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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Excessive Sleep And Constipation In A New Born

hi my baby is 8 days old and he has Serum Indirect Belirubin = 185 Serum Total Bilirubin = 197 He born prematurely (early) with 3 kg weight Moreover, he remains very tired and sleeps almost for 22 hours a day and hasn t pooped for last 5 days ... what should I do?
Thu, 29 Jan 2015
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General & Family Physician,  's  Response
Hi,
Welcome to the HCM
Since raised indirect billirubin level is almost because of some pathologival cause,it could be liver disease,obstruction in lower intestine,cystic fibrosis etc
As he has raised indirect billirubin level and constipation both ,first he has to be ruled out for cystic fibrosis and bile duct obstruction and congenital biliary tree sclerosis .
My opinion would be get some routine blood tests done ,and ultrasonography and x-ray of abdomen done to rule out any intestinal obstruction and discuss further with general surgeon .
Regards,Dr.Maheshwari
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Suggest Treatment For Excessive Sleep And Constipation In A New Born

Hi, Welcome to the HCM Since raised indirect billirubin level is almost because of some pathologival cause,it could be liver disease,obstruction in lower intestine,cystic fibrosis etc As he has raised indirect billirubin level and constipation both ,first he has to be ruled out for cystic fibrosis and bile duct obstruction and congenital biliary tree sclerosis . My opinion would be get some routine blood tests done ,and ultrasonography and x-ray of abdomen done to rule out any intestinal obstruction and discuss further with general surgeon . Regards,Dr.Maheshwari