Bilirubin 18.2, Is It Safe?

Good afternoon Doctor, introduce me to Philip, the parent of a baby born July 18 2018.

1 Answer:

Hello Philip Wong.


Bilirubin is a yellow pigment in blood and feces, bilirubin if not processed properly by the liver can cause an increase in bilirubin levels in the blood. In newborns, jaundice can occur due to an increase in bilirubin which is physiological (due to normal processes) usually occurs on the second and third days and disappears in the first 10 days or pathological (medical condition disorders) usually occurs within the first 24 hours and persists until after The first 2 weeks with increases that can exceed 5 mg per day.


Normally bilirubin in newborns is below 5 mg / dL, if mild jaundice occurs, it usually does not require therapy or medical action, often due to lack of breast milk intake or can be dried in the morning sun for 10 minutes. Action needs to be done immediately if the bilirubin level is more than 15 mg / dL in infants aged 1-2 days, levels greater than 18 mg / dL from 2-3 days, and more than 20 mg / dL in children older than 3 days. In heavier jaundice can be characterized by a wider yellowing of the baby's skin where if the level is more than 20 mg / dL it can occur up to the hands and feet. If this happens, an examination and action by a pediatrician is necessary.


Give breast milk to children more often at least 8-12 times in 24 hours and expose them to the morning sun between 7-9 days for 10 minutes each day to help lower the child's bilirubin levels. Also check the child regularly at the doctor to monitor his condition.


May be useful,


dr. Adhi P.

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