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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