Jaundice refers to the yellowish tinge developing on your skin as well as the white areas of your eyes. The condition can result in turning your body fluids yellow. The problem medically known as icterus can result due to the high bilirubin levels in your blood. So, you can see greenish or yellowish pigmentation of the skin. The color appearing on the skin can depend on the bilirubin levels. It can affect both adults and newborns. The causes resulting in the condition in babies and adults vary. The health problem can affect people of all ages. You need to detect the underlying cause to get proper treatment. But, in most of the cases, icterus develops due to problems with the bile duct or liver.

What Is Jaundice?

The condition can develop when bilirubin accumulates in the blood. Bilirubin is the waste material found in your blood. It is produced by the body when the red blood cells breakdown or gets destroyed. Based on the bilirubin levels, your skin can turn from moderate yellow color to brown color. It affects both adults and newborns. When you observe signs of jaundice, then see your doctor immediately. The skin discoloration means you have some underlying problem in blood, liver or gallbladder.

Causes Of Jaundice

Your blood can show the presence of bilirubin, the yellow-orange substance. It develops when the red blood cells die. In normal cases, your liver filters bilirubin from the bloodstream. But, problems with your liver can result in bilirubin buildup. So, it can accumulate in the blood, turning your skin to yellow color. Both adults and newborns can suffer from the problem.

Neonatal Jaundice

Neonatal jaundice is common in babies around the world. The condition can cause the skin or whites of the eyes to turn yellow. Most babies have high levels of red blood cells. It is due to the liver not developing fully. So, the liver in newborns cannot process bilirubin quickly. So, it can cause your child to develop jaundice a few days after their birth.

Types Of Neonatal Jaundice

In most cases, the yellowing of skin in babies cannot cause any other health problem with proper care. But, ignoring the problem can result in high levels of bilirubin to accumulate in the bloodstream. It can result in the child experiencing brain damage. The condition medically known as kernicterus can result when the bilirubin enters the brain tissue. You can classify the condition in babies into different types.

Physiological Neonatal Jaundice

It is the condition developing in newborns when the liver fails to form completely. The incomplete development of the organ can result in the problem.

Neonatal Jaundice Due To Prematurity

It occurs when a baby is born too early. So, a baby born before 38 weeks of gestation can find it difficult to process bilirubin properly compared to a full-term baby.

Breast Milk Jaundice

It is the type of problem occurring due to breastfeeding problems. Babies with trouble getting enough breast milk can experience dehydration. They can also suffer from low caloric intake. So, it makes them prone to problems like yellowing of the skin.

Incompatible Blood Type

It is the type of icterus developing due to the child and the mother having different blood types. It can result in the motherâ€™s blood to make antibodies. These antibodies can breakdown the red blood cells in the baby. So, it increases the bilirubin levels in the child.

Signs Associated With Neonatal Jaundice

Your doctor can provide immediate medical attention to the child when signs like yellowing of whites of eyes or skin occur. It can also follow other serious signs like:

Fever
High-pitched crying for long periods
Throwing up
Arching of back and neck
Have trouble feeding

Diagnosing Neonatal Jaundice

When the babies are born, your doctor can perform several tests to eliminate the high levels of bilirubin in the childâ€™s blood. The tests to determine the problem conclusively are:

Physical Exam
Blood tests
Skin test using transcutaneous bilirubinometerÂ (It measures the reflection when a special light is shone through the skin)

Treatments For Neonatal Jaundice

Based on the underlying cause of the problem, your doctor can suggest the following treatment options for your child.

Light Therapy

Also known as phototherapy, the light emitted from the special lamp can change the shape and structure of bilirubin molecules. So, your babyâ€™s body can flush out the bilirubin through urine and stool. During the treatment, the baby is placed under the lamp emitting light in the blue-green spectrum only wearing the diaper. The eyepatches protect the babyâ€™s eyes from the light. Your doctor can supplement the therapy by using light-emitting mattress or pad.

