Jaundice

11 min read

Jaundice is a yellow discoloration of the skin and the whites of the eyes caused by an excess of bilirubin in the body. Bilirubin is a yellow pigment that is produced when red blood cells are broken down. It is usually excreted in the bile, but when there is an excess of bilirubin, it can build up in the body and cause jaundice.

Causes of Jaundice

Jaundice can be caused by a variety of conditions, including liver disease, gallbladder disease, and certain blood disorders. It can also be caused by certain medications, such as antibiotics, and by certain infections, such as hepatitis. In some cases, jaundice can be caused by an obstruction in the bile ducts, which can prevent the bilirubin from being excreted in the bile.

Diagnosis of Jaundice

Jaundice is usually diagnosed through a physical examination and a blood test. The blood test measures the level of bilirubin in the blood, which can help to determine the cause of the jaundice. In some cases, additional tests may be needed to determine the cause of the jaundice, such as an ultrasound or a CT scan.

Complications of Jaundice

Jaundice can lead to complications, such as anemia, liver damage, and kidney damage. In some cases, jaundice can also lead to an increased risk of infection. It is important to seek medical attention if you are experiencing jaundice, as it can be a sign of a more serious underlying condition.

Symptoms

Common Symptoms of Jaundice

  • Yellowing of the skin and eyes (sclera)
  • Dark urine
  • Pale stools
  • Itching
  • Fatigue
  • Loss of appetite
  • Nausea and vomiting
  • Abdominal pain

When to See a Doctor

If you experience any of the above symptoms, it is important to seek medical attention as soon as possible. Jaundice can be a sign of a serious underlying condition, and it is important to get a diagnosis and treatment as soon as possible.

Take the Jaundice Assessment

Causes

Common Causes of Jaundice

  • Hepatitis: Inflammation of the liver caused by a virus or other infection.
  • Cirrhosis: Scarring of the liver caused by long-term alcohol abuse or other chronic liver diseases.
  • Gallstones: Stones that form in the gallbladder and block the flow of bile.
  • Alcoholism: Excessive alcohol consumption can damage the liver and cause jaundice.
  • Medications: Certain medications, such as acetaminophen, can cause jaundice.
  • Inherited Disorders: Certain inherited disorders, such as Gilbert's Syndrome, can cause jaundice.
  • Cancer: Certain types of cancer, such as liver cancer, can cause jaundice.

If you are experiencing any of the symptoms of jaundice, it is important to see a doctor as soon as possible. Your doctor can diagnose the cause of your jaundice and recommend the appropriate treatment.

Getting a Diagnosis

Physical Examination

A physical examination is the first step in diagnosing jaundice. During the exam, the doctor will look for signs of jaundice, such as yellowing of the skin and eyes, as well as any other symptoms that may be present. The doctor may also feel the abdomen to check for any signs of liver enlargement or tenderness.

Blood Tests

Blood tests are used to measure the levels of bilirubin in the body. High levels of bilirubin indicate jaundice. The doctor may also order other tests to check for other conditions that may be causing the jaundice, such as liver disease or an infection.

Imaging Tests

Imaging tests, such as an ultrasound or CT scan, may be used to look for any abnormalities in the liver or other organs that may be causing the jaundice. These tests can also help to rule out other conditions that may be causing the jaundice.

Conclusion

Diagnosis for jaundice typically involves a physical examination, blood tests, and imaging tests. It is important to diagnose the underlying cause of jaundice in order to treat it effectively. If you are experiencing any symptoms of jaundice, it is important to see your doctor for a proper diagnosis.

Questions for Your Doctor

Causes of Jaundice

Your doctor will want to know what caused your jaundice. Common causes of jaundice include liver disease, gallstones, and certain medications. Your doctor may order tests to determine the cause of your jaundice.

Treatment Options

Your doctor will discuss treatment options with you. Treatment for jaundice may include medications, lifestyle changes, or surgery. Your doctor will recommend the best treatment option for you based on the cause of your jaundice.

Follow-up Care

Your doctor will likely recommend follow-up care to monitor your jaundice. This may include regular blood tests, imaging tests, or other tests. Your doctor will also discuss any lifestyle changes you may need to make to help manage your jaundice.

Questions to Ask Your Doctor

When talking to your doctor about jaundice, it is important to ask questions. Here are some questions to ask your doctor:

  • What is causing my jaundice?
  • What treatment options are available?
  • What follow-up care do I need?
  • Are there any lifestyle changes I should make?
  • Are there any side effects of the treatment?

Talking to your doctor about jaundice is important. Be sure to ask questions and discuss all of your concerns with your doctor.

Treatment

Medications

Medications may be prescribed to treat jaundice. These medications can help reduce the amount of bilirubin in the blood. They may also help treat any underlying conditions that are causing the jaundice. Common medications used to treat jaundice include antibiotics, antivirals, antifungals, and antimalarials.

Phototherapy

Phototherapy is a treatment for jaundice that uses light to break down bilirubin in the blood. During phototherapy, the patient is exposed to a special type of light that helps break down the bilirubin. Phototherapy is usually used for newborns with jaundice.

