JAUNDICE Disease

JAUNDICE

Jaundice, also known as Icterus, is a yellowing of the skin, Conjunctiva and mucous membranes caused by increased level of bilirubin in RBC (Red Blood Cells). Usually the concentration of bilirubin in the blood must not exceed 2-3 Mg/dl for the colouration to be visible. Jaundice typically appears in a ‘Top To Bottom’ Progression, and resolves in a ‘Bottom to Top’ manner.

There are Three Different Classes of Causes for Jaundices:-

i.)                  Pre-Hepatic

ii.)         Hepatic

      iii.)        Post- Hepatic

Pre- Hepatic

Pre-Hepatic Jaundice is caused by anything which causes an increased rate of Hemolysis. In tropical Countries, Malaria can cause Jaundice in this manner. Certain Genetic diseases, Such as sickle cell Anemia and Glucose6- Phosphate Dehydrogenase deficiency can lead to increased red cell lysis and therefore Hemdytic Jaundice. Defeets in bilirubin metabolism also present as Jaundice. Jaundice usually comes with high fevers.

HEPATIC 

Hepatic causes include acute hepatitis, hepatoxicity and alcoholic liver disease, whereby cell necrosis reduces the liver’s ability to metabolise and excrete bilirubin leading to a buildup in the blood. Less common causes include primary biliary Cirhosis, Gilbert’s Syndrome and metastatic Careinoma. Jaundice seen in the newborn, known as Neonatal Jaundice, is common, occurring in almost every newborn as Hepatic machinery for the conjugation and excretion of bilirubin does not fully mature until approximately two weeks of age.

Post-Hepatic

Post-Hepatic Jaundice, also called cholestasis, is caused by an interruption to the drainage of bile in the biliary system. The most common causes are Gallstones in the common bile duct and Panaoreatic Cancer in the head of the Pancreas, also a group of Parasites known as ‘Liverflukes’ live in the common bile duct, ductal Carcinoma, Pancreatitis and Pancreatic Pseudocysts. A rare cause of obstructive Jaundice is Mirizzi’s Syndrome.

The Presence of Pale Stools and dark urine suggests an Obstructive or Post-Hepatic cause as normal faces get their color from bile pigments. Patients often complain of severe Itching.

Diagnosis and Treatment   

A doctor uses laboratory tests and imaging studies to determine the cause of the Jaundice.

There are many remedies that react well in our Homeopathic System. Let us discuss Indications of few remedies that follow.

Carduus Marianus, Ceanothus Americarius, Chelielonium Majus, Cinchona Off, Dolichos Pruriens, Kalmegh, Nux-Moschates, etc.

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