What Does This Bilirubin Level Of 13 Indicate?

Posted on Wed, 18 Mar 2015

Question: Dear Doctor,
my 6 weeks old baby's bilirubin is 13 now.. his stomach is getting bigger.. is it normal and how do i go about this? Please help me

Answered by Dr. Sumanth Amperayani (8 minutes later)

Brief Answer:
Need some more information please

Detailed Answer:
Hi...please answer the questions below.

1. What are the mother's and baby's blood groups?
2. Which day of life did yo observe the jaundice?
3. Was any phototherapy given?
4. How is the baby's appetite?
5. What is the birth weight and present weight?
6. How is the baby's activity?
7. is the urine of the baby dark yellow and is it staining the diapers?
8. Can you upload serial bilirubin values of the blood tests done so far date wise?

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (14 minutes later)

1.What are the mother's and baby's blood groups? - o+ve for Both
2. Which day of life did yo observe the jaundice? - from 6th day
3. Was any phototherapy given? - No
4. How is the baby's appetite? - Normal
5. What is the birth weight and present weight? - 3.6 and 4.2
6. How is the baby's activity? Struggling to breath
7. is the urine of the baby dark yellow and is it staining the diapers? - yes
8. Can you upload serial bilirubin values of the blood tests done so far date wise?- today it was 13.2 , 4 days back it was 10. i dont have the document with me now

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
You need to see a pediatric gastroenterologist immediately

Detailed Answer:
Hi...You need to see a paediatric gastroenterologist immediately. This looking like neonatal hepatitis. But you have not provided me the fractions of the bilirubin - direct bilirubin and indirect bilirubin. Please do not delay. The kid might require immediate surgery too.
Regards - Dr. Sumanth

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar