Treatment for JAUNDICE Presented by:- Dr Nikhil Bansal J.N.M.C.,Wardha
General concepts Treatment depends on the underlying cause. May involve removal of the offending agent. Administration of antibiotic, antiviral, antifungal, or anti- parasitic drugs. Surgery to correct blockage. The use of chemotherapy, antiflammatory, or steroid medications. Dietary changes. Or any combination of the above. Also suggested that activity should be limited.
General Treatment• - Drink 6-8 glasses of water a day - Eat lots of raw fruits and vegetables (especially green leafy vegetables) - Juice is good (make your own with a juice machine) - Do not drink coffee, alcohol, soda pop, other junk food drinks - Do not eat processed foods white sugar, white flour, etc. - Use stress relief like going for walks in the park - Brown rice and millet are good - Avoid red meat and animal fats - Reduce dairy products cheese, milk, and others - Fast a few days a month - A colon intestinal cleansing is helpful - Get sleep - Exercise light to moderate amounts eg. yoga and stretching are good - Do not smoke and avoid second hand smoke
Neonatal jaundice• In mild or moderate levels of jaundice, by 5 to 7 days of age the baby will take care of the excess bilirubin on its own.• If high levels of jaundice do not clear up, then it is treated by phototherapy• Phototherapy: - Treatment with a special light that helps rid the body of the bilirubin by altering it or making it easier for babys liver to get rid of it. Precautions for phototherapy: - 1)Whilst undergoing phototherapy the babys eyes must be protected against the light. 2)The baby must be fed regularly to keep up a good urine output and to prevent dehydration. 3) The baby may have loose stools and may also become "tanned".
• In rare cases, where bilirubin levels are extremely high, blood transfusion may be needed to give baby fresh blood and remove the bilirubin.• More frequent feedings of breast milk or formula to help infants pass the bilirubin in their stools may also be recommended.
Viral jaundice For those suffering with viral form of jaundice, usually no treatment is necessary because the body will clear the virus by itself.
Cholestatic jaundice Surgical intervention is mainstay of treatment. The surgery performed is CHOLECYSTECTOMY. It can be done by two methods 1) Open 2) LaparoscopicOther forms of treatment modalities are: - 1) Oral bile acids like: - 1. Chenodeoxycholic 2. Ursodeoxycholic 2) Lithotripsy 3) Endoscopic sphincterotomy
Referances• Harrisons principles of internal medicine.• Davidson’s Principles and practice of medicine.• www.wikipeida.com