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Bilirubin Level High in New Born
My baby is born preterm ( 35 weeks 4 days) and he is 18 days old now.At the time of birth,his bilirubin Level is around 13.8. So the doctor suggested we give phototherapy treatment and we discharged at 10.8 level.After 5 days of discharge his bilirubin Level reached around 16.7 again and we admitted again and gave phototherapy treatment for 2 days and discharged again at 10.5 level...Now he is 18 days old and we are afraid whether we will give him the treatment again and again due to fluctuations of bilirubin Level...Baby is perfectly fine physically,he is drinking mother milk and passing urine and sometimes discharge yellow urine and stools.The question is will we have to test for bilirubin level again and again.Till what level is acceptable without admitting to hospital again for the radiation treatment??? Thank you
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Usually there will be some rebound of bilirubin after stopping phototherapy.follow up the baby in the hospital.check once.if the value is above phototherapy range may need admission . Or else mostly needs no treatment .
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We should repeat it and see whether it is reached below 10 which is the safest level and also we should check for other causes of prolonged jaundice if it’s again rising to phototherapy range.
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Rebound hyperbilirubinemia after stopping phototherapy is common. So it is always rechecked after discharge. Being late preterm, by 21 days of life, if your baby is visibly yellow with tsb above 5mg/dl, though phototherapy is not needed, few tests would be done to rule out few causes.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.