Lamp Treatment - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
My grandson found jaundice 2 days after he was born---after blood test the bilirubin count was 13 ---then the home nurse provided him with a lamp and after one day after the lamp they took another blood test the level was 15. Is it common that the level would go up instead of going down ? How long does it take with the lamp treatment to show improvement? thank you
Answer
Yes, it is possible for the bilirubin level to go up and is commonly seen in babies who are preterms or low birth weight. The other conditions that can produce this is when the blood group of the baby and the mother do not match especially if the mother's blood group is Rh- or O+ve. Important is to know is whether the bilirubin is indirect or direct. If indirect, phototherapy in the form of lights is the treatment and if the bilirubin levels rise to a dangerous level then even exchange of the blood may be required. Sometimes double lamps may also be required. If direct bilirubin is high, liver disease should be ruled out. Back to All Questions

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