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Hello doctor! Currently, I am living and working in Japan, recently I have jaundice in my palms and feet, not in my eyes. I went to the hospital and did a blood test. The results of her liver enzymes increased slightly, 60 lm, the jaundice index through the test was still within the allowable level. The doctor said it's okay, just change the diet. But after more than 1 month, my skin still yellow does not decrease. Due to the current Covid-19 epidemic, I cannot return home and cannot go to the hospital for a check-up. So I hope you guys can help me figure out why? I was born with hepatitis B. Is there a risk of developing cirrhosis? I have no other symptoms other than jaundice. I look forward to the support from the doctors so that I can work with peace of mind until I return home to do the necessary tests. I would like to thank you!
Bui Duy Thuong (1994)
Reply
Hello! Jaundice is a condition in which the yellow pigment in the skin, mucous membranes and sclera of the eyes is caused by an increase in total blood bilirubin above 17 mmol/l. Common symptoms are: Jaundice, yellowing of sublingual mucosa, yellowing of eyes, itching, drowsiness, loss of appetite, enlarged liver, large gallbladder, liver cell failure, discolored stools.
The cause of jaundice on the palms and feet is usually due to increased production of Bilirubin or impaired excretion of Bilirubin. You should see a doctor to check the status of your liver and biliary tract with tests such as: liver enzymes, liver function, bile, hepatitis virus status, liver ultrasound, bile.
You should note that, there are some foods that can cause jaundice in the palms and feet such as: Carrots, papaya, pumpkin, gac, mango, ripe persimmon... by these foods. This contains a very high content of β-carotene, when entering the body, it will form vitamin A, which is essential for the development of the body, strengthens the body's resistance and keeps the skin smooth. However, if you eat continuously, the excess carotene will not be fully metabolized by the body, causing accumulation and stagnation in the liver, leading to jaundice, indigestion, fatigue. This situation is not dangerous and easy to control.
Thank you for your question to Vinmec Health System. Best regards.
Answered by Master, Doctor Nguyen Quoc Lan - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
