Pediatrician Questions Pediatrician

My one month baby's indirect bilirubin level is 11.86mg?

My one month baby's indirect bilirubin level is 11.86mg/dl and SGOT is 54. How bad is it? What can I do? The consultant says it is not worse.

Male
Complaint duration: 00/01/00
Medications: no
Conditions: jaundice

1 Answer

That level of indirect hyperbilirubinemia can be very concerning. The SGOT is only mildly elevated. However, something is causing this. It could be extrahepatic biliary atresia, infections in the blood or urinary tract, hemolytic anemia, cephalohematoma or bruising, polycythemia, bowel obstruction, pyloric stenosis, hypothyroidism, breast feeding, Gilberts' disease, medications, alpha -1 antitrypsin deficiency, neonatal hepatitis, and more. If your baby is healthy and breast feeding, the most likely cause is breast milk jaundice, and you do not need to worry. If your baby is not breast feeding, then more tests are needed, such as a blood count, blood and urine cultures, thyroid function test, G6PD assay, hemoglobin electrophoresis, complete liver function tests, and potentially more.