Doctor insights on:
Kernicterus Bilirubin And Breastfeeding
NOT ABSOLUTELY: Necessary , but to monitor severity and response to treatment it is. ...Read more
Bilirubin is the potentially toxic product of heme metabolism. It is formed by breakdown of heme present in hemoglobin, myoglobin, cytochromes, catalase, peroxidase and tryptophan pyrrolase. Eighty percent of the daily bilirubin production comes from hemoglobin. It requires conversion to a water-soluble form before elimination from the body by ...Read more
Maybe: It depends on how high the 'high level' is, and how healthy your baby is, better if the baby was full term, not as good if the baby is a premie. In general dr.S get worried when the level is near 20. It would be unusual for a level this high with a month old infant. There are 'baby metabolic factors' that are possible too. Have your doctor explain the evaluation process and tell you just how high. ...Read more
Is it normal for someone healthy with treated genetic hemochromatosis to have high bilirubin, ph 9, & 30mg protein in urinalysis? I'm breastfeeding.
High bilirubin worry: worrisome. Not knowing your medical history, I suggest strongly that you see your physician to determine whether you in fact have progressive hepatic fibrosis and whether your hemochromatosis was in fact successfully treated, and/or to determine the cause of your hyperbilirubinemia. ...Read more
Yes: If you are talking about your infant's high bilirubin level-the answer is yes, you may continue to nurse. Speak with your pediatrician regarding the plan for probable coordination with possible phototherapy for your infant and taking breaks to feed. If your infant is severely ill, a premie, or carring an bilirubin level > 20, your doctor may have other recommendations. ...Read more
I am sufering from hepatitis a. My total bilirubin is 2.9. Sgot is 120. Sgpt is 280. Is it safe to breast feed? Do i will transfer the hepatitis?
No: Physicians and scientists agree that it's safe for a mother infected with viral hepatitis to breastfeed her baby. Considering that the american academy of pediatrics is such a staunch advocate of breastfeeding, this will be good news to many who are worried. In fact, they promote breastfeeding as the best possible way for good health and development. ...Read more
My doc. says my 3 days old girl has signs of Jaundice & kept under some kind of blue light & breastfeeding. bilirubin level is 16..should i worry?
Reason for jaundice?: This would make the big difference. Since we know that physiologic jaundice will increase the total load up to day number 5 on a full term baby. It is a good idea to keep the baby until bilirubin stops climbing under phototherapy. If the baby is acting healthy and eating good and having good bowel movements as long as there is no blood incompatibility seriousness goes down. ...Read more
Is bilirubin 18mg in 2 weeks old baby abnormal/does it need phototherarapy or stop breast feeding, thanks?
Maybe (not) . . .: Check out http://www.Aafp.Org/afp/2002/0215/p599.Html for info re late onset breast milk jaundice. Typically we don't recommend stopping breast feeding but this may be one of those situations (although you still need to express milk to maintain production). Need to check bilirubin levels daily - expect rapid decrease after stop breast feeding. Then may start up again. Go see your doctor & discuss. ...Read more
Kernicterus tests: Kernicterus is a devastating chronic disabling condition characterized by the clinical tetrad of choreoathetoid cerebral palsy, central neural hearing loss, palsy of the vertical gaze, and tooth enamel hypoplasia as the result of bilirubin-induced cell toxicity. ...Read moreSee 1 more doctor answer
Prevention: Kernicterus occurs as a result of newborn jaundice of a severely high level that is untreated. I have not seen nor heard of a case in my entire career. Newborn jaundice is common and is easily treated with sun, phototherapy, or in severe cases exchange transfusion. (have not seen that in 20+ years). The best treatment is prevention. ...Read more
Mostly not: Most of chidren who survived kernicterus-severe bilirubin toxicity-develop sensorineural hearing loss and athetoid type cerebral palsy which adversely affects coordination of fine movements. Neuronal damage in cerebral cortex often associated in kernicterus results in hampering of higher cognitive function. ...Read moreSee 1 more doctor answer
Term definitions: Kernicterus is a term uses to describe the effect that occurs when bilirubin rises to toxic levels in a baby and injures brain cells.It goes through several phases leading to a variety of permanent defects. These can include a movement disorder,deafness,visual problems and others. Recognition and treatment of high bilirubin levels can prevent this if done quickly. ...Read more
Kernicterus causes spasticity? Why is it sis basal ganglia considered in pyramidal tract? Why not causing rigidity instead like parkinsons?
Spasticity: Basal ganglia and substantia nigra are different structures. Injuring the basal ganglia, such as by stroke, may cause spasticity. Injuring the substantia nigra may cause parkinsons symptoms, such as tremor and rigidity. Rigidity and spasticity are not the same, as you recognize. These two different structures of the brain modulate movement differently, that is why the symptoms are different. ...Read more
No "deadline": There is no "deadline" for breastfeeding. Breastfeeding and breastmilk have numerous benefits for you and your child. At least 6 months is desirable and if you can make it to one year, that is even better. That being said, many women may only be able to breastfeed for a few months while some will continue to breastfeed into toddlerhood. The choice is up to you and your baby. Wean on your timeline. ...Read moreSee 1 more doctor answer
On demand: Breastfeeding operates by demand, the more baby demands milk, the more milk the breasts produce. Make sure not to supplement any formula. Depending on where you're at post partum, advice may differ. Here's a great website with lots of good information: http://www.Lalecheleague.Org/faq/increase.Html. ...Read moreSee 1 more doctor answer
Breastfeeding is providing nutrition to an infant using breat milk either directly by infant latching and sucking on the nipple or by feeding via bottle with expressed breast milk (when baby has difficulty suckling). Breast milk is the best milk for any baby but ...Read more