Jaundice rebounds after discontinuation of Yinzhihuang

Newborn babies may have jaundice. In fact, jaundice is not a disease, but a sign or symptom. Neonatal jaundice usually disappears on its own, but if jaundice is contracted at other ages, it is necessary to find out the cause and treat it. Jaundice is only a surface symptom, and treatment requires a deeper exploration of the cause. Yinzhihuang is a drug for treating jaundice, and the phenomenon of jaundice rebounding after Yinzhihuang is stopped is worrying.

How long does it take for neonatal jaundice to subside?

Neonatal physiological jaundice: Newborns begin to develop jaundice 2-3 days after birth, which is most obvious after 4-5 days and disappears naturally in 7-14 days. The general condition is good without adverse reactions. This is called "physiological jaundice." Because premature infants have more immature liver function, jaundice will appear later, around the 3rd or 4th day, and will last longer. Jaundice in premature infants can last for 14 days or longer.

Neonatal pathological jaundice: Jaundice appears early, within 24 hours after birth. Jaundice is persistent. It may persist or even worsen 2-3 weeks after birth, or it may improve and then worsen. Severe jaundice may be golden yellow or spread all over the body, with obvious jaundice on the palms and soles, or serum bilirubin greater than 12-15 mg/L. Those with anemia or lighter stool color. Those with symptoms such as abnormal body temperature, poor appetite, vomiting, etc.

If it is physiological jaundice, no treatment is needed. If it is pathological jaundice, the main treatment method is blue light exposure, so you must go to the hospital's pediatric department for treatment and retest transcutaneous bilirubin to understand the treatment effect. Regardless of the cause, pathological jaundice can cause kernicterus in severe cases, which has a poor prognosis. In addition to causing damage to the nervous system, severe cases can even cause death.

How to care for a baby with jaundice? There are 6 ways to care for neonatal jaundice:

1. Determine the degree of jaundice. Parents can observe the degree of yellowing of the newborn's skin under natural light. If only the face is yellow, it is mild jaundice; if the skin on the trunk is yellow, it is moderate jaundice; if the limbs and the palms and soles of the feet are also yellow, it is severe jaundice.

2. Observe the color of stool. If the stool is clay-colored, pathological jaundice should be considered, which is mostly caused by congenital bile duct malformations. If the jaundice is severe, associated symptoms occur, or the stool color is abnormal, you should go to the hospital immediately to avoid delaying treatment.

3. Expel meconium as soon as possible. Because meconium contains a lot of bilirubin, if the meconium is not completely discharged, the bilirubin will be reabsorbed into the blood through the special enterohepatic circulation of the newborn, causing jaundice to increase.

4. Give the newborn plenty of water. Too little urination is not conducive to the excretion of bilirubin.

5. During the jaundice period, pay attention to providing enough sugar water and heat, and protect the liver.

6. If jaundice appears too early or disappears too late, or the jaundice is too severe, or it gradually improves and then worsens again, and if the baby has clinical symptoms such as poor spirits, less milk sucking or refusal to feed, it is pathological jaundice and you should go to the hospital for diagnosis and treatment in time.