Continued from Previous Post: Role of HIDA Scan in Cholestasis
Treatment of neonatal cholestasis depends on underlying etiology.
- Biliary atresia needs early Kasai porto-enterostomy, before the age of 3 months
- Galactosemia needs lactose free diet.
- Nutrition and supplementation of vitamins play an important role in neonatal cholestasis irrespective of the underlying cause. Supplementation of fat soluble vitamins (A, D, E, K) is important. Usually 1.5- 2 times of the Daily recommended doses are used for most of the Vitamins and minerals/nutrients.
DOSES OF VITAMINS AND MINERALS IN CHOLESTASIS
| Vit A | Oral | 5,000-25,000 IU/day |
| Vit D | Oral | 400- 1,200 IU/day |
| Vit E | Oral(Cap Evion 200/400IU) | 50-400 IU/day or 15-25 IU/kg/day |
| Vit K | Parenteral (im or iv) | 5mg monthly |
| Water soluble Vitamins | Oral | 1.5 -2 times RDA |
| Calcium | Oral | 20-100 mg/kg/day |
| Phosphorus | Oral | 25-50 mg/kg/day |
| Zinc | Oral | 1 mg/kg/day |
| Magnesium | Oral | 1 meq/kg/day |
| Elemental Iron | Oral | 5-6 mg/kg/day |
READ ALL SECTIONS ON NEONATAL CHOLESTASIS
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