Causes And Treatment Of Yellow Skin In Infants Aged 1 Month?

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, my child is 1 month and 1 day old, because I still have the yellow color for a blood test and the blood test results are total bilirubin 13.3, direct bilirubin 0.7. SGOT 31, SGPT 17. from this result what is the danger. what is the normal limit of bilirubin for children 1 month? and how to handle it? Previously it was brought to DSA but DSA said it was breastfeeding jaundice. do i need to stop breastfeeding and switch to sufor?

1 Answer:

Thank you Rinaki for your question on the HealthReplies.com forum, jaundice is often known as jaundice. This condition can be experienced by various ages, both children and adults. Where this condition is usually associated with a substance called bilirubin, where bilirubin is a substance from the breakdown of red blood cells which can cause a yellowish color, if the amount is excessive in the body. In addition, this excessive amount of bilirubin can also cause other problems if the levels are very high in the body such as seizures, liver damage, or damage to brain cells. Jaundice in babies can be caused by various conditions such as:
- breast feeding jaundice
- breast milk jaundice
- physiological
- blood disorders
- blood infection

Breast feeding jaundice is a jaundice in infants which is usually caused by the baby not getting enough milk (this condition usually occurs early in life around the age of 4-7 days). Where enough breast milk consumption can help bowel movements in babies, so that it can help remove the bilirubin that has accumulated in the digestive tract. In general, the inadequate consumption of breast milk is caused by the wrong attachment of the baby's mouth to the mother's nipple, so that the baby does not suck breast milk properly. In addition, this condition will usually improve as breastfeeding is started properly. Unlike the condition of breast milk jaundice where this condition is caused by a substance in breast milk that affects the breakdown process of bilirubin in your little one, which ultimately leads to an increase in bilirubin levels. Where this condition can usually arise at the age of 7 days, and can last 3 to 12 weeks. In this situation, breastfeeding is still in controversy whether it should be given or not, but some literature states that breastfeeding is still recommended to be given with a note that it needs to be checked regularly, and if the bilirubin level reaches a risky level of around 20mg / dL then breast milk can be stopped temporarily while observing and evaluating the following day.

Regarding bilirubin levels in infants, usually bilirubin levels that exceed levels of 5 to 7 mg / dL can be said to have high bilirubin levels. However, this condition may not be recommended to get therapy such as phototherapy or exchange transfusion, because the recommended bilirubin levels for such therapy are generally higher, which is above 20 mg / dL (because of the risk of causing other complications such as brain nerve cell disorders) . However, in such a condition, you still need to consult again with the relevant pediatrician to carry out periodic checks to monitor the development of the current condition of your child.

Here are articles about bilirubin levels and breast milk jaundice

That's all from me, hope it can help
dr. Christian Chandra

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