Intravenous Immunoglobulin (IVIg)

It is the treatment suggested for jaundice in newborns caused due to different blood types in mother and baby. The immunoglobulin transfusion can reduce the antibodies carried by the baby from their mother. So, the immunoglobulin, a blood protein capable of reducing the antibodies level prevents the rapid breakdown of red blood cells. The treatment option also reduces the need for an exchange transfusion.

Exchange Transfusion

In some rare cases, the different treatments may not show results. In such cases, the baby may need a blood transfusion. The exchange transfusion of blood is performed in the newborn intensive care unit. It involves replacing small amounts of blood with donor blood. So, it dilutes the bilirubin as well as maternal antibodies.

Jaundice In Adults

The improper functioning of the liver can result in the condition in adults. The underlying problem can result in liver malfunctioning. So, your liver cannot filter the bilirubin properly. The common causes leading to the condition are:

Hepatitis

It is the condition that develops due to a viral infection. Hepatitis A, B or C virus can damage the liver. So, it causes the liver to malfunction. It makes it impossible to move the bilirubin into the bile ducts. You can suffer from acute hepatitis, which has short duration or chronic hepatitis that lasts for more than six months. In the majority of the cases, acute hepatitis can trigger icterus. In some cases, hepatitis occurs due to the use of certain drugs or autoimmune disorder.

Alcoholic Liver Disease

Consuming a large amount of alcohol for a long period can cause damage to the liver. People drinking alcohol can expect a liver problem. But, the amount of alcohol and time duration for the problem to develop can vary. In most people, liver damage occurs when they drink heavily for more than eight to ten years. In some cases, liver damage can occur due to use of other drugs or herbal products. Exposure to toxins can also lead to liver damage.

Bile Duct Obstruction

The presence of gallstones can cause bile duct obstruction. So, it can cause high levels of bilirubin buildup in your blood. In some cases, pancreatic cancer, rare liver disorders (for example primary sclerosing cholangitis or primary biliary cholangitis) can result in the bile duct obstruction. So, the bile duct obstruction can make your skin appear yellow.

Other Possible Causes

In some rare cases, you can suffer from jaundice due to hereditary disorders. It interferes with the processing of bilirubin in your body. The disorders causing such problems are:

Gilbert syndrome
Dubin-Johnson syndrome
Hemolysis

In such cases, the increase in bilirubin may not trigger visible problems. So, your doctor detects the problem only during routine screening tests.

Types Of Jaundice In Adults

You can classify jaundice into different types based on where they happen within your liverâ€™s process of bilirubin intake and filtering. So, you can classify into four types as:

Pre-Hepatic Jaundice

As the name suggests, the condition occurs when you encounter a problem with the bilirubin before it reaches the liver. Several factors or conditions can elevate your bloodâ€™s rate of hemolysis. Hemolysis is the process leading to breaking down of red blood cells in the blood. During the process, it releases hemoglobin and converts into bilirubin. Your liver can process only a specified amount of bilirubin at once. So, the increase in bloodâ€™s hemolysis rare can result in bilirubin overflowing into your bodily tissues.

Causes Of Pre-Hepatic Jaundice

Several health conditions can result in elevated rates of hemolysis. The diseases causing the problem are:

Malaria

It is the infection of the blood caused by a parasite.

Sickle Cell Anemia

In normal cases, your red blood cells look like a disc. But, the genetic condition can make the red blood cells have a crescent shape.

Thalassemia

It is a genetic condition that results in the body, making the irregular type of hemoglobin. The abnormal hemoglobin restricts the number of healthy red blood cells in the blood.

Symptoms Of Pre-Hepatic Jaundice

How can you detect the condition? Your body shows certain signs, which indicates the problem. So, monitor your body for the following signs:

Abdominal pain
Abnormal weight loss
Fever
Cold sweats
Chills
Dark urine
Feeling itchy
Pale stool

Risk Factors Associated With Pre-Hepatic Jaundice

Some factors increase your odds of developing the problem compared to others. The factors influencing the development of the problem are:

Drug use
Family history of blood disorder
Traveling to malaria-endemic areas around the world

Diagnosing Pre-Hepatic Jaundice

When you experience the signs like yellowing of the skin or whites of eyes, you need to see a doctor. The doctor can suggest the following tests to detect the issue conclusively:

Urinalysis
CBC (Complete Blood Count)
Liver function tests
Imaging Tests
HIDA Scan

Diagnosing the problem accurately is important to get proper treatment. The tests help determine if the processing of bilirubin in the liver, biliary ducts or gallbladder encounters no problem.

