This is an automatically translated article.
Not only children, but hyperbilirubinemia leading to jaundice can also occur in adults. Although not necessarily a serious condition, jaundice in adults can be a sign of something more serious that requires treatment, such as jaundice caused by liver disease or damage to the bile ducts.
1. Causes of Jaundice in Adults
There are many causes of jaundice in adults, mainly due to the abnormal function of the liver, bile, and pancreas. For example, when liver cells are damaged, the bile ducts are broken or inflamed, compressed due to gallstones, worms entering the bile ducts causing obstruction, polyps or tumors... or cirrhosis, liver and pancreatic cancer. .. are all diseases that cause Bilirubin levels in the blood to increase, causing the skin, mucous membranes of eyes, tongue, palms, and feet to be yellowed due to bile pigments.
Acute or chronic hepatitis caused by viruses A, B, C, D, E, G or alcohol, chemicals, drugs (eg clopromazine, paracetamol, anti-tuberculosis drugs, oral contraceptives...) cause serious liver damage causing jaundice in adults.
In addition to liver and bile problems, other diseases such as pancreatic head tumor, pancreatic cancer are also factors that hinder the circulation of bilirubin, making the skin more yellow.
Sepsis caused by intestinal bacteria such as Salmonella, E.coli, staphylococcus aureus (Staphylococcus aureus) or green pus bacillus (Pseudomonas aeruginosa) are all capable of causing liver damage, causing jaundice.
Jaundice in adults can also be caused by congenital hemolytic disease, autoimmune disease, cold hemolytic disease, Cooley's disease or malaria, yellow fever, bleeding (Leptospira) are also causes in people Adults show signs of jaundice.
In summary, common causes of jaundice in adults include:
Jaundice due to hepatitis : Hepatitis A , chronic hepatitis B and C Biliary problems: Gallstones , cholecystitis, gallbladder cancer Pancreatitis Autoimmune or genetic disorder Epstein-Barr virus (EBV) infection or infectious mononucleosis Due to excessive alcohol consumption by the body Due to a Certain medications such as acetaminophen, penicillin, oral contraceptives, and steroids also cause jaundice in adults.
2. Recognizing jaundice in adults
Doctors can diagnose jaundice in adults by looking for signs of liver disease such as bruises, astrocytomas, yellow palms and feet, yellowing in the lining of the eyes, and tongue ; biliary obstruction when seeing dark urine, pale stools... and performing tests, ultrasounds, CT/MRI scans, biopsies to confirm more diagnosis results, thereby indicating the right treatment , timely.
Usually blood test results in jaundiced patients will show elevated levels of bilirubin in the blood in all 3 types: total, direct, and indirect bilirubin. At the same time, the amount of liver enzymes AST and ALT also increased to more than twice the normal level, showing that the body's liver, bile and pancreatic functions are seriously affected.
3. Mode of treatment
Depending on the cause, the doctor will give different treatment indications. With proper and timely treatment, the condition and symptoms of jaundice are also reduced. The treatment of the cause of jaundice depends on each disease, it can be treated with drugs, but with some specific diseases, surgical intervention is required to solve the cause of jaundice. Here are the treatment modalities for jaundice in adults classified by cause:
Treatment of jaundice due to hepatitis Most cases of hepatitis are caused by viral agents. There are 5 common types of hepatitis are A, B, C, D, E with different characteristics. Depending on the group of viruses that cause hepatitis and the condition of the disease, the doctor will prescribe different drugs for treatment. Usually the drug used to treat this case is a group of drugs that inhibit the virus or a group of drugs that act on the immune system to help fight the virus's replication, eliminate the virus and enhance the body's immunity. . It is possible to consider using drugs to treat symptoms such as: diuretics, diuretics, intravenous fluids when the skin is dark yellow; vitamin K supplements when there is bleeding syndrome, vitamin B supplements, but according to the specific prescription and dosage of the doctor.
Treatment of jaundice due to biliary tract disease If the patient has a history of biliary tract disease (including gallbladder disease), it is necessary to prioritize definitive treatment first. To do this well, the patient needs to be treated according to the instructions and advice of the doctor. At the same time, it is recommended to regularly deworm periodically to destroy worms and worm eggs, especially roundworms to avoid cases of gallstones formed by worms in the bile duct.
4. Prevention of jaundice in adults
Prevention of hepatitis virus Viral hepatitis is one of the main causes of jaundice in adults. Avoiding exposure to this virus as much as possible will help reduce your risk of hepatitis and jaundice. You can prevent hepatitis A and B by getting vaccinated. Any child or adult can get this vaccine.
Hepatitis A is usually spread into the body of an infected person when they accidentally ingest small amounts of secretions usually found in dirty food. Therefore, you should be cautious when eating out, as these foods may not be prepared and cooked properly.
Hepatitis B and C are again spread through the blood and bodily fluids of an infected person, but not through casual contact. Therefore, absolutely avoid reusing any needles from tattoo needles to medical needles to prevent virus transmission.
Limit alcohol consumption to a permissible level Since the liver is responsible for processing alcohol and alcoholic substances and is the origin of jaundice, you need to limit your alcohol consumption to the recommended level (Women are 20-30ml pure alcohol, for men 30-40ml/day). Not only will this help eliminate the symptoms of jaundice, but it will also help you prevent alcohol-related liver diseases. At the same time, you should not drink alcohol and beer of poor quality such as homemade wine, homemade wine. It is best to limit or not drink alcohol.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE
Recommended video:
Health check recurring at Vinmec: Protect yourself before it's too late!
LEARN MORE
Notes on correct neonatal jaundice Change of blood in neonates with jaundice due to high blood Bilirubin Differentiate physiological jaundice and jaundice caused by biliary atresia in newborns