DigestiveICD-10: R17

Jaundice

Also known as: Icterus, Yellow Skin, Hyperbilirubinemia

Jaundice is yellowing of the skin and eyes caused by elevated bilirubin in the blood. It is not a disease itself but a sign of an underlying condition affecting the liver, bile ducts, or red blood cells. In adults, jaundice always warrants medical evaluation.

At a Glance

Common symptoms
Yellowing of the skin and whites of the eyes, Dark-colored urine, Pale or clay-colored stools
Main treatments
Treatment depends entirely on the underlying cause, Gallstone removal for obstructive jaundice, Antiviral medications for hepatitis
Category
Digestive
See a doctor if
You notice yellowing of your skin or eyes

Symptoms

Yellowing of the skin and whites of the eyes
Dark-colored urine
Pale or clay-colored stools
Itching (pruritus), often severe
Fatigue and weakness
Abdominal pain in the upper right area
Nausea and vomiting

Causes

  • Pre-hepatic: excessive red blood cell breakdown (hemolytic anemia)
  • Hepatic: liver diseases (hepatitis, cirrhosis, alcoholic liver disease)
  • Post-hepatic: bile duct blockage from gallstones, tumors, or strictures
  • Medications and toxins that damage the liver
  • Gilbert syndrome (benign, inherited condition)

Risk Factors

  • Chronic liver disease or cirrhosis
  • Heavy alcohol consumption
  • Hepatitis B or C infection
  • Gallstones
  • Pancreatic or bile duct cancers
  • Hemolytic conditions (sickle cell disease, G6PD deficiency)

Diagnosis

  • Blood tests: bilirubin levels, liver function tests
  • CBC to assess for hemolytic anemia
  • Abdominal ultrasound for liver, gallbladder, and bile ducts
  • CT or MRCP for bile duct obstruction
  • Liver biopsy if cause remains unclear

Treatment

  • Treatment depends entirely on the underlying cause
  • Gallstone removal for obstructive jaundice
  • Antiviral medications for hepatitis
  • Cessation of hepatotoxic medications or alcohol
  • Phototherapy for neonatal jaundice
  • Surgery for tumors causing bile duct obstruction

When to See a Doctor

  • You notice yellowing of your skin or eyes
  • Your urine becomes dark or stools become pale
  • Jaundice is accompanied by fever, abdominal pain, or weight loss
  • Itching is severe and widespread

Frequently Asked Questions

Related Conditions

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