Why is my infant s bilirubin level increasing?
Patient: My daughter had a baby 5 days ago and he had jaundice. He was placed under blue bili light. Within 24 hours his bilirubin level went from 19 to 12. They were sent home but had to go back for bilirubin level today, and it was 14. Why did the level go back up? He is eating well and passing meconium stools. Doctor: Thank you for sending us your query. The baby is has physiological jaundice, which is a self remitting condition. it usually persists for first 3 weeks of life.  However if the symptoms persists then congenital hyperbilirubinaemic conditions, such as Crigler-Najjar syndrome or Dubin Johnson syndrome or Gilbirt's syndrome or Rotor's syndrome may be considered. In such scenario, you should consult a paediatrician to pin point the exact cause. In most of the cases no active treatment is required and patient leads a normal life. Take care.