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 Need opinion on my baby's jaundice condition

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SUSslimey
post Jan 27 2016, 04:27 PM


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QUOTE(doodleman @ Jan 27 2016, 04:26 PM)
she was born at 38 weeks. is that considered normal?
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yes. that's term.
SUSmechanicalKB
post Jan 27 2016, 04:39 PM

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QUOTE(doodleman @ Jan 27 2016, 12:39 PM)
Hey guys, my baby's bilirubin reading just hit an all time high of 262 (prolonged jaundice btw). So, the KK gave me a referral letter to go to the hospital for further actions to be taken. So i went to Putrajaya hosp on the same day, hoping to get phototherapy for my baby, and to my horror, the nurse at the pediatric counter told me that she would give me a scheduled consultation for next wednesday! After being stunned a little, i asked her can it wait that long?! She replied that my baby is only 17 days old and they only look after babies who are 21 days and/or older. WTF?!

What should i do? i'm considering going to a private hospital now as i worry if i wait for wednesday it'll be too late and the bilirubin levels might increase some more. Any suggestions? should i wait? So worried!
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our kids had jaundice too and was hospitalized for a few days but then
after not much improvement we self discharged him and did some traditional
practice and within the same number of days that he spent in the hospital
he was back to normal again

went back to the hospital to do checking that's what they are good for
scanning and checking but not healing, and they said whatever you did
just continue la he is ok already, we don't need to know what you did
goodbye


















rapple
post Jan 27 2016, 05:03 PM

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QUOTE(doodleman @ Jan 27 2016, 04:26 PM)
she was born at 38 weeks. is that considered normal?
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yup normal. no worries bro, jaundice is normal and as 1st time parents we tend to get a bit too panic at times.. haha

We didn't go to government clinic due to the attitude of the nurses that came to our house. Simply write on the paper said jaundice level at a high level. How they measure? just use eye see only ~ ! mad.gif

I think my baby jaundice goes away around 1 month plus naturally.



SUSslimey
post Jan 27 2016, 05:45 PM


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QUOTE(rapple @ Jan 27 2016, 05:03 PM)
yup normal. no worries bro, jaundice is normal and as 1st time parents we tend to get a bit too panic at times.. haha

We didn't go to government clinic due to the attitude of the nurses that came to our house. Simply write on the paper said jaundice level at a high level. How they measure? just use eye see only ~ !  mad.gif

I think my baby jaundice goes away around 1 month plus naturally.
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Yes. Use eye can see.

Estimate is quite accurate if child never exposed to phototherapy or sun light.
If jaundice up to head 50, up to neck 100, upper chest 150, upper abdomen 200 below belly button 250, hands and feet 300.
SUSslimey
post Jan 27 2016, 05:53 PM


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QUOTE(mechanicalKB @ Jan 27 2016, 04:39 PM)
our kids had jaundice too and was hospitalized for a few days but then
after not much improvement we self discharged him and did some traditional
practice and within the same number of days that he spent in the hospital
he was back to normal again

went back to the hospital to do checking that's what they are good for
scanning and checking but not healing, and they said whatever you did
just continue la he is ok already, we don't need to know what you did
goodbye
*
A lot depends on the age of the child.

Day 1 jaundice is always a big sign of problem and must be hospitalized.
Day 2-14 jaundice can be physiological or pathological. If no other sign other than jaundice, then the indication for phototherapy depends on the age of child, weight, blood type, any g6pd, and whether the child is term or not.
Day 14 and above is considered prolonged jaundice ( above day 21 for preterm child) and phototherapy is not required but need to investigate cause of prolonged jaundice( urinary tract infection, breast milk jaundice, hypothyroidism, etc). If all investigation is normal result, then conclude is breast milk jaundice which is not harmful and no treatment is required.
TSdoodleman
post Jan 27 2016, 06:56 PM

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QUOTE(slimey @ Jan 27 2016, 04:27 PM)
yes. that's term.
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so r u suggesting i should stick to next wednesday's appointment?
SUSslimey
post Jan 27 2016, 06:58 PM


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QUOTE(doodleman @ Jan 27 2016, 06:56 PM)
so r u suggesting i should stick to next wednesday's appointment?
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I need to know the previous levels and days of life the level is at first to be on the safe side

Oh and if you don't mind, can pm me the referral letter to have a look also. I am curious why the doctor refer to hospital.

This post has been edited by slimey: Jan 27 2016, 07:01 PM
chamelion
post Jan 27 2016, 07:03 PM

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Rather refer in lyn; why not drop by medical center for 2nd opinion?

If you can afford; why not?

