Doctor insights on:
What's The Normal Bilirubin For 5 Days Old New Baby
My newborn baby that 19, days old and she keeps crying I think she constipated, what can I give my new infant baby for the pain. Can suppositories use?
Constipation: Is hard and infrequent stools. You can give a glycerin suppository once and see igf that helps. Baby may be crying if mom is breastfeeding and drinking milk, eating dairy. If using milk based formula then can also cause tummy ache. Baby could be colicky too. Go see your doctor and discuss this. You will feel better and so will baby! ...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
My newborn is 2 days old, upon birth her bilirubin was a 2, it increased to a 5, and today it is an 11. How concerned should I be?
Sounds pretty normal: When the cord is clamped, baby looses mom's help cleansing it's blood & that shows up as some expected increase in the bilirubin level in the first few days. It commonly peaks around day 3-4 & declines as the babies system speeds the process. I take notice for levels above 12-14 at 2 days but consider a 11 pretty normal. I don't hold a discharge at that level. ...Read more
What is youngest age you can give infant pedialyte? Newborn? If 2or 3 week old is vomiting few times (no fever) try to see if pedialyte is tolerated?
Helow sir my newborn baby before 36 hours it is no drink milk and its bilirubin total 8.5 bilirubin direct 1.1 bilirubin indirect 7.4 this report?
All babies drink: Question is unclear. All new babies drink breast milk... unless there is a "bigger problem, " such as prematurity, infection (sepsis), breathing problems, etc... The "bigger problem" usually becomes the worry, not the milk-drinking. The pediatrician can help explain any medical issues. Regarding lab results... numbers are just numbers, without much meaning unless a doctor can see the whole picture. ...Read more
My newborn grandson has bilirubin of 11 from 8 also had cephaluc hematoma. He is a big baby 9'12 and 20 inches. Is there any thing to watch for?
Common lever@ 2-3d: Bilirubin levels of that order are common & unimportant at day 2-3. The cephalhematoma can boost the level & it sounds like they are already watching things. Some kids handle the metabolic work & rid themselves of this temporary buildup & some need photo-therapy lights or other treatments. Monitoring & treatment as needed prevents jaundice from becoming a problem. ...Read more
Is it ok to give 2 month old enfamil newborn formula as well as enfamil infant 1 formula? When one can is done switching to another
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
Are there any medicolegal cases, when medical staff has shown negligence in diagnosing 4 month infant testicular torsion resulting in loss of testicle. Initial Newborn screening showed both testis normal shape and size. And now after 4 month they diagnose
Testicular torsion: Usually is an acute urologic emergency. It is unlikely to be present for 4 months ...Read more
My newborn baby boy is still with mild yellowish appearance, he is 25 days old now, it was appear 2 days after birth. Is it normal?
Common problem: Mom disposes of most of babies metabolic waste before birth. Afterward, the baby's liver must get up to speed removing the products of blood recycling. Many are transiently jaundiced. Breastfeeding, blood group issues, skin bruises, and more can aggravate the process. Most pediatricians will monitor this and test as needed. Faint jaundice x 3-4 wks can occur in bf kids. Testing can rule out problems. ...Read more
Newborn jaundice day 10 bilirubin total 11.31mg/dl & bilirubin direct 0.43mg/dl day 20 bilirubin total 5.6 & bilirubin direct 1.0 should I b worried?
Very common: After the cord is clamped, babies body must begin doing the clean up work of metabolism without mom's help via the placenta.Bilirubin is generated by red cell recycling & 1/3 or more infants will be visably jaundiced by day 3-4. A level of 10 at birth or @1d would be excessive, but by day 2-3 would be common. Depending on babies other risk factors (premi, sick), this would require no special rx. ...Read more
Bilirubin: This is very common to have physiologic jaundice from days 4-6 of life. The liver is immature to break down the bilirubin, which can lead to some elevated numbers which causes the jaundice. There are other risk factors that can cause jaundice as well, like a cross reactivity bt babies and your blood type, prematurity, etc. Usually time will improve it, but sometimes the baby will need phototherapy ...Read more
How does a newborn infant get a pneumothorax and what's the difference between that an a tension pneumo?
