Yellowish Discoloration Below the Eye: Liver Health Insights

The area below the sclera appears yellow and cloudy?

Recently, I noticed a yellowish discoloration below the white part of my eye.
Could this indicate a serious liver issue? Could you please tell me some common symptoms of liver disease? What foods can help maintain healthier liver function? Thank you.

Vivian, 20~29 year old female. Ask Date: 2000/10/06

Dr. Hong Hongchang reply Internal Medicine

The yellowing of the sclera (the white part of the eye) may indicate impaired liver function leading to elevated bilirubin levels, commonly seen in acute hepatitis and cirrhosis.
Clinically, liver disease often presents with symptoms such as fatigue, loss of appetite, discomfort in the right upper abdomen, jaundice, and itching.
To protect the liver, it is important to pay attention to the following: 1.
Avoid tobacco and alcohol.
2.
Minimize unnecessary medications.
3.
Engage in moderate exercise and ensure adequate rest.
4.
Increase the intake of vegetables and fruits.
5.
Limit consumption of foods containing aflatoxins, such as shelled peanuts, fermented bean paste, or other fermented foods.

Reply Date: 2000/10/06

More Info

The yellowish discoloration of the sclera, or the white part of the eye, is often a sign of jaundice, which can indicate underlying liver issues. Jaundice occurs when there is an accumulation of bilirubin in the blood, a substance produced during the breakdown of red blood cells. Elevated bilirubin levels can result from various liver conditions, including hepatitis, cirrhosis, and bile duct obstruction.
Common symptoms associated with liver disease include:
1. Fatigue: A general feeling of tiredness or lack of energy.

2. Loss of Appetite: A decrease in the desire to eat.

3. Abdominal Discomfort: Particularly in the upper right quadrant, where the liver is located.

4. Skin and Eye Yellowing: This is the most visible sign, where both the skin and the sclera of the eyes take on a yellow hue.

5. Dark Urine: Urine may appear darker than usual, often resembling tea or cola.

6. Pale Stools: Stools may become lighter in color due to a lack of bile.

7. Itching: Generalized itching can occur due to the accumulation of bile salts in the bloodstream.

If you notice yellowing in your eyes, it is crucial to consult a healthcare professional for a thorough evaluation. Blood tests to assess liver function, including liver enzymes and bilirubin levels, along with imaging studies like an ultrasound, can help determine the cause of the jaundice.

To maintain liver health, consider the following dietary and lifestyle recommendations:
1. Avoid Alcohol: Alcohol can be toxic to liver cells and can exacerbate existing liver conditions.

2. Limit Unnecessary Medications: Some medications can have hepatotoxic effects, so it’s essential to use them judiciously.

3. Eat a Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. Foods high in antioxidants, such as berries, leafy greens, and nuts, can support liver health.

4. Stay Hydrated: Drinking plenty of water helps the liver function optimally.

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

6. Avoid Foods High in Aflatoxins: These are toxins produced by certain molds found in foods like peanuts and corn. Proper storage and cooking can help mitigate this risk.

In addition to dietary changes, it’s essential to manage stress and ensure adequate sleep, as both can impact overall health and liver function. If you have a family history of liver disease, such as hepatitis B, it’s even more critical to monitor your liver health regularly.

In summary, while yellowish discoloration of the eyes can be alarming and may indicate liver problems, it is essential to seek medical advice for proper diagnosis and treatment. Early intervention can significantly improve outcomes and help maintain liver health.

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