Re: Neonatal Bili - still elevated at 2 months

[Guest guest]

, my son had breast milk jaundice for about 2.5 months, but I always

thought it might have lasted longer than usual because he was nearly a month

premature. If not done yet, I would rule out conjugated hyperbilirubinemia

(suggestive of biliary obstruction) and hemolytic anemia.---Sharlene

>

> Newborn with milk jaundice after seeing in office a couple days after birth.

>

> Followed Bili down to 10.69 and no further followup.

> Patient received Bili Lights through first couple weeks.

>

> BILI, NEONATAL

> 10.69 (0.00-2.00 mg/dL) H

> 12.06 (0.00-2.00 mg/dL) H

> 13.72 (0.00-2.00 mg/dL) H

> 15.60 (0.00-2.00 mg/dL) H

>

> Now seen for 2 months followup and looked a little jaundiced in head

> and upper body - maybe a little int he sclera.

>

> Recheck of Neonatal Bili showed -- 9.67 (0.00-2.00 mg/dL)

>

> Is this something to work up?

>

> Should the Billi be down to normal by now.

>

> Child is growing normally and no other medical issues.

>

> 1st time mom is doing well.

>

> Thoughts?

>

> Locke, MD

> Locke Family Medicine

>