Colapsed Lung: A pneumothorax occurs when air gets in the the space between the chest wall and the lung. This space should not contain anything. So when air gets in, the lungs have to become smaller. A tension-pneumothorax is when the contents of the chest (heart, lung, collapsed lung) all shift to one side. Typically this is life threatening because blood cannot flow well. We don't always know why this is. ...Read more
What if newborn infant boy pees into his eyes? Does he need any medicine to prevent infection? Thanks!
Not specifically: This is an old myth that is perpetuated year to year. Iron given at therapeutic levels can cause constipation, but studies find no correlation with the level in formula. Infants may process one brand of formula slower or faster than another and any delay in emptying will lead to constipation. ...Read more
Some risks involved is the baby sleeping on their bellies, co-sleeping, not getting vaccinated, bumpers in the crib, etc. Here is a link from the AAP for further info
http://www. Aap. Org/en-us/about-the-aap/aap-press-room/Pages/AAP-Expands-Guidelines-for-Infant-Sleep-Safety-and-SIDS-Risk-Reduction. Aspx ...Read more
Dog has Clostridium in stool & was given antibiotics. We have a newborn & anytime we clean up we wash our hands. Before we knew dog was sick we only cleaned carpet with arm & harmer pet cleaner, not lysol. Should we be concerned? Symptoms in infant?
My newborn is 42 days old now. Her skin colour is darker than mine or her dad's or her younger brother, is that normal or is it gonna change by time?
Normal: Children in a family can take on a variety of skin tones, facial features and genetic traits. Remember children are not a perfect "mix" of mom and dad. Ever met a red headed child and no one else in the family has red hair? In terms of skin tones, these can vary also on ethnicity and race. Skin tones typically do not get lighter. ...Read more
My newborn is always asleep and I have to wake him up to feed him, he barely eat, he's not sick and he is 11 days old now. Is this normal for his age?
Weight gain: Please check the baby's weight. His weight should not be less than what he weighed at birth. Monitor the weight weekly to ensure that he is gaining weight. You should consult your doctor if he does not gain weight. In any case he should be checked in the well baby clinic at regular intervals. ...Read more
I was feeding my newborn baby (1 week n 3 days old). My three year old punched him on his head, the baby cryed alittle but is fine. Should I worry?
My newborn is a week and 6 days old and her umbilical cord stump fell off but at the bottom still looks open is this normal?
Call your peds: Sometimes, the umbilicus (belly button) doesn't fully heal at the base of the cord, so when the cord falls off, the baby can have something called an umbilical granuoloma - basically a non-healing wound. It's relatively common, and takes just 1 or 2 visits to the pediatrician's office to get it fixed. Make sure your infant is still eating, peeing, seeming as per her usual, 13-day self. ...Read more
Newborn is 4 days old and there is foul odor coming from umbilical cord stump but no discharge. Is this normal?
Abnormal: Foul smelling umbilical cord stump indicate bacterial growth-which is not good. This may be treated with alcohol swabbing of the stump several times a day. If it drains fluid or remains foul smelling, or the area around it turns red-a visit to the doctor is recommended. You want to avoid omphalitis. ...Read more
How can I make my newborn sleep well and star to sleep like us longer at night I mean? She is a lovely 42 days old baby girl
Sleep routine: Develop a great sleep routine right from the start. Try this: feeding, bath, a book (yes a book for a one month old) and a little rocking or singing. The body has wonderful built in rhythms, we just have to tap into them. Also note, that most babies do not sleep through the night until they are older than 6 months old. Most wake up at least once until then. ...Read more
Normal HR ; RR: The normal range for heart rate is 100-160 for a 3 week old, although if baby really upset crying hard up to 180 would not be unusual. Respiratory rate ranges from low 20's to 60. # week old babies also still have a percentage of periodic breathing, a normal breathing pattern where they breath very rapidly and then slow way down and almost look like they are not breathing and then speed up again. ...Read more
2 days old newborn boy was awake and buckled up in a travel system (car seat on a stroller frame). The stroller dropped one stair (about 10 inches) on front wheel. Baby got a shaken but no cry. Will he be OK?
Mgt: He should be seen in the Emergency department, if your PCP can not see him right away. ...Read more