Breast Milk Jaundice Differential Diagnoses

Updated: Dec 07, 2017
  • Author: Prashant G Deshpande, MD; Chief Editor: Muhammad Aslam, MD  more...
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DDx

Diagnostic Considerations

Important considerations

Differentiate breast milk jaundice (BMJ) from pathologic jaundice.

Appropriately treat elevated bilirubin levels in a timely manner

Identify and treat inadequate breastfeeding; avoid dehydration.

Treat preterm infants (estimated gestational age http://emedicine.medscape.com/article/974786-overviewNeonatal Jaundice</a>).

Other problems to be considered

The following conditions should also be considered in patients with suspected breast milk jaundice:

  • Hemolytic anemia: Blood type incompatibility (ABO and minor group antigens; red blood cell [RBC] membrane defects: spherocytosis, acanthocytosis, ovalocytosis; RBC enzyme defects, hemoglobinopathies)

  • Large cephalhematoma

  • Gilbert syndrome

  • Early galactosemia

  • Polycythemia

Differential Diagnoses