Elevated jaundice in newborns at 21 days of age is mostly due to breast milk jaundice or pathological jaundice, which requires general treatment, medication, physical therapy, blood exchange therapy, and so on.
Breastmilk jaundice mainly occurs in exclusively breastfed newborns, and generally does not require special treatment. Jaundice will be relieved after stopping breastfeeding for 2-3 days, and bilirubin will gradually decrease.
Pathological jaundice, on the other hand, if it is caused by hemolysis due to blood group incompatibility, often requires transfusion of immunoglobulin, and a small number of children may develop rashes, allergies and other adverse reactions. If the child’s albumin level is abnormal, albumin can be directly supplemented, which can reduce the bilirubin level. In addition, blue light irradiation is often required, which can promote the excretion of unconjugated bilirubin.
In some cases, bilirubin levels are too high for blue light therapy to be effective, and if necessary, blood exchange therapy may be used.
Newborns with elevated jaundice on the 21st day of life need to consult a doctor to find out the cause of the jaundice and to avoid delaying the treatment. The above medications should be used in accordance with medical advice.