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Doctor insights on: Phototherapy In Jaundice

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Dr. Robert Rahimi
390 doctors shared insights

Jaundice (Definition)

Jaundice is the accumulation in the body of bilirubin. Normally it is excreted by the liver, via the bile. For a lot of different reasons, sometimes the bilirubin can accumulate. The most common reasons are a problem with the liver or the bile duct. This can make the skin and/or the whites of the eyes turn yellow. If this occurs, see your ...Read more


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In neonatal jaundice what's the treatment?

In neonatal jaundice what's the treatment?

Neonatal jaundice: Phototherapy is the primary treatment in neonates with unconjugated hyperbilirubinemia. This therapeutic principle was discovered rather serendipitously in england in the 1950s and is now arguably the most widespread therapy of any kind (excluding prophylactic treatments) used in newborns. ...Read more

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For what reasons urine darkens in hepatic jaundice?

For what reasons urine darkens in hepatic jaundice?

Bilirubin in urine: Bilirubin is major breakdown product of normal red blood cell metabolism. Is normally converted by liver into bile secreted into bile ducts, stored in gall bladder & excreted into duodenum. Diseased liver, causing hepatic jaundice, can not make bile from bilirubin, skin & eyeballs turn yellow & bilirubin is excreted by kidneys which in turn darkens the urine. Hope I have explained it well enough. ...Read more

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Where bilirubin is collected in jaundice is conjunctiva yellow?

Where bilirubin is collected in jaundice is conjunctiva yellow?

Yes.: Bilirubin accumulates in the conjunctivae and skin causing a yellow appearance which first becomes noticeable at around a serum level of 2 mg/dl. Hyper-beta-carotenemia from eating way too many carrots can produce yellow/orange skin but no conjunctivae. ...Read more

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What causes yellow eye color or jaundice in sickle cell patients?

What causes yellow eye color or jaundice in sickle cell patients?

Excess bilirubin: Higher amount of bilirubin produced over a level of normal excretion in sickle cell patients result in staining of sclera in eye and skin. ...Read more

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Jaundice turned hepatities.What's the cure?

Jaundice turned hepatities.What's the cure?

Depends: It depends on the root cause of the hepatitis; is it infectious? Autoimmune? Malignant? There are many questions that need to be answered before the decision on treatment can be made. ...Read more

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Is Albumin of 28 g/l and bilirubin of 86 umol/L indicating liver damage or failure in metastic crc patient ?

Is Albumin of 28 g/l and bilirubin of 86 umol/L indicating liver damage or failure in metastic crc patient ?

Need more info.: It's impossible to analyze individual lab values without knowing more, such as the normal ranges at that lab and other medical history at the time of the blood draw. You should ask your doctor for his opinion of those labs. An alternative would be to upload the labs here on HealthTap Prime and have one of our doctors interpret them for you, in the context of your medical history. Good luck. ...Read more

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Why there's indirect hyperbilirubinemia in neonate of mother with diabetes?

Why there's indirect hyperbilirubinemia in neonate of mother with diabetes?

Neonatal Jaundice: Indirect hyperbilirubinemia is not limited to infant of diabetic moms. It is a function of the newborn being relatively ineffective at clearing old red blood cells. It can be caused by high rbc count (polycythemia) which is common in infant of diabetic moms. Also, many other causes. Easily treated and common in the newborn period. ...Read more

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What causes neonatal jaundice in breastfed baby?

What causes neonatal jaundice in breastfed baby?

Depends,often normal: Mild jaundice is common & results from the baby's GI system just maturing & being able to excrete bilirubin. This happens when the liver becomes more functional during the first week or so of life. As the baby feeds, bilirubin leaves the body in the stool (hence yellow stools) & urine. If breastmilk is not yet in, more jaundice may occur. In other babies, it can be due to more serious conditions. ...Read more

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How concerning is bilirubin in infants?

Bilirubin: Mild jaundice in newborns is harmless. However, if the level gets too high, it can cause brain damage. That's why you want to make sure to have it ministered by your doctor. ...Read more

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Why jaundice in congenital hypothyroidism?

Why jaundice in congenital hypothyroidism?

Hypothyroidism: prolonged jaundice is due to delayed maturation of the enzyme which helps in the glucorindation of bilirubin like all delayed processes this is also delayed ...Read more

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Treatment of constipation in 3-4weeks old neonate?

Treatment of constipation in 3-4weeks old neonate?

