Liver function
The whites of my eyes always appear yellow, and I have sufficient sleep.
I wonder if this is related to liver function? I do not have antibodies for Hepatitis B, so I need to get vaccinated for Hepatitis B.
I have oily skin and have been experiencing acne since graduating from middle school.
I have tried many over-the-counter creams and have seen a dermatologist, but there hasn't been much difference.
I also do not frequently stay up late or consume heavily flavored foods.
I am the only one in my family with acne.
What could be the reason?
sally, 10~19 year old female. Ask Date: 2008/12/30
Dr. Hou Jiawei reply Rare Disease
1.
If the sclera (the white part of the eye) appears yellow, it is important to check for jaundice.
It is recommended to have a blood test to assess liver function, as well as an ultrasound and bilirubin levels.
2.
Oily skin is more prone to acne.
In addition to facial cleansing, hormonal imbalances within the body can sometimes exacerbate symptoms.
It is advisable to seek consultation for a comprehensive evaluation of both conditions.
Reply Date: 2008/12/30
More Info
The yellowing of the eyes, particularly the sclera (the white part of the eye), is often associated with jaundice, which can indicate underlying liver dysfunction. However, it's important to understand that not all yellowing of the eyes is due to liver issues. In your case, you mentioned that your eyes appear to be slightly yellow, but you also noted that you have been getting sufficient sleep and have no other significant symptoms.
Jaundice occurs when there is an excess of bilirubin in the bloodstream, which can result from various conditions affecting the liver, bile ducts, or red blood cells. Common causes of jaundice include viral hepatitis, alcoholic liver disease, gallstones, and hemolytic anemia. Since you have previously checked your liver function and found it to be normal, it is less likely that your yellowing eyes are due to a serious liver condition. However, it is still advisable to monitor your liver function periodically, especially considering your family history of hepatitis B.
Regarding the appearance of your eyes, it's worth noting that the sclera can naturally have a slight tint that varies from person to person. Factors such as genetics, hydration levels, and overall health can influence the color of the sclera. If your sclera is not a pronounced yellow and your liver function tests are normal, it may simply be a benign variation rather than a sign of liver disease.
You also mentioned having oily skin and experiencing acne since middle school. Oily skin can lead to acne due to the overproduction of sebum, which can clog pores and create an environment conducive to bacterial growth. Hormonal fluctuations, diet, and stress can also contribute to acne. If you have tried various topical treatments without success, it may be beneficial to consult a dermatologist for a more tailored approach, which could include prescription medications or alternative therapies.
In summary, while yellowing of the eyes can be related to liver function, in your case, it seems less likely to be a serious concern given your normal liver tests. However, if you notice any changes in your symptoms, such as increased yellowing, abdominal pain, or changes in urine or stool color, you should seek medical attention promptly. Additionally, addressing your acne with a dermatologist may help improve your skin condition and overall confidence. Regular check-ups and monitoring your health will help ensure that any potential issues are caught early.
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