Visible light phototherapy is an easily administered and effective treatment for neonatal indirect hyperbilirubinemia. Reported cutaneous side effects include transient rashes and the uncommon bronze baby syndrome. A more hazardous side effect is ultraviolet burn.
Can phototherapy burn skin?
You may have redness, itching, or a burning sensation after your phototherapy treatment. These are all normal side effects of this therapy. Phototherapy can dry out your skin.
What are side effects of phototherapy?
Phototherapy is a valuable therapeutic tool in Dermatology, but there may be drawbacks. Acute and long-term adverse effects, of variable severity, include skin erythema, xerosis, pruritus, blistering, altered pigmentation, photoaging, and photocarcinogenesis.
What are the side effects of phototherapy in babies?
The short-term side effects of phototherapy include interference with maternal-infant interaction, imbalance of thermal environment and water loss, electrolyte disturbance, bronze baby syndrome and circadian rhythm disorder.
Does phototherapy hurt baby’s?
Phototherapy is generally very effective for newborn jaundice and has few side effects, although your baby may develop a temporary rash and diarrhoea.
Does phototherapy darken skin?
With exposure to phototherapy lamps, these infants develop a dark, gray-brown discoloration of skin, urine, and serum. Although the exact etiology is not understood, this effect is thought to be the result of an accumulation of porphyrins and other metabolites.
Can phototherapy darken baby skin permanently?
No worries… skin colour will be normal in couple of weeks..
Can phototherapy cause a rash?
Phototherapy in newborns for treatment of indirect hyperbilirubinemia can sometimes lead to occurance of a mild rash. Rarely, it can be severe and purpuric in babies who have had exchange transfusion, and is related to raised porphyrin levels in blood.
How can I calm my baby under phototherapy?
While your baby is receiving phototherapy, he/she still needs to be touched and talked to. The best time to cuddle your baby and talk to him/her is during feedings. Some babies have trouble settling under the lights. Stroking and talking to your baby may help him/her to settle.
Does jaundice make skin darker?
Jaundice initially causes the skin to become yellow. Later, the gums, palms of the hands, and soles of the feet, as well as the whites of the eyes, may also develop a yellow color. These changes may be hard to see in children with darker skin or if a baby is unable to open their eyelids.
Does jaundice come back after phototherapy?
It is not unusual for babies to still appear jaundiced for a period of time after phototherapy is completed. Bilirubin levels may rise again 18 to 24 hours after stopping phototherapy. Although rare, this requires follow-up for those who may need more treatment.
How can you prevent phototherapy complications?
Maintain a strict fluid balance chart. Ensure that phototherapy unit is turned off during collection of blood for TSB/SBR levels, as both conjugated and unconjugated bilirubin are photo-oxidized when exposed to white or ultraviolet light. Observe for signs of potential side effects.
Can phototherapy cause brain damage?
Do not be alarmed if your baby has to have phototherapy; it does not mean that he or she is in danger of having brain damage. Doctors use this therapy to help prevent bilirubin from getting to a dangerous level. Feed your baby at least every 2 to 3 hours during the first week or two.
How do I know if phototherapy is working?
The bilirubin level will usually decrease every day with the treatment. The phototherapy may sometimes cause your baby to have brown coloured urine and loose brown/green bowel motions. These are signs that the treatment is working and the bilirubin level is decreasing.
What time sunlight is good for jaundice?
Sunlight has been shown to break down the bilirubin most effectively; in fact, one hour of sunlight equals 6 hours under the special bilirubin lights at the hospital. To sunbathe the baby, put him in a bassinet or on a blanket near a window with sun or indirect light (even on a cloudy day).
When does kernicterus occur?
In most cases, the syndrome characteristic of kernicterus develops by three to four years of age.