Jaundice
Jaundice is symptom of liver disease, which manifest as yellowish discoloration of urine and eyes,
Diagnosis is confirmed by performing liver function test (blood test)
Causes of jaundice are
Unconjugated hyperbilirubinemia
- Hemolysis
- Gilbert syndrome
Conjugated hyperbilirubinemia– is due to the liver diseases which can either be liver inflammation or obstruction in biliary system of the liver
Liver inflammation
- Hepatitis A
- Hepatitis B
- Hepatitis C
- Hepatitis E
- Alcoholic hepatitis
- Wilson Disease (Excessive copper in liver)
- Hemochromatosis (Excessive iron in liver)
- Autoimmune hepatitis
Obstruction in biliary system of liver
- Stone in common bile duct
- Tumor of gall bladder, pancreas, and CBD causing CBD obstruction
- Worm in CBD
- Enlarged lymph nodes compressing CBD
Workup
Following tests are done to know the cause of jaundice
- LFT
- Viral markers
- USG Abdomen
- CECT Abdomen and MRCP
Treatment
- Treatment of jaundice depends upon the cause of jaundice and includes
- Antiviral medication
- Stopping alcohol
- Steroids for autoimmune hepatitis
- Copper and iron chelation for wilson disease and hemochromatosis respectively
- ERCP to remove the CBD stone or stent placement to bypass biliary obstruction due to tumor
Reviews
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Catherine
Dear DGOC
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Ankit sharma
I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Ojaswita
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.