Yellowing Skin: Possible Gastrointestinal and Liver Issues

Jaundice?

Hello, doctor! I am 39 years old.
1.
I have poor gastrointestinal digestion and absorption (my stomach makes gurgling sounds).
I have seen a gastroenterologist.
2.
My complexion has turned yellow.
3.
I have anemia.
4.
I have large pimples on my face.
5.
My hands and feet are cold.
Could you please tell me what the problem might be?

A-Hua, 30~39 year old female. Ask Date: 2010/12/21

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
1.
If there is a change in skin color to yellow, it is recommended to follow up with outpatient examinations.

2.
Possible causes of yellowing skin include:
1) Severe anemia
2) Jaundice due to liver or biliary diseases
3) Dietary factors such as excessive consumption of carrots, pumpkins, or other foods leading to pigment deposition.

3.
Severe anemia can cause symptoms such as dizziness and cold extremities.
It is important to identify the cause of anemia, which may involve gastrointestinal bleeding.
If symptoms are present, please consult a gastroenterologist for further evaluation.

Wishing you good health,
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health

Reply Date: 2010/12/21

More Info

Hello! Thank you for your question. Based on the symptoms you've described, it seems that you may be experiencing a combination of gastrointestinal and possibly liver-related issues. Let's break down your concerns one by one.

1. Gastrointestinal Issues: You mentioned having digestive problems, which can manifest as bloating or gurgling sounds in your abdomen. This could be due to several factors, including food intolerances, irritable bowel syndrome (IBS), or even conditions like gastritis or peptic ulcers. Since you've already consulted a gastroenterologist, it's essential to follow their recommendations and possibly undergo further testing if your symptoms persist.

2. Yellowing of the Skin: The yellowing of your skin, known as jaundice, can be a significant indicator of liver dysfunction. Jaundice occurs when there is an excess of bilirubin in the bloodstream, which can result from liver diseases such as hepatitis, cirrhosis, or liver tumors. It can also be caused by gallbladder issues or hemolytic anemia. Given your symptoms, it would be prudent to have liver function tests (LFTs) done to assess your liver health.

3. Anemia: You mentioned experiencing anemia, which can contribute to fatigue and a pale complexion. Anemia can result from various causes, including nutritional deficiencies (like iron, vitamin B12, or folate), chronic diseases, or even gastrointestinal bleeding. If you suspect anemia, a complete blood count (CBC) and additional tests to determine the cause of the anemia would be beneficial.

4. Acne: The presence of large pimples on your face could be related to hormonal imbalances, dietary factors, or even stress. Sometimes, skin issues can also be a reflection of internal health problems, including liver function. If your liver is not processing toxins effectively, it may manifest as skin problems. Consulting a dermatologist could provide you with targeted treatments for your acne.

5. Cold Extremities: Cold hands and feet can be a sign of poor circulation or could be related to conditions such as hypothyroidism or peripheral artery disease. It can also be a symptom of anxiety or stress. If this is a new symptom for you, it may be worth discussing with your healthcare provider.

Given your symptoms, I recommend the following steps:
- Liver Function Tests: Since jaundice is a significant concern, getting your liver function tested is crucial. This will help determine if there is any underlying liver disease that needs to be addressed.

- Complete Blood Count: This will help assess your anemia and provide insight into your overall health.

- Consultation with Specialists: If your symptoms persist, consider consulting both a gastroenterologist and a dermatologist. They can provide specialized care tailored to your needs.

- Lifestyle Modifications: In addition to medical evaluations, consider dietary changes that promote liver health, such as reducing alcohol intake, eating a balanced diet rich in fruits and vegetables, and staying hydrated. Regular exercise can also improve circulation and overall well-being.

In conclusion, your symptoms could be interconnected, and addressing them holistically is essential. Early intervention can lead to better outcomes, so don't hesitate to seek further medical advice. Take care of your health, and I wish you the best in your journey toward wellness!

Similar Q&A

Understanding Yellowing Skin: Possible Causes and Concerns

Hello Dr. Hsu, My husband is 30 years old and has a normal lifestyle; he does not smoke, drink alcohol, or chew betel nut. However, we recently noticed that his complexion has a yellow tint, and he has no other symptoms of discomfort. I would like to ask you what could be the p...

Dr. Xu Ruihong reply Gastroenterology and Hepatology
It is important to monitor for the occurrence of jaundice, especially if the whites of the eyes turn yellow, as this may indicate liver or biliary tract disease. It is advisable to consult a physician for a thorough examination.

Understanding Unexplained Yellowing of the Face: Causes and Solutions

Hello, doctor. I have been noticing that since the first year of high school, my complexion has been yellower than that of others. I consulted a traditional Chinese medicine doctor who said there was no jaundice (the whites of my eyes are normal in color) and prescribed some medi...

Dr. Su Baojia reply Gastroenterology and Hepatology
If your complexion appears more yellow, you should undergo liver function tests to check if your bilirubin levels are elevated. It is advisable to consult a hepatologist to investigate the underlying cause.

How to Address Yellowing Skin: Causes and Solutions

Recently, my daily routine and diet have not been very normal for the past month or two, which was not the case before. As a result, I only realized that my skin has a slight yellowish tint after someone pointed it out. Are there any methods to address this issue?

Dr. Jiang Yujiao reply Dermatology
Hello: In response to your question, there are two causes for yellowing of the skin: (1) jaundice and (2) carotenoid pigmentation. The distinction between the two is as follows: the former is associated with systemic symptoms such as fatigue, poor appetite, and yellowing of the s...

Understanding Yellowing Eyes: Is It a Sign of Liver Issues?

Hello doctor, I have noticed that the sclera of my eyes has turned yellow. Could this indicate a liver problem? I enjoy exercising, but I often stay up late due to work commitments. How can I protect my liver?

Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the yellowing of the sclera may be caused by jaundice due to liver disease, biliary tract disease, or pancreatic disease. However, the skin is likely to be yellow as well, and urine may appear darker, resembling tea-colored urine. To confirm the diagnosis, please visit a h...