Yellow Eyes: Possible Causes and Liver Health Tips - Gastroenterology and Hepatology

Yellowing of the eyes?

Hello, Doctor.
I am preparing for graduate school entrance exams this year, so I have been going to bed around midnight or even past 1 AM lately.
As a result, I often feel sleepy during the day.
My classmate mentioned that my eyes look a bit yellow, and when I looked in the mirror, I noticed they do appear somewhat yellow.
I am wondering if this could be jaundice? My skin does not appear yellow; it looks the same as before, even when my eyes were not yellow.
I have often felt sleepy, but at night, I feel quite alert.
With the upcoming exams, I also feel a bit stressed, which makes it hard for me to take short naps during the day.
I am not sure what to do.
Could you please advise me on how to take care of my liver? Thank you in advance, Dr.
Yang.

Xiao Shi, 20~29 year old female. Ask Date: 2004/01/04

Dr. Yang Peizhen reply Gastroenterology and Hepatology

Hello! Although liver disease is a significant health issue in the country, approximately 1 in 5 people are affected by liver disease, with the vast majority having hepatitis B or C.
Therefore, if you do not have hepatitis B or C and are not a heavy drinker, your liver should be fine! If you notice yellowing of the eyes, it could indicate jaundice, and I recommend that you visit a major hospital for liver function blood tests to determine if there are any liver or biliary diseases.
The liver has a substantial capacity for function; unless you have a viral infection or consume alcohol, the liver is unlikely to sustain damage.
Thus, there is no need for medication to protect the liver.
The most important aspects of liver health are a balanced diet, adequate sleep, regular exercise, abstaining from alcohol, and not smoking.
Sincerely, Dr.
Yang Pei-Chen, Director of the Gastroenterology Department, Yuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/01/04

More Info

Understanding yellowing of the eyes, or scleral icterus, can be a source of concern for many individuals, especially when it appears suddenly or is accompanied by other symptoms. In your case, the yellowing of your eyes, combined with your recent lifestyle changes due to studying for graduate school, raises several important points to consider.

Firstly, yellowing of the eyes is often associated with jaundice, which occurs when there is 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 functioning properly, it processes bilirubin, which is then excreted in bile. If the liver is not functioning correctly, or if there is a blockage in the bile ducts, bilirubin can accumulate, leading to yellowing of the skin and eyes.

However, it is essential to note that not all yellowing of the eyes indicates liver disease. Other potential causes include:
1. Conjunctival Hyperemia: This condition involves the dilation of blood vessels in the conjunctiva, which can give the appearance of yellowing without actual jaundice.

2. Dietary Factors: Certain foods, particularly those high in carotenoids (like carrots and sweet potatoes), can cause a yellowish tint to the skin and eyes, although this is less common.

3. Eye Conditions: Conditions such as pinguecula or pterygium can cause yellowish growths on the conjunctiva, which may be mistaken for jaundice.

4. Genetic Factors: Some individuals may have a naturally more yellow tint to their sclera due to genetic factors or variations in pigmentation.

Given that your liver function tests were normal during your last check-up, it is less likely that your yellowing eyes are due to liver disease, especially if you do not have other symptoms such as abdominal pain, dark urine, or pale stools. Stress and lack of sleep can also contribute to fatigue and eye strain, which may exacerbate the perception of yellowing.

Regarding liver health, maintaining a healthy liver is crucial, especially under stress. Here are some tips to support liver function:
1. Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. Foods high in antioxidants, such as berries and leafy greens, can help protect liver cells.

2. Hydration: Drink plenty of water to help your liver flush out toxins.

3. Limit Alcohol: Excessive alcohol consumption can lead to liver damage. If you drink, do so in moderation.

4. Regular Exercise: Physical activity can help maintain a healthy weight and reduce the risk of fatty liver disease.

5. Adequate Sleep: Aim for 7-9 hours of quality sleep per night. Sleep is essential for overall health and can help reduce stress.

6. Stress Management: Techniques such as mindfulness, meditation, or yoga can help manage stress levels, which is particularly important during exam periods.

7. Regular Check-ups: Continue to monitor your liver health with regular check-ups, especially given your family history of liver disease.

In conclusion, while the yellowing of your eyes may be concerning, it is essential to consider the broader context of your health and lifestyle. If the yellowing persists or worsens, or if you develop additional symptoms, it would be prudent to consult a healthcare professional for further evaluation. In the meantime, focus on maintaining a balanced lifestyle to support your overall health and well-being as you prepare for your exams.

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