Question

A female infant is 17 days old. Her bilirubin level rose to 16.4 on the 6th day, dropped to 10 on the 7th day, and has since remained between 9 and 10. Currently, her diet, sleep, and defecation are normal. She took Yinzhi Huang oral liquid for three days during the peak period but stopped due to concerns about gastrointestinal damage and switched to taking probiotics twice a day. Is it possible that this is pathological jaundice? Besides the hematoma on the scalp, will it affect the bilirubin level? She has been exclusively breastfed since the fifth day after birth. Should she stop breastfeeding to observe? Are there better methods to reduce bilirubin levels? Thank you!

Answer

Based on the description of the infant, the bilirubin level remains elevated. Yinzhi Huang oral liquid can be taken to reduce bilirubin. If there is no improvement after three days, blue light therapy can be considered. It is suggested that the elevated bilirubin level may be related to the scalp hematoma, and Yinzhi Huang oral liquid can be taken to reduce bilirubin; if there is no improvement, blue light therapy can be considered. These are suggestions for a neonate whose bilirubin level rose to 16 on the 6th day after birth. I hope this helps you; wishing you good health!