dear sir
i have fever from by birth. i hav visited so many doc. and the prob resolved at that time but again comes after one month.In 2004 SGPGI, Lucknow.Doc told that ur spleen has been enlarged so he operated it in april 04. from 2004 to 07 jan i was ok. but in feb 07 i hav suffered from severe jaundice and stomach pain,again went to SGPGI but the doc was out of india so i visited appolo hospital delhi, doc told that ur gall bladder has been blocked by stones.it has to be operated. again it was operated by doc Mr. Rajan Saxena from SGPGI and inserted a stunt , again jaundice comes in april. again visited appolo and the doc has been changed the stunt. he told that stunt will be changed in every 3 months. last month i have changed the stunt from appolo. but again jaundice occured this month.
plz suggest me wat we will do in this case.
can i meet with u sir personally.
plz suggest me
ur son
abhay
date of birth--25-08-1981 What is jaundice?
Jaundice is a condition of excessive build up of a substance called bilirubin in the blood. Bilirubin is a product of break down of red blood cells and is normally processed by the liver and excreted from the body in bile. When the liver malfunctions, bilirubin is not excreted and it gets deposited near the skin surface giving a yellow tinge to the skin, mucous membranes, and eyes.
Jaundice occurs when excess amounts of bilirubin circulating in the blood stream causes a yellowish appearance of the skin and the whites of the eyes. With the exception of physiologic jaundice in the newborn (normal newborn jaundice in the first week of life), all other jaundice indicates overload or damage to the liver, or inability to move bilirubin from the liver through the biliary tract to the gut.
Newborn jaundice is common and unless associated with an abnormal condition will clear without treatment. Another condition called Gilbert's syndrome is a hereditary condition in which mild jaundice develops during times of stress. This condition, once recognised, requires no further treatment or evaluation. There are also other more rare hereditary causes of elevated bilirubin levels. All other jaundice is the result of an underlying disease, condition, or toxicity.
A yellow-to-orange colour may be imparted to the skin by excessive intake of beta carotene, the orange pigment seen in carrots. People who consume large quantities of carrots or carrot juice or take beta carotene tablets may develop a distinctly yellow-orange cast to their skin. This condition is called hypercarotenemia or just carotenemia. Hypercarotenemia is easily distinguished from jaundice in that the whites of the eye (sclera) remain white, while people with true jaundice have a yellow sclera.
What are the causes?
In children:
newborn jaundice (physiologic jaundice)
breast feeding jaundice
viral hepatitis (hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E)
haemolytic anaemia
congenital disorders of bilirubin metabolism (Gilbert's syndrome)
autoimmune hepatitis
malaria
In adults:
obstruction of the bile ducts (by infection, tumour or gallstones)
viral hepatitis (hepatitis A, hepatitis B, hepatitis C, hepatitis D, and hepatitis E)
drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
drug-induced hepatitis (hepatitis triggered by medications, including erythromycin, sulpha drugs, antidepressants, anti-cancer drugs, rifampicin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosteronel)
bile duct stricture
alcoholic liver disease (alcoholic cirrhosis)
pancreatic carcinoma (cancer of the pancreas)
primary biliary cirrhosis
ischaemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
haemolytic anaemia
congenital disorders of bilirubin metabolism
chronic active hepatitis
autoimmune hepatitis
malaria
What are the symptoms?
yellow pigmentation of the skin
inside of the mouth (mucous membranes) turn yellow
eyes turn yellow
dark urine
pale stools
abdominal pain, systemic symptoms (eg, anorexia, vomiting, fever)
How is it diagnosed?
The medical history is obtained and a physical examination performed.
Medical history questions may include:
Is the skin colour yellow (jaundice)?
Is the inside of the mouth (mucous membranes) yellow?
Are the eyes yellow?
When did the jaundice start?
Has the jaundice occurred repeatedly (recurrent)?
What other symptoms are also present?
During a physical examination, the doctor studies one鈥檚 body to determine the presence or absence of physical problems.
A typical physical examination includes:
inspection (looking at the body)
palpation (feeling the body with hands)
auscultation (listening to sounds)
percussion (producing sounds)
Diagnostic tests that may be performed include:
serum bilirubin
hepatic (liver) enzymes (see liver function tests) and cholesterol
prothrombin time
complete blood count
ultrasound of the abdomen
liver biopsy
urine and faecal urobilinogen
What is the treatment?
The cause of jaundice must be determined before treatment can be given. Prescribed therapy is to be followed to treat the underlying cause. Treatment of jaundice depends upon an individual case. In most cases, it is treated with antibiotics, a mild case usually resolves on its own. The disease leaves a lot of weakness in its wake and thus recuperation may take a long time. Generally, the best way to treat jaundice is to correct the underlying cause; the exact remedy depends on the nature and severity of the case.
- drink 6-8 glasses of water a day
- eat lots of raw fruits and vegetables (especially green leafy vegetables)
- juice is good (make your own with a juice machine)
- do not drink coffee, alcohol, soda pop, other junk food drinks
- do not eat processed foods white sugar, white flour, etc.
- use stress relief like going for walks in the park
- brown rice and millet are good
- avoid red meat and animal fats
- reduce dairy products cheese, milk, and others
- fast a few days a month
- a colon intestinal cleansing is helpful
- get sleep
- exercise light to moderate amounts eg. yoga and stretching are good
- do not smoke and avoid second hand smoke http://en.wikipedia.org/wiki/Jaundice Yours seems to be a case of obstructive jaundice .Also there are many causes of obstructive jaundice but yours seem to be a congenital one..
You can post in orkut hospital .A virtual hospital @ Orkut .Can help you there ur son abhay,
Your letter is hard to understand. But have you been tested for hepatitis? Get tested. Start drinking Indian Mulberry fruit juice. Vry good for healthy liver and gall bladder. |