Constipation: If you are breastfeeding a breast fed baby can have a stool with each feeding , go once a day or may take a week to have a stool. He is not considered constipated. If you are bottle feeding, make such he is not getting excessive amounts of milk. You may add a teaspoon or two of dark karo syrup to the formula to help the constipation. ...Read more

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Can cardiomyopathy in mother cause severe jaundice and low hemoglobin in 19 day old infant?

Can cardiomyopathy in mother cause severe jaundice and low hemoglobin in 19 day old infant?

Not likely: It appears your child has some kind of a hemolytic process going on. You need the immediate help of a pediatric hematologist. ...Read more

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How does jaundice present itself in those with dark skin?

How does jaundice present itself in those with dark skin?

Jaundice: So starting with a well-lit room and a penlight, assess for skin color by blanching the skin with digital pressure to reveal underlying skin color. For very dark patients, the palms of the hands & soles of the feet can be used for skin assessment. Check the mucus membranes for yellow discoloration. If you have access to an icterometer or transcutaneous meter, this can be helpful in your assessment. ...Read more

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Are bilerubin blood levels always elevated in cade of Jaundice?

Are bilerubin blood levels always elevated in cade of Jaundice?

Jaundice occurs...: ...by defintion, when your liver doesn't metabolize bilirubin the way it's supposed to. Depending on the clinical situation, jaundice and cholestasis may coexist or each may exist without the other. Serum bilirubin levels are however normal in patients with yellow skin caused by carotenemia or quinacrine. Ref: https://www.ncbi.nlm.nih.gov/books/NBK413/ ...Read more

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Can blue light phototherapy cause skin cancer?

No: Only ultraviolet light is known to cause skin cancer and there is no ultraviolet light in this type of phototherapy. ...Read more

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Can jaundice show up in the eyes only?

Can jaundice show up in the eyes only?

Sometimes first: Jaundice is the descriptive term for a yellowing of the body tissues due to liver illness in which the bilirubin metabolism is disturbed and collects in the body. As it is yellow, it stains tissue and sometimes the eye is the first noticed since the normal whites of the eyes turn yellowish. But if you see it there, it will not be long before the rest of the body changes. Liver evaluation needed. ...Read more

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What are causes of jaundice in neonatals?

Jandice: Jaundice is common and occurs in about 60 percent of newborns, more so in premies. The most common cause is physiologic, meaning due to normal changes. Then infections, blood incompatible with mothers, rare blood disorders like enzyme deficiencies or liver disorders. Most important is to know the kind of jandice - direct or indirect is elevated. There are other reasons for rare indirect. ...Read more

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Dr. Jay Park Dr. Park
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How does phototherapy cure jaundice for newborn babies?

Dr. Jay Park Dr. Park
1 doctor agreed:
How does phototherapy cure jaundice for newborn babies?

Excrete via urine: Jaundice is a result of accumulation of bilirubin, end product of destroyed red cells. The bilirubins deposited under skin undergoes change in physical character when exposed to special light, i.e. To become water soluble. This change allows excess bilirubins deposited under skin to be excreted through urine. ...Read more

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When should we do phototherapy in neonatal jaundice.

When should we do phototherapy in neonatal jaundice.

Doctor's call: Jaundice phototherapy management is a doctor's decision which follows by the AAP guidelines and VK Bhutani's curve. It depends on the infant's assessment: his clinical status, underlying conditions (e.g. sepsis), inherited diseases (e.g. G6PD), gestational age (lower treatment threshold for the more premature), hours or days of infant's life, bilirubin fractions, albumin level, blood type, DAT. ...Read more

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Jaundice on 3rd day bili 16.. Baby put on phototherapy .. How serious it is and long term issues associated with it.. How long can it take to cure .

Jaundice on 3rd day bili 16.. Baby put on phototherapy .. How serious it is and long term issues associated with it.. How long can it take to cure .

BILIRUBINEMIA: Level of 16 is not too high but needs photo therapy to lower it to 10. It takes only a few days and baby will be ok. ...Read more

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How does light therapy fix jaundice?

How does light therapy fix jaundice?

Reacts with light: The bilirubin in the patient's body absorbs energy in the blue range of the spectrum (420-470 nm lights are blue). As a result of absorbing this energy the bilirubin molecule is broken down and then metabolized and excreted in the urine or feces. Over time the bilirubin level will return to normal. ...Read more

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I have a hh agency(new), peds & just had first time request for light therapy for newborn jaundice infant. What complications are there?

I have a hh agency(new), peds & just had first time request for light therapy for newborn jaundice infant. What complications are there?