Blood Transfusions

In some cases, a blood transfusion may be necessary to treat jaundice. During a blood transfusion, healthy blood is transfused into the patient's body to replace the blood that is causing the jaundice. Blood transfusions are usually used for severe cases of jaundice.

Liver Transplant

In some cases, a liver transplant may be necessary to treat jaundice. During a liver transplant, a healthy liver is transplanted into the patient's body to replace the damaged liver that is causing the jaundice. Liver transplants are usually used for severe cases of jaundice.

Dietary Changes

Making dietary changes can help reduce the symptoms of jaundice. Eating a balanced diet that is low in fat and high in fiber can help reduce the amount of bilirubin in the blood. Drinking plenty of fluids can also help flush out toxins from the body.

Drugs & Medications

Ursodeoxycholic Acid (UDCA)

Ursodeoxycholic acid (UDCA) is a bile acid that helps reduce the amount of bilirubin in the blood. It is used to treat jaundice caused by liver diseases such as cirrhosis, hepatitis, and biliary atresia. UDCA is available in tablet and capsule form.

Phenobarbital

Phenobarbital is a barbiturate drug used to treat jaundice caused by Gilbert's syndrome. It works by increasing the amount of bilirubin that is excreted in the urine. Phenobarbital is available in tablet and liquid form.

Sulfasalazine

Sulfasalazine is an anti-inflammatory drug used to treat jaundice caused by autoimmune hepatitis. It works by reducing inflammation in the liver, which helps reduce the amount of bilirubin in the blood. Sulfasalazine is available in tablet and liquid form.

Furosemide

Furosemide is a diuretic drug used to treat jaundice caused by liver cirrhosis. It works by increasing the amount of urine produced, which helps reduce the amount of bilirubin in the blood. Furosemide is available in tablet and injection form.

Conclusion

Jaundice is a condition that causes yellowing of the skin and eyes. Treatment for jaundice depends on the underlying cause, but may include medications to reduce the amount of bilirubin in the blood. Ursodeoxycholic acid (UDCA), phenobarbital, sulfasalazine, and furosemide are some of the drugs used to treat jaundice.

Diet

The good news is that there are certain dietary changes that can help manage jaundice. Eating the right foods can help reduce the symptoms of jaundice and support overall health. Here are some tips on what to eat and avoid when you have jaundice.

What to Eat

When you have jaundice, it is important to eat a balanced diet that is rich in vitamins and minerals. Here are some of the best foods to eat when you have jaundice:

  • Fruits and vegetables: Fruits and vegetables are packed with vitamins and minerals that can help support your body’s natural healing process. Choose fresh, organic produce whenever possible.
  • Whole grains: Whole grains are a great source of fiber and other essential nutrients. Choose whole grain breads, cereals, and pastas.
  • Lean proteins: Lean proteins such as fish, chicken, and beans are a great source of protein and other essential nutrients. Choose lean cuts of meat and opt for low-fat dairy products.
  • Healthy fats: Healthy fats such as olive oil, avocados, and nuts are a great source of essential fatty acids. Choose unsaturated fats whenever possible.

What to Avoid

In addition to eating the right foods, it is also important to avoid certain foods when you have jaundice. Here are some of the foods to avoid:

  • Processed foods: Processed foods are often high in sodium, sugar, and unhealthy fats. Avoid processed snacks, frozen meals, and fast food.
  • Alcohol: Alcohol can interfere with the body’s natural healing process. Avoid alcohol while you have jaundice.
  • Caffeine: Caffeine can interfere with the body’s natural healing process. Avoid coffee, tea, and energy drinks.
  • Sugary drinks: Sugary drinks are high in calories and can interfere with the body’s natural healing process. Avoid soda, juice, and other sugary drinks.

Eating a healthy diet is an important part of managing jaundice. Eating the right foods can help reduce the symptoms of jaundice and support overall health. Be sure to talk to your doctor or dietitian if you have any questions about your diet.

Lifestyle

Eat a Balanced Diet

Eating a balanced diet is important for managing jaundice. Include plenty of fruits and vegetables in your diet, as well as lean proteins and whole grains. Avoid processed foods and foods high in fat and sugar. Eating a balanced diet can help your body to better process the toxins that can cause jaundice.

Get Plenty of Rest

Getting enough rest is essential for managing jaundice. Make sure to get at least 8 hours of sleep each night. If you are feeling tired during the day, take a nap or rest for a few minutes. This will help your body to better process the toxins that can cause jaundice.

Exercise Regularly

Exercising regularly can help to manage jaundice. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or any other activity that gets your heart rate up. Exercise can help to reduce stress and improve your overall health.

Drink Plenty of Water

Drinking plenty of water is important for managing jaundice. Aim for 8-10 glasses of water each day. This will help to flush out toxins and keep your body hydrated. Avoid sugary drinks and alcohol, as these can worsen jaundice.

Avoid Stress

Stress can worsen jaundice, so it is important to find ways to manage stress. Try to take time each day to relax and unwind. This can include activities such as yoga, meditation, or reading. Avoid situations that cause you stress and take steps to manage your stress levels.

Seek Medical Treatment

If you are experiencing symptoms of jaundice, it is important to seek medical treatment. Your doctor can provide you with a diagnosis and treatment plan to help manage your condition. They may also recommend lifestyle changes to help you manage jaundice.