We realised that he seems to getting pretty tanned. Initially, we thought its was due to us sunning him for the past 3 weeks. B ut yesterday, I dunno is it a matter of coincidence or not, 3 different groups of people told us that Baby Justin is looking a bit yellowish.
And so, we decided to bring him back to Dr Yip today for a check again.
And true enuff, Dr Yip confirmed that Baby Justin is slightly jaundish... uber sianz!! So he is not tanned afterall. Just yellowish. =((((
But thankfully, this time round, the blood test result show that his jaundice reading is within the acceptable range. *phew!* And the doctor confirmed that he is actually suffering from Breastmilk jaundice.
Did an online research on breastmilk jaundice and this is what it says:
Whereas breast feeding jaundice is a mechanical problem, breast milk jaundice is more of a biochemical problem. The term applies to jaundice in a newborn baby who is exclusively breastfed and in whom other causes of jaundice have been ruled out. The jaundice appears at the end of the first week of life and hence overlaps physiological jaundice. It can last for up to two months. Several factors are thought to be responsible for this condition.
First, in exclusively breastfed babies the establishment of normal gut flora is delayed. The bacteria in the adult gut convert conjugated bilirubin to stercobilinogen which is then oxidized to stercobilin and excreted in the stool. In the absence of sufficient bacteria the bilirubin is de-conjugated and reabsorbed. This process of re-absorption is called entero-hepatic circulation.
Second, the breast-milk of some women contains a metabolite of progesterone called 3-alpha-20-beta pregnanediol. This substance inhibits the action of the enzyme uridine diphosphoglucuronic acid (UDPGA) glucuronyl transferase responsible for conjugation and subsequent excretion of bilirubin. Reduced conjugation of bilirubin leads to increased level of bilirubin in the blood[citation needed].
Third, an enzyme in breast milk called lipoprotein lipase produces increased concentration of nonesterified free fatty acids that inhibit hepatic glucuronyl transferase which again leads to decreased conjugation and subsequent excretion of bilirubin[citation needed].
Breast-milk is now known to cause kernicterus, though this is uncommon. Serum bilirubin levels may reach as high as 30 mg/dL. Jaundice should be managed either with phototherapy or with exchange blood transfusion as is needed. Breast feeds however need not be discontinued. The child should be kept well hydrated and extra feeds given.
So thankfully, Dr Yip says that his jaundice is ok and should go away by end of 2nd month or so... nothing we can do also. So really got to pray that his jaundice will go off soon... otherwise, he will really look like a malay kiddo..=p
See his cheeky look (as usual..)... baby baby... get well soon ok?
And after we got home, he was so soundly asleep for the next 4 hours, except for the 15 mins that he got up for his milk and he was back to lala land again. Think he is really tired.. wonder what hard work he done hor?
I noticed, justin like to sleep like a frog!!! Dun get what I mean? Scroll down ....
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No matter how i tried to straighten his leg, in less than 1 min, he will be back to this position. Really funny. I love to see his sleeping positions. He never fail to make me laugh with all his funny sleeping postures... this boy ah.. really pattern a lot a lot!! *shake head*
1 comment:
Aiyo pls dun straighten his legs la! His legs will be curved up until he's ready to stand! kekeke..
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