Question

The newborn is 25 days old and had a slightly elevated jaundice level (11.7), having taken a Senna granule. The doctor asked if there was a situation where the baby frequently made grunting noises and strained while stretching, to which the answer was yes, accompanied by a flushed face. The doctor suspected possible brain hypoxia and recommended a CT scan. The jaundice has subsided, and the question is whether a CT scan is needed in this situation and whether a CT scan has any effects on infants.

Answer

Based on the description, the possibility of neonatal hypoxic-ischemic encephalopathy cannot be ruled out. Inquiry was made about any abnormal birth history, such as maternal pregnancy hypertension, anemia, umbilical cord entanglement, and difficulty breathing after birth. Currently, the baby’s grunting and straining while stretching may be due to excitement caused by regurgitation. It is recommended to carefully examine the CT for further diagnosis. The doctor also inquired about any abnormal birth history.