Sudden yellowing of the area below the eyeball?
Hello, doctor: I have been staying up late until 4-5 AM for the past few days.
Tonight, when I looked in the mirror, I suddenly noticed some mild yellowing below my left eyeball (there seems to be a little bit of yellowing below my right eyeball as well, but the upper part of both eyes looks fine).
Additionally, my left eye has some noticeable bloodshot veins.
I would like to ask if this indicates a liver issue or any other problem.
Should I see a doctor for an examination, or would it be sufficient to just get more rest and sleep earlier? Thank you!
Winnie, 20~29 year old female. Ask Date: 2009/07/13
Dr. Ke Meilan reply Ophthalmology
Hello: The primary examination for jaundice is to check for increased pigmentation, and only secondarily should bilirubin levels be assessed.
Wishing you peace and good health.
Reply Date: 2009/07/13
More Info
The yellowing of the sclera, or the white part of the eye, can be a concerning symptom, and it is understandable that you are worried about your health. This condition, known as scleral icterus, is often associated with jaundice, which is typically caused by 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 not functioning properly, it can lead to an accumulation of bilirubin, resulting in yellowing of the skin and eyes.
Given your description of the yellowing primarily under the eye and the presence of red blood vessels, there are several potential causes to consider. One possibility is that the yellowing is related to fatigue and lack of sleep, which can lead to eye strain and redness. When you stay up late and do not get enough rest, your eyes can become irritated, leading to redness and possibly a slight yellowing due to increased blood flow to the area.
However, it is also important to consider other factors that could contribute to this symptom. For instance, liver issues, such as hepatitis or other liver diseases, can cause jaundice and should be ruled out if the yellowing persists or is accompanied by other symptoms like fatigue, abdominal pain, or changes in urine or stool color. Additionally, certain blood disorders, such as hemolytic anemia, can lead to increased bilirubin levels and subsequent yellowing of the eyes.
In your case, since you have recently been staying up late and may be experiencing eye strain, it is advisable to prioritize rest and establish a healthier sleep schedule. Adequate sleep is essential for overall health and can significantly impact eye health. However, if the yellowing does not improve with rest, or if you notice any worsening symptoms, it would be prudent to consult a healthcare professional for a thorough evaluation. A doctor may recommend blood tests to check liver function and bilirubin levels, as well as a comprehensive eye examination to assess any underlying issues.
In summary, while the yellowing under your eye may be related to fatigue and eye strain, it is essential to monitor the situation closely. If the symptom persists or worsens, seeking medical advice is the best course of action to ensure that any potential health issues are addressed promptly. Remember, taking care of your eyes and overall health is crucial, especially during stressful times like studying for exams. Prioritize rest, hydration, and a balanced diet to support your well-being.
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