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Jaundice

Jaundice: Causes, Symptoms, Diagnosis, and Surgical Management

Jaundice is a medical condition characterized by yellowing of the skin, eyes, and mucous membranes due to an increased level of bilirubin in the blood. It is not a disease by itself but a sign of an underlying problem involving the liver, bile ducts, gall bladder, or pancreas. Early evaluation and appropriate treatment are essential to prevent complications.

What Is Jaundice?

Bilirubin is a yellow pigment produced during the normal breakdown of red blood cells. The liver processes bilirubin and helps eliminate it from the body through bile. When this process is disturbed, bilirubin accumulates in the blood, leading to jaundice.

Jaundice can affect people of all ages and may range from mild and temporary to severe and life-threatening, depending on the cause.

Common Causes of Jaundice

Jaundice may occur due to various conditions, including:

  • Gall bladder stones blocking the bile duct

  • Common bile duct (CBD) stones

  • Liver diseases such as hepatitis or cirrhosis

  • Pancreatic tumors or cancers

  • Bile duct strictures or injury

  • Infections affecting the liver

Identifying the exact cause is crucial for effective treatment.

Symptoms of Jaundice

Along with yellowing of the skin and eyes, patients may experience:

  • Dark-colored urine

  • Pale or clay-colored stools

  • Itching of the skin

  • Abdominal pain

  • Loss of appetite

  • Nausea or vomiting

  • Fever in some cases

Any appearance of jaundice should be evaluated promptly by a specialist.

How Is Jaundice Diagnosed?

Diagnosis of jaundice involves a detailed clinical evaluation and investigations such as:

  • Blood tests (liver function tests)

  • Ultrasound of the abdomen

  • CT scan or MRI

  • MRCP or ERCP when bile duct blockage is suspected

These tests help determine whether jaundice is due to liver disease or bile duct obstruction.

Surgical and Interventional Treatment for Jaundice

Treatment depends on the underlying cause:

  • Gallstones or CBD stones: Managed with ERCP, laparoscopic CBD exploration, or gall bladder surgery

  • Bile duct obstruction: May require stenting, dilation, or surgical bypass

  • Tumors of the pancreas or bile duct: Treated with surgery, chemotherapy, or palliative procedures

  • Strictures or injuries: Corrected through reconstructive surgery

Early intervention significantly improves outcomes, especially in obstructive jaundice.

Role of Laparoscopic and Minimally Invasive Surgery

Modern minimally invasive techniques allow safe and effective treatment of many causes of jaundice with:

  • Smaller incisions

  • Less post-operative pain

  • Faster recovery

  • Reduced hospital stay

The choice of treatment is individualized based on the patient’s condition and diagnosis.

Expert Care Under Dr. Ajay Sharma

Dr. Ajay Sharma is an experienced Gastrointestinal Surgeon with expertise in diagnosing and managing jaundice caused by gallstones, bile duct obstruction, and complex hepatobiliary conditions. He offers advanced laparoscopic and endoscopic solutions tailored to each patient.

His approach emphasizes accurate diagnosis, timely intervention, and comprehensive post-treatment care.

When Should You Consult a GI Surgeon?

Seek immediate medical attention if you notice:

  • Yellowing of eyes or skin
  • Dark urine or pale stools
  • Persistent abdominal pain
  • Fever with jaundice

Book a Consultation

If you or a loved one is experiencing symptoms of jaundice, consult Dr. Ajay Sharma, Gastrointestinal Surgeon, for expert evaluation and advanced treatment options.

Prompt care can make a significant difference in recovery and long-term health.