After jaundice has subsided, it may rise again. This rise is mainly caused by pathological jaundice. We know that jaundice is a common symptom of newborns. It has physiological reasons and disease reasons. Physiological reasons generally do not cause any major problems, but if it is caused by disease reasons, it must be treated promptly and effectively. Let us learn about this aspect. Will jaundice go up again after it goes down? 1. If it is physiological jaundice, the level will not rise again after it has gone down, and the jaundice will completely disappear within half a month. 2. If it is pathological jaundice, then it is possible that it will rise again, because one of the characteristics of pathological jaundice is that jaundice will recur. Breast milk jaundice is especially likely to recur. After stopping breastfeeding, the jaundice level will drop significantly within 48 hours, but if breastfeeding is resumed, the jaundice level will rise. But this does not apply to all breast milk jaundice. How to tell if your baby has jaundice The simplest way is to observe the degree of yellowing of the newborn's skin under natural light. If only the face is jaundiced, it is mild jaundice; if the skin on the trunk is jaundiced, it is moderate jaundice. The method of judgment is: press the skin of the trunk with your fingers and then lift it up to observe the jaundice of the skin; use the same method to observe the limbs and the palms and soles of the feet. If jaundice also appears, it is severe jaundice and you should go to the hospital for examination and treatment in time. How to distinguish physiological jaundice from pathological jaundice 1. Characteristics of physiological jaundice: ① It appears 2-3 days after birth and gradually deepens, reaching its peak on the 4-6th day, and gradually subsides from the 2nd week; ② Jaundice has a certain limit and its color will not be golden yellow. Jaundice is mainly distributed on the face and trunk, while the calves, forearms, hands and soles of the feet often have no obvious jaundice. If blood is drawn to measure bilirubin, it will not exceed 12 mg/dL for full-term infants during the peak period of jaundice, and will not exceed 15 mg/dL for premature infants; ③ The physiological jaundice of full-term infants basically disappears by the end of the second week, and the jaundice of premature infants generally disappears within the third week; ④ The child's body temperature is normal, appetite is good, weight is gradually increasing, and stool and urine color are normal. 2. Characteristics of pathological jaundice: ① Jaundice appears too early: full-term infants develop jaundice within 24 hours after birth, and premature infants develop jaundice within 48 hours; ② Severe jaundice: serum bilirubin exceeds the average value of normal infants of the same age, or increases by more than 85.5μmol/L (5mg/dl) per day; ③ Jaundice progresses rapidly, that is, it deepens a lot within a day; ④ Jaundice lasts for a long time (more than 2 weeks in full-term infants and more than 3 weeks in premature infants) or reappears after jaundice subsides; ⑤ Jaundice is accompanied by other clinical symptoms, or serum conjugated bilirubin is greater than 25.7μmol/L (1.5mg/dl). |
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