Treatment For Pre-Hepatic Jaundice

The treatment option for the condition depends on the underlying problem triggering it. So, the options include:

Treatment For Malaria

Medication to destroy the infecting parasite and prevent re-infection

Treatment For Sickle Cell Anemia

Blood transfusion from a healthy donor
Medication for infections triggering complications
Rehydration with IV (intravenous) fluid

Treatment For Spherocytosis

Blood transfusion to combat anemia
Folic acid supplements
Spleen removal (to reduce gallstones and increase red blood cell life)

Treatment For Thalassemia

Blood transfusions
Spleen/gallbladder removal surgery
Bone marrow transplants

Hepatic Jaundice

Hepatic jaundice develops due to problems in the liver. It mainly occurs when you suffer a scar to the liver tissue (cirrhosis). You can even suffer from the problem due to damage or dysfunction to the liver. So, the problem makes the liver ineffective to filter the bilirubin out of the blood. When bilirubin is not filtered to the digestive system for removal, it accumulates and increases the bilirubin levels in the blood.

Causes Of Hepatic Jaundice

Some underlying health conditions can trigger the issue. The most common causes of the condition are:

Liver Cirrhosis
Viral Hepatitis
Primary Biliary Cirrhosis
Alcoholic Hepatitis
Leptospirosis
Liver Cancer

Symptoms Of Hepatic Jaundice

When you suffer from hepatic jaundice, you can experience the following signs:

Bloody nose
Loss of appetite
Weakness
Skin itching
Swelling in the legs or abdomen
Abnormal weight loss
Pale stool
Dark urine
Pain in joints/muscles
Darkening of skin
Vomiting
Fever
Feeling sick

Risk Factors Of Hepatic Jaundice

The risk factors that increase your chances of getting the problem include:

Use of recreational drugs
Consuming a lot of alcohol for a long period
Use of medications leading to liver damage (for example, certain heart medications or acetaminophen)
A history of infections affecting the liver

Diagnosing Hepatic Jaundice

Your doctor can perform the following tests to detect the problem affecting the liver conclusively.

Urinalysis
CBC (Complete Blood Count)
Liver function tests
Antibody tests
Imaging tests
Endoscopy
Biopsy

Based on the results of the diagnostic examination, your doctor develops the ideal treatment plan for managing the problem.

Treatment For Hepatic Jaundice

The treatment options to alleviate hepatic jaundice depends on the health condition triggering it. So, depending on the exact issue, you can get proper treatment.

Treatment For liver Cirrhosis

The accumulation of bilirubin due to excess alcohol consumption needs treatment immediately. So, your doctor suggests the following:

Quit drinking immediately
Use beta-blockers
Reduce inflammation of the liver with antibiotics (through IV)
Include a low-protein diet

Treatment For Viral Hepatitis

Take antiviral medications
Get hepatitis vaccination
Take plenty of rest
Drink fluids

Treatment For Primary Biliary Cirrhosis

Take bile acids to aid with digestion
Manage itch caused due to the condition with antihistamines
Take bile-lowering medication

Treatment For Alcoholic Hepatitis

Quit consuming alcohol
Take nutrition supplements
In severe cases, undergo a liver transplant

Treatment For Leptospirosis

Take antibiotics for an infection
Use ventilator for breathing trouble
Undergo dialysis for kidney damage

Treatment For Liver Cancer

Radiation/chemotherapy to kill cancer cells
Undergo partial liver resection
Undergo liver transplant

Post-Hepatic Jaundice

Post-hepatic is also known as obstructive jaundice occurs when your body cannot drain the bilirubin into the digestive tract or bile ducts due to blockage.

