Question
The newborn developed jaundice three days after birth. The condition was not monitored after discharge, and around 20 days later, chorioretinal jaundice was discovered. No treatment was received. At 31 days old, the baby still had a yellowish complexion, with yellowish spots appearing on the body. A blood test showed a total bilirubin level of 333, and one indicator (alkaline phosphatase) was over 300. The baby was given “Yinzi Huang Granules” and an additional milk feed in the morning and afternoon each day. Ten days later, the chorioretinal jaundice gradually subsided. Currently, the baby is 60 days old and still has a slightly yellowish skin tone with a little yellow in the conjunctiva.
Answer
Based on the provided information, the child may have neonatal jaundice. Neonatal jaundice occurs due to incomplete liver development in newborns, leading to the inability to metabolize bilirubin normally in the blood, causing jaundice. Treatment includes phototherapy and medication. If treated promptly, neonatal jaundice usually does not develop into a severe form. The child is currently undergoing medication and phototherapy with signs of jaundice reduction. It is recommended to continue monitoring the child’s jaundice status and adjust the treatment plan under the guidance of a physician. Generally, there is no need to be overly concerned if the child does not show symptoms of the nervous system, such as seizures or coma. Wishing for the child’s healthy growth.