See below: Blue light therapy for jaundice is standard for breaking down the bilirubin that is being produced and seen in the skin and sclera. As long as the child's eyes are protected and hydration is monitored along with the bilirubin levels (by a health care professional), i fore see no complications as long as the bilirubin level is lowering and the child is not sick as well. ...Read more

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Is phototherapy safe to treat vitiligo on my penis?

Is phototherapy safe to treat vitiligo on my penis?

Vitiligo: Ultraviolet phototherapy is considered safe but there is a significant risk of sunburn. Skin cancer risk also increases but risk is low. ...Read more

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Why would you need phototherapy for atopic dermatitis?

Why would you need phototherapy for atopic dermatitis?

Only if very severe: A person would only need phototherapy for atopic dermatitis if all the other treatments tried had failed to bring about improvement in the condition. These include antihistamines, topical anti-inflammatory creams, excellent skin hydration and searches for triggers that can be treated with avoidance or immunotherapy. ...Read more

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What are some risks of phototherapy for atopic dermatitis?

What are some risks of phototherapy for atopic dermatitis?

Skin cancer; aging: Puva is a last resort therapy for patients with atopic dermatitis; most can be controlled and treated with other methods, and puva treatments increase the risk that a patient will develop skin cancer and premature aging of the skin. Short term adverse effects may include redness, itching and changes in skin color. ...Read more

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What must I know before phototherapy for atopic dermatitis?

What must I know before phototherapy for atopic dermatitis?

Phototherapy: Phototherapy should be used in conjunction with other therapies. It should be reserved for patients with especially severe atopic dermatitis because of potential long term adverse effects, including premature aging of the skin and induction of skin cancer. ...Read more

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How effective is phototherapy for curing atopic dermatitis?

Treatment not cure: Phototherapy will likely bring about improvement( it did in 81% of patients in one study), but when the treatments are stopped, the symptoms will gradually recur. To continue to receive benefits, a maintenance program is necessary. ...Read more

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Can phototherapy help regular depression in addition to seasonal depression?

Can phototherapy help regular depression in addition to seasonal depression?

Many pts think so: Many of our non sad depressed pts say the lights & sunny days make them feel better. ...Read more

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How effective is phototherapy in treating psoriasis?

Very: Most psoriasis patients respond very well to phototherapy. If you get better with sunlight, it is very likely that phototherapy will lead to substantial improvement. Phototherapy is my favorite treatment when psoriasis can't be controlled with topical medicines. ...Read more

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Is phototherapy really good at controlling psoriasis?

Is phototherapy really good at controlling psoriasis?

Psoriasis Light Rx: Psoriasis is a autoimmune disorder that causes the build up of skin cells, with redness and scale. It was discovered along time ago that exposure to sun light helps psoriasis.. Other, man made light sources are also used, . There are several kinds, using uva, or uvb, or narrow band uvb. Chemicals, like coal tar, are sometimes used with the light. The light can damage the skin and cause cancers. ...Read more

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Are psoriosis phototherapy uvb lamps effective?

Are psoriosis phototherapy uvb lamps effective?

Yes it is: If used properly it is an effective therapy for psoriasis. ...Read more

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When a newborn undergoes phototherapy, what organs must be protected and why?

The eyes: Phototherapy is treatment for hyperbilirubinemia. When baby is inside has lots of red blood cells, these tend to breakdown once baby is born these breakdown to bilirubin and cause yellowing. This can be normal but if levels are high they can affect the brain, so photo protects the brain. Risks are minimal but there is theoretical risk to the eyes, so a mask is used to cover. Other skin exposed. ...Read more

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How does phototherapy work for eczema patients?

How does phototherapy work for eczema patients?

Poorly: Phototherapy does not work for eczema/atopic dermatitis. It does help for psoriasis but that is a totally different disease from eczema. ...Read more

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Where might I get a phototherapy/ light therapy/ sad light box for a reasonable price?

Shop around: The most important aspect in purchazing a light therapy lamp for sad is to make sure that it emits 10, 000 lux wavelength light band. There are some companies pricing these for a couple hundred or more on the internet. A year or two ago i did stumble upon one at lowes or menards that was around $30 and specifically had the waveband listed. ...Read more

Jaundice (Definition)

Jaundice is the accumulation in the body of bilirubin. Normally it is excreted by the liver, via the bile. For a lot of different reasons, sometimes the bilirubin can accumulate. The most common reasons are a problem with the liver or the bile duct. This can make the skin and/or the whites of the eyes turn yellow. If this occurs, see your ...Read more


Dr. Anne Larson
453 doctors shared insights

Yellow Skin (Definition)

Jaundice = yellowing of skin & eyes due ...Read more