Once have diagnose; then only you choose where to treat.
sonerin
post Jan 30 2016, 10:40 PM

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My twins had prolong jaundice and they are born in putrajaya hospital. Both are breast feed. When to the hospital and same thing is advice to give as much breast milk as possible as that is one good natural cure. Every morning around 8am let them sun bath for 15 mins. It did take some time to get to normal but is all ok. If I remember correctly about 2 months before the jaundice completely gone
TSdoodleman
post Jan 31 2016, 03:13 PM

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i brought her to pte hosp and the doctor there said i should wait for the wednesday appointment as her bili lvls were quite consistent and not at critical level yet. critical being above 300-350. so, i feel much relieved now. at least have a peace of mind.
NoNameSake
post Jan 31 2016, 03:16 PM

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may i ask. do you or your spouse are O blood type?
TSdoodleman
post Jan 31 2016, 03:40 PM

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QUOTE(NoNameSake @ Jan 31 2016, 03:16 PM)
may i ask. do you or your spouse are O blood type?
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yes, me
NoNameSake
post Jan 31 2016, 05:01 PM

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QUOTE(doodleman @ Jan 31 2016, 03:40 PM)
yes, me
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FYI if one of the parent of a child that are O type blood, the child have the highest percentage having high jaundice level, if for normal parents that aren't O type blood, the jaundice will recover after a few weeks or by giving the child BF milk every 2 hours. that's why your son jaundice will only recover after a few month, i know this because my cousin husband is O type blood and their son jaundice only recover after 6 month, they have to go to the hospital often to take blood test, but don't worry, always BF your child, and always on the alert and follow the doctor advise because if your son jaundice doesn't reduce, your child might have to do blood transplant, that one thing u must worry....
SUSslimey
post Jan 31 2016, 05:28 PM


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QUOTE(NoNameSake @ Jan 31 2016, 05:01 PM)
FYI if one of the parent of a child that are O type blood, the child have the highest percentage having high jaundice level, if for normal parents that aren't O type blood, the jaundice will recover after a few weeks or by giving the child BF milk every 2 hours.  that's why your son jaundice will only recover after a few month, i know this because my cousin husband is O type blood and their son jaundice only recover after 6 month, they have to go to the hospital often to take blood test, but don't worry, always BF your child, and always on the alert and follow the doctor advise because if your son jaundice doesn't reduce, your child might have to do blood transplant, that one thing u must worry....
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Eem. Some corrections.

Blood type matters because of possibility of something called abo incompatibility. It can happen when mother blood group is o and baby blood group is not o. Anti-a and anti-b antigen from mother can be present in baby blood in such cases and can cause hemolysis in baby increasing the bilirubin level.
Anyway, this is usually a factor in the first week or so. Not in prolonged jaundice.
Exchange transfusion is not needed in prolonged jaundice also.
nkte5207
post Jan 31 2016, 05:32 PM

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don't pandai pandai become doctor yourself la. if all of u so clever, people don need to spend 5 years to study. prolonged jaundice no urgency and no longer need phototherapy. just wait for ur appointment la.
nkte5207
post Jan 31 2016, 05:34 PM

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all google doctors and wikipedia doctors. Cheers! may ur internet knowledge bless you.
TSdoodleman
post Feb 19 2016, 12:34 PM

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just an update guys, my baby's blood test result is out and she is having breastmilk jaundice. Everything else is normal. Hospital said i no need to come back again for follow up or treatment. just go to KK monthly for the scheduled appointments (injections, etc..)
omaigad
post Aug 16 2016, 12:13 AM

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Anyone that his/her child jaundice level above 300? Mine is 338 today and im really worried about his recovery
FluffyTee
post Aug 16 2016, 01:08 AM

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QUOTE(omaigad @ Aug 16 2016, 12:13 AM)
Anyone that his/her child jaundice level above 300? Mine is 338 today and im really worried about his recovery
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There are 2 units used to measure bilirubin in the blood. im guessing its micromol/l.

Jaundice can be physiological and is really common among new born. Abnormal or not depends on the age of the baby and other risk factors.

There is a graph pediatrician use. Lower age have a lower threshold for abnormal. This may vary from center.

I cannot give further opinion or advise as causes are many. perhaps u could elaborate a lil more of ur situation?

http://d15gtop1hlgyun.cloudfront.net/conte...97/F2.large.jpg
omaigad
post Aug 16 2016, 07:07 AM

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QUOTE(FluffyTee @ Aug 16 2016, 01:08 AM)
There are 2 units used to measure bilirubin in the blood. im guessing its micromol/l.

Jaundice can be physiological and is really common among new born. Abnormal or not depends on the age of the baby and other risk factors.

There is a graph pediatrician use. Lower age have a lower threshold for abnormal. This may vary from center.

I cannot give further opinion or advise as causes are many. perhaps u could elaborate a lil more of ur situation?

http://d15gtop1hlgyun.cloudfront.net/conte...97/F2.large.jpg
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Thanks for the graph, his age is 72 hours during check up. The eyes still not yellow yet, but the skin is yellowish. The baby still active when wake up, but sleep a lot.


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