Sir 1 year I had test liver function and my...

causes and treatment of high bilirubin (jaundice ) and pain with fever?

well. this combinations may indicates several differentials and should be examined by your doctor to identify the correct diagnosis.

Treatment is done by treating the causes, for example in cases of blockage of the bile ducts with stones that need to be removed, in the case of a viral infection with antiviral drugs and so on, there is no specific treatment for jaundice, but the treatment depends on what the tests and analyzes show from the diagnoses

diagnosed?

Through your presentation, medical examination and medical history checking should be done. Doctors diagnose jaundice(high bilirubin) by checking for signs of liver disease such as:

bruising of the skin

Spider hemangiomas (an abnormal collection of blood vessels near the surface of the skin)

Palmar erythema (red discoloration in the palms and fingertips)

Other tests include urine tests, as well as a complete blood count (CBC) and bilirubin levels. Your doctor will also do an exam to determine the status of your liver. Imaging (ultrasound and computer tomography (CT)) and liver biopsy (liver biopsy) may be used to further confirm the diagnosis.

What are the associated symptoms?

 The severity of symptoms depends on the underlying cause and how quickly or slowly the disease progresses.

If you have short-term jaundice (usually due to an infection), you may have the following symptoms and signs:

• Fever
• goosebumps
• Stomach ache
• With flu-like symptoms
• Change in skin color
• Dark urine and/or clay-colored stools

If jaundice is not caused by an infection, you may have symptoms such as weight loss or itchy skin (pruritus). If jaundice is caused by cancers of the pancreas or bile ducts, the most common symptom is abdominal pain. Sometimes, you may have the jaundice that occurs with liver disease if you have:

• Chronic hepatitis or hepatitis
• Pyoderma gangrenosum (a type of skin disease)
• Acute hepatitis A, B or C
• polyarthritis (arthritis)

What causes jaundice?

Jaundice can be caused by a problem in any of the three stages of bilirubin production.

Before bilirubin production, due to:

• Reabsorption of a large hematoma (a collection of coagulated or partially coagulated blood under the skin)
• Hemolytic anemia (blood cells are destroyed and removed from the bloodstream before their normal lifespan)

During the production of bilirubin, jaundice can be caused by:

• Viruses, including hepatitis A, chronic hepatitis B and C, and Epstein-Barr virus infection (infectious mononucleosis)
• Alcohol
• Autoimmune disorders
• Rare genetic metabolic defects
• Medications, including the toxicity of acetaminophen, penicillin, oral contraceptives, chlorpromazine (Thorazine®), and estrogenic or anabolic steroids

After bilirubin is produced, jaundice may occur due to obstruction (obstruction) of the bile ducts from:

• gallstones
• Inflammation (swelling) of the gallbladder
• gallbladder cancer
• pancreatic tumor

Advice:

treating such symptoms should be first addressed by determining the cause among the long lists of problems that would lead to such presentations, so visiting your doctor is a must, and in case you have tests, imagings or any repots or lab analysis you can share it by using this e-mail: doctor.jawabkom@gmail.com as this would help us to give you correct recommendations for your case.