Why do newborn babies get jaundice?
This video is the continuation of the previous video I (Dr. Atul Gupta) made. In this, I will talk about a problem in newborn babies called jaundice. The previous video discussed how the baby gets affected by jaundice, how it progresses, and the treatment needed. Today we will talk about some things that the parents keep in mind. If the jaundice is not as effective, it can be treated easily by phototherapy. Blood exchange or intensive phototherapy is needed if the jaundice is severe. With regular checkups and advanced technology, jaundice can be treated entirely at an early age. In very rare cases, does jaundice reach a dangerous level where the baby needs blood exchange? There are a few conditions where the newborn baby would urgently require blood exchange. For example, if the RH in the blood is mismatched, the blood group is connective, the baby’s blood group is +ve, there was an issue in the pregnancy.
The baby has recovered from jaundice and is taken home, then he again gets sick with jaundice. This is the condition we will be talking about in detail today. So the baby is taken home, by then, he gets sick again within 15 days, so the parents should immediately take the child to the doctor. And there is a direct component and a direct component called TSP (total serum bilirubin. So if the natural component is high in number, i.e. 20% higher than the TSP or greater than 2mg, the parents should be worried and take the child to a doctor and get it diagnosed and investigated. This should be immediate because, after a certain time/days, the chances of the surgery being successful are low. Then dual transplant would be required. So jaundice is a disease that can be easily treated if detected within 15-20 days, as the treatment may take 1-2 months.
The other case is when the child is getting sick with recurring jaundice. Then the causes can be anemia, and it can be genetic. The doctor step-by-step will diagnose the leading cause of this issue. It is vital to consult a doctor and get guidance. One request to the parents is to consult a pediatrician and not take your child to any local general physician. This can be well treated by any well-known pediatrician in a medical college or a government hospital.
It is very important to consult a doctor regarding this who has proper knowledge and experience. And you can always ask me questions on any specific topic in the comment sections. I will try to answer and give my suggestion to the queries I get, and you would have to follow the suggestions for good results.
For diseases that can be detected at an early stage should be treated at an earlier stage. But for conditions that do not have a cure, neither you nor the doctor can do anything about it. But this is a separate issue. So we should focus on the diseases that can be detected and treated, like jaundice.
If jaundice persists for a long time, then please do consult a pediatrician. And about the surgery I spoke about earlier, there is a very peculiar thing that I would like to mention, i.e. the poop of the newborn baby would not be yellow but greyish-yellow, and the color of the baby would turn yellow, it is in a way conjugated bilirubin. And sometimes, the feces may look yellow from the outside but is clay-colored on the inside. This also may be an indicator of jaundice and should not be ignored.
So if the child has persistent or recurrent jaundice, then the direct bilirubin and the indirect bilirubin tests should be done, and a pediatrician should be consulted. And the tests should be done in a place with proper working equipment so that the results are accurate.
Thanks for watching, and I will be uploading a new video on Sunday.