Causes Of Post-Hepatic Jaundice

The obstruction can occur due to different reasons. The common causes are:

Presence of hard calcium deposits (also known as gallstones) causing bile ducts blockage
The genetic condition leading to missing or narrow bile ducts (biliary atresia)
Cancer can spread to your bile ducts causing bile duct cancer
Your pancreas that produces digestive substances can have malignant cells
When you suffer from inflammation or infection of the pancreas (pancreatitis)

Symptoms Of Post-Hepatic Jaundice

When you suffer from the condition due to obstruction, it can trigger several other symptoms. So, you need to observe your body for signs like:

Vomiting
Feeling sick
Pale stool
Dark urine
Diarrhea
Abdominal pain
Skin itching
Abnormal weight loss
Fever

Risk Factors Associated With Post-Hepatic Jaundice

Some people are more at risk of suffering from the problem compared to others. The factors putting you at risk of the problem are:

Excess body weight

Suffer from diabetes
Eating a low-fiber, high fat diet
Advanced age
Having a family history of gallstones
Female
Smoking tobacco products
Consuming alcohol in excess
Having a previous infection or inflammation of the pancreas
Constant exposure to industrial chemicals

Diagnosing Post-Hepatic Jaundice

Apart from physical assessment, your doctor can order the following tests to detect the problem conclusively. So, you need to undergo the following tests:

Urinalysis
Blood tests (CBC)
Antibody tests to detect cancer
Imaging tests to detect obstruction like tumors or gallstones in bile ducts, gallbladder or liver (Ultrasound or MRI)
Liver tests to rule out hepatic jaundice
Endoscopy to look at liver, bile ducts, gallbladder to check for obstruction or take a sample to diagnose cancer

Depending on the diagnosis, your doctor can suggest treatment options. Therefore, it is essential to determine the exact cause.

Treatment For Post-Hepatic Jaundice

The treatment for the post-hepatic condition depends entirely on the underlying cause. So, your doctor can suggest treatment to address the cause of the problem. The treatment options available are:

Treatment For Gallstone

Your doctor can suggest the following options to avoid or restrict gallstones production. Therefore, the steps to manage the problem includes:

Change the diet to prevent gallstones production
Take medications or undergo treatment to dissolve gallbladder completely
Remove gallstones or gallbladder entirely

Treatment For Pancreatic Cancer

You need to undergo treatment as early as possible for cancerous presence in the pancreas. You need to undergo one or a combination of the treatment options:

Chemotherapy
Radiation therapy
Surgery to remove cancerous tissue or pancreas completely

Treatment For Bile Duct Cancer

Cancerous cells can develop in the bile ducts. It can cause post-hepatic jaundice. So, the treatment options include:

Chemotherapy or radiation therapy to destroy cancerous cells
Surgery to remove cancerous bile ducts or the affected parts of the liver as well as the pancreas
Liver transplant

Treatment For Pancreatitis

The treatment for infection or inflammation of the pancreas includes the following:

Getting enough rest
Injecting pain medication or fluid intravenously (IV)
Surgery to eliminate the actual cause of inflammation

Treatment For Biliary Atresia

The treatment to manage biliary atresia includes the following:

Undergo Kasai procedure to replace and remove bile ducts
Liver transplantation

Preventing Jaundice

Can you prevent yellowing skin in adults? It is possible to prevent the condition by adopting specific measures. The preventive steps can help you avoid the condition.

Try to avoid hepatitis infection from affecting your body.
Consume alcohol in moderation. You need to stay within the recommended limits to reduce your risk of the condition.
Control your weight and maintain it within the acceptable limits. The healthy weight prevents any problems from affecting you.
High cholesterol levels can result in the excess buildup of bilirubin in your blood. So, maintain healthy cholesterol levels.

Conclusion

Jaundice is the clear indication of high levels of bilirubin in your blood. Though the underlying causes of high bilirubin levels can vary. So, you need to contact your doctor to determine the exact health problem triggering excess bilirubin accumulation in the blood. Make an appointment when you see changes in your skin color or whites of the eyes. You can manage certain conditions with lifestyle and diet changes. In some severe cases, you need long-term or invasive treatment to manage the problem. With proper care and attention, it is possible to deal with the problem and avoid further complications.

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