Jaundice: When to See a Gastroenterologist - Gastroenterology and Hepatology

Jaundice

Hello doctor, I recently noticed that the sclera of my eyes is slightly yellow, but the area near the iris is white.
Only the part that requires me to slightly pull back my eyelid appears a bit yellow.
Does this count as jaundice? Should I see a specialist in hepatobiliary and gastroenterology?

Mr. Huang, 20~29 year old female. Ask Date: 2019/05/22

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is more accurate to have a specialist physician make the assessment, and blood tests can also be considered.

Reply Date: 2019/05/22

More Info

Jaundice, or the yellowing of the skin and the whites of the eyes (sclera), is a clinical sign that indicates an excess of bilirubin in the bloodstream. Bilirubin is a yellow compound that is produced during the normal breakdown of red blood cells. When the liver is unable to process bilirubin effectively, it can accumulate in the body, leading to jaundice.
In your case, you mentioned that the whites of your eyes appear yellow, particularly near the eyelids, while the area around the black part of your eye remains white. This observation does suggest the possibility of jaundice, especially if the yellowing is noticeable and persistent. It is important to note that jaundice can be caused by a variety of conditions, including liver disease, bile duct obstruction, hemolytic anemia, and certain infections.

Given your symptoms, it is advisable to consult a gastroenterologist or a hepatologist (a liver specialist) for a thorough evaluation. Here are some reasons why seeing a specialist is important:
1. Diagnosis: A gastroenterologist can perform a detailed assessment, including a physical examination and a review of your medical history. They may order blood tests to check your liver function, bilirubin levels, and other relevant parameters. Imaging studies, such as an ultrasound or CT scan, may also be necessary to visualize the liver and biliary system.

2. Identifying Underlying Causes: Jaundice can be a symptom of various underlying conditions, such as hepatitis, cirrhosis, gallstones, or pancreatic issues. Identifying the root cause is crucial for appropriate management and treatment.

3. Monitoring and Management: If jaundice is confirmed, the gastroenterologist will develop a management plan tailored to your specific condition. This may include lifestyle modifications, medications, or further interventions depending on the underlying cause.

4. Preventing Complications: Early diagnosis and treatment can prevent potential complications associated with liver disease or other underlying conditions. For instance, untreated liver issues can lead to more severe health problems, including liver failure.

5. Education and Support: A specialist can provide you with valuable information about your condition, treatment options, and lifestyle changes that may help improve your health. They can also address any concerns or questions you may have about jaundice and its implications.

In summary, if you notice yellowing of the eyes or skin, it is essential to seek medical attention promptly. While the yellowing may be mild at this stage, it is better to err on the side of caution and have a healthcare professional evaluate your symptoms. Early intervention can lead to better outcomes and peace of mind.

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