect bilirubin levels and take appropriate treatment measures. Elevated indirect bilirubin levels are typically caused by two types of diseases, namely hemolytic jaundice and hepatocellular jaundice. The causes of hemolytic jaundice may include blood type incompatibility during blood transfusions, as well as common situations such as neonatal jaundice. Hepatocellular jaundice is due to liver cell damage, leading to impaired metabolic ability of the liver.