Jaundice, Pediatrics FAQ

Concerns About Baby's Feeding Issues After Hepatitis B Vaccination

After receiving the second dose of the hepatitis B vaccine, the baby is not feeding and is lethargic? Hello Dr. Chang, my daughter was born on July 9, 2005. She received her first dose of the Hepatitis B vaccine at the hospital on July 11. When she was one month old, she returned...

Dr. Zhang Guozhen Reply:
Dear Dr. Chang Kuo-Chen from Pediatrics, 1. First of all, I would like to express my respect for the diligent mother; I believe you are truly a dedicated mom. 2. Generally speaking, the hepatitis B vaccine is a very safe vaccine and has minimal side effects. 3. I also do not ...

Understanding Newborn Jaundice: Blood Tests and Hospitalization Needs

Neonatal jaundice Hello Doctor: Regarding a bilirubin level of 15.2 mg/dL, what blood tests need to be performed? Is it necessary to admit the newborn to a moderate to severe neonatal care unit? Is it excessive to draw 50 cc of blood for testing? Thank you.

Dr. Cai Zhengxian Reply:
Dear Father with a Heavy Heart: When a newborn's bilirubin level exceeds 15 mg/dL, it is medically diagnosed as neonatal hyperbilirubinemia. There are many potential causes for this condition. For instance, if jaundice appears on the first day of life, one should consider ne...

Understanding White Blood Cells in Baby's Urine: Causes and Concerns

White blood cells in a baby's urine?! Hello Doctor: My baby was readmitted to the hospital due to jaundice, and the doctor found that the jaundice had not resolved. Blood and urine tests were conducted, and white blood cells were found in the urine. The baby was immediately ...

Dr. Shi Zhongxian Reply:
Dear Concerned Mother, I apologize for the delay in my response as my email was accidentally deleted. I hope you can understand. Your baby must have recovered and been discharged by now! I believe the jaundice was due to a urinary tract infection, which is why it persisted. Once...

Understanding Jaundice in Newborns: Causes, Concerns, and Care

Jaundice Hello Doctor: My baby was born at 35 weeks, weighing 2700 grams. Three days after birth, the total bilirubin level was 17. Will it continue to rise? Is this level too high? How low does it need to be for us to take the baby home? Why does jaundice occur? I'm really ...

Dr. Lin Wenxian Reply:
Dr. Lin Wen-Hsien, the head of the pediatrics department at Tainan Hospital under the Ministry of Health and Welfare, responded to DEAR ShaSha: Jaundice is a common phenomenon during the neonatal period, especially in premature infants, where it is more prevalent and tends to las...

Understanding Persistent Jaundice in Premature Infants: Causes and Risks

What causes persistent high levels of bilirubin? Dr. Tsai: Hello! I delivered a premature infant weighing 476 grams on October 24. On October 26, due to a high bilirubin level, the attending physician recommended a blood exchange, and we exchanged 50 cc of blood. After the exchan...

Dr. Cai Zhengxian Reply:
Dr. Tsai Cheng-Hsien from Tainan Municipal Hospital's Pediatrics Department responds: Your baby's condition is indeed concerning. Premature infants with a birth weight of less than 1000 grams, classified as extremely low birth weight infants, require stricter criteria f...

Can Children with Favism Use Topical Ointments Like Tiger Balm?

Favism Can children with favism use ointments like Tiger Balm, Green Oil, or topical medications such as Mentholatum? Thank you!

Dr. Gu Qingxian Reply:
G6PD deficiency, also known as favism, is a condition characterized by a deficiency of glucose-6-phosphate dehydrogenase on the red blood cell membrane, making red blood cells susceptible to oxidative stress and leading to hemolysis. Jaundice can occur due to exposure to substanc...

Understanding Biliary Atresia in Newborns: Symptoms, Treatment, and Care Tips

Biliary (Cystic) Obstruction (Urgent Case) Hello Doctor: My sister-in-law gave birth to a daughter on July 20, 2004, three weeks early, so the baby weighs only 2,120 grams and is currently in an incubator. Last night, the nurse informed us that the baby had white stools, which ma...

Dr. Zhao Yongkang Reply:
Dear Miss Hsiao-Min, 1. The bile in children is produced by the liver and is excreted into the gastrointestinal tract through the bile ducts. If there is a blockage, it can lead to an increase in direct bilirubin levels, resulting in jaundice, and the stools may appear pale or c...

Preventing Neonatal Hemolytic Disease: Essential Guidelines for Parents

Neonatal Hemolytic Disease How to prevent neonatal hemolytic disease?

Dr. Chen Qianyi Reply:
Neonatal hemolytic disease is primarily caused by blood type incompatibility between the mother and the infant, with ABO incompatibility being the most common, while Rh incompatibility is more severe. ABO incompatibility occurs when the mother has type O blood and the infant has ...

Understanding Changes in Baby's Stool Color: What Parents Should Know

Changes in the color of a baby's stool? Hello: My second child is currently eight months old. Since birth, her weight has consistently been between the 3rd and 10th percentiles, but her stool color has been normal. She was breastfed until about four months old, after which w...

Dr. Zhang Peixin Reply:
Hello! The color of stool can be influenced by food and medications, such as antidiarrheal agents (like kaolin) or barium (used for examinations). Therefore, if white stool appears, it is important to also observe whether the skin color has turned yellow or if the urine has becom...

Understanding Thalassemia: Risks and Symptoms for Children of Affected Parents

Mediterranean anemia, also known as thalassemia? Hello Dr. Liang, I have some questions from my colleague: 1. What is thalassemia? 2. If a couple has two sons (elementary school students), and the husband has recently been diagnosed with beta-thalassemia while the mother’s h...

Dr. Liang Hongjian Reply:
Mediterranean anemia, also known as thalassemia, is a recessive hereditary hemolytic disorder caused by genetic mutations affecting RNA. Due to these genetic changes, it presents in various forms, such as alpha-thalassemia and beta-thalassemia. Routine blood tests can typically d...

Understanding Jaundice in Newborns: When is it Normal?

Jaundice Dear Dr. Hong: Do all newborns experience jaundice? If so, what are the normal levels? At what point can they be taken home for care? Thank you!

Dr. Hong Shaohui Reply:
Dr. Hung Shao-Hui, a pediatrician from the Department of Health, Executive Yuan, responded: It is normal for newborns to exhibit jaundice from the third to the seventh day after birth, with typical levels not exceeding 12.9 mg%. A jaundice level below 10 mg% is considered safe fo...

Understanding Microcephaly: Key Characteristics and Symptoms

Microcephaly Microcephaly is characterized by several features, including: 1. A significantly smaller head size compared to peers of the same age and sex. 2. Developmental delays, which may affect motor skills, speech, and cognitive abilities. 3. Possible neurological issues, su...

Dr. Huang Zheming Reply:
Microcephaly is a congenital malformation in infants, typically characterized by abnormal weight, height, and head circumference. Associated symptoms may include jaundice, anemia, intracranial calcifications, and neurological disorders.

Understanding Rapid Breathing in Newborns: Concerns and Guidance for Parents

Neonatal respiratory distress? Hello, doctor: When my child was born, I noticed that their breathing was more rapid and louder than that of other children. Currently, the child is undergoing phototherapy for jaundice. The obstetrician has assessed that everything is normal. Howev...

Dr. Zhou Zuyou Reply:
In newborns, the respiratory rate is faster than that of adults, averaging about 30 breaths per minute, and typically does not exceed 40 breaths per minute. If the infant has a normal appetite and does not exhibit nasal flaring or retractions of the sternum or ribs, there is gene...

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