Jaundice in childhood is usually dismissed as a normal and curable condition, particularly if detected early. But in extreme instances, it can leave deeper consequences, something that actor Ibrahim Ali Khan recently spoke about. In an emotional interview, he described how he had struggled with speech difficulty due to jaundice at birth, which had impacted his brainstem as well as his hearing. His experience has highlighted a problem that perhaps many parents are not aware of.
This is not uncommon. In case jaundice gets extreme and is not given treatment at the right time, it can result in kernicterus. It occurs when excessive bilirubin, the substance that causes yellowing of the eyes and skin, passes into the brain and harms certain areas of the brain, such as those involved in hearing as well as speech development. Even the brainstem that governs most of the necessary functions can be harmed.
One of the earliest indications that something is amiss after such an event is a speech delay. A child might not babble, react to sounds, or attempt to construct words like other children of the same age. Sometimes they won’t turn around when called or be abnormally quiet. These are never signs to be discounted.
Physicians advise that any infant who had a serious bout of jaundice, particularly those who were hospitalized, get early tests for hearing and neurological tests. Basic hearing tests can detect problems before the child begins speaking. If there are issues, therapy can be started immediately, which significantly enhances the potential for improved speech and communication later in life.
Speech therapy is also a major contributor to catching up. It’s not immediate, and it can take months or even years of weekly or fortnightly sessions. But the progress can be astounding. Ibrahim’s is a great example. Despite major challenges, his journey through therapy and intense support enabled him to find his confidence and voice.
Parents have a role to play as well. If they spot any delays or issues, it’s best not to wait or hope the child will “grow out of it.” The sooner a child begins receiving assistance, the better the outcome tends to be. Pediatricians will frequently state that the first three years of life are the most important for speech and brain development, so this is when intervention is most critical.