Question
The newborn’s bilirubin level is approximately 15, and they are about 8 days old. After being hospitalized and discharged, they continued breastfeeding for 4 days post-discharge. However, the bilirubin level did not decrease; on re-examination, it was found to have increased, accompanied by scalp rash and whitish urine. Additionally, after 6 days of further treatment, it was discovered that the direct bilirubin content was elevated.
Answer
If a baby presents with jaundice and elevated bilirubin levels, particularly with a predominance of direct bilirubin, this may be a sign of congenital bile duct atresia or developmental abnormalities in the bile ducts. It is advisable to seek professional advice from pediatric surgery to assess whether surgical treatment is necessary.