Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

  Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

  Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

  Persistent upper abdominal pain

  Unexplained weight loss and loss of appetite

  Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

Jaundice is a medical condition where the bilirubin level shoots up in the blood of the affected person. Also referred to as icterus, the condition may affect adults as well as newborn babies (Neonatal Jaundice), whereby the skin and the white part of the eye (sclera) appears yellowish in color (due to the accumulation of bilirubin).

Bilirubin is the bile pigment that results from the breakdown of hemoglobin (when the RBC cells breakdown). The bilirubin thus produced is released into the plasma. The liver then filters the released bilirubin for further metabolism. In the case of a diseased condition, injury or infection to the liver, it fails to remove the bilirubin from the bloodstream. As a result, there is an abnormal rise in the bilirubin level in the blood (Hyperbilirubinemia), resulting in jaundice. In jaundice, Bilirubin can go upto much higher levels. At 2.5-3 it just starts to get manifest as yellow eyes. Obstructive jaundice may require an endoscopic procedure or surgery. 

Types of jaundice:
Jaundice may be of the following types:

Hepatocellular jaundice: In Hepatocellular jaundice, the elevated bilirubin level in the blood is an outcome of a liver disease or an injury (altering the normal functioning of the liver).
Hemolytic jaundice: Here, the increased level of bilirubin in the blood results from an increased breakdown of the RBCs (Hemolysis).
Obstructive jaundice: As the name suggests, Obstructive jaundice results from an obstruction in the bile duct. As a result, the bilirubin does not get filtered and remains in the liver.

Factors contributing to jaundice:
The increased buildup of bilirubin may be an outcome of

Obstruction and inflammation of the bile duct.
Chronic liver disease including liver cirrhosis and hepatitis.
Pancreatic Cancer.
Hemolytic anemia: It is a condition resulting from increased breakdown of RBCs.
Gilbert's syndrome.
Certain medications may also interfere and alter the normal functioning of the liver (steroids, birth control pills, and acetaminophen, to name a few).
In cholestasis, the bile (conjugated bilirubin), instead of getting eliminated, remains in the liver.
Symptoms:
The symptoms associated with jaundice include

The skin (particularly, the face, hands, nails, and feet) and the sclera appear yellowish.
The urine appears dark in color.
Fever, vomiting, tiredness, and loss of body weight.
Abdominal pain (mild to severe).
The stool appears pale in color.
Itchiness or Pruritus.
Diagnosis and treatment:
The earlier the diagnosis, more effective is the treatment.

Jaundice can be diagnosed by
Physical examination.
Bilirubin tests to determine the total bilirubin level.
CBC is used to determine the levels of RBCs, WBCs, and platelets.
Liver function tests.
The treatment for jaundice involves identifying the underlying factor responsible for the condition and treating it.

In the case of obstructive jaundice, operation helps to improve the condition.
Patients with hepatitis may benefit from antiviral medicines as well as steroids.
In hemolytic anemia, use of iron supplements helps to improve the condition.
Avoid oily and spicy foods, smoking and drinking.
Rest as much as possible.

Jaundice - The Right Way It Can Be Treated!

Infants often suffer from certain diseases which need proper care and timely treatment for quick recovery. At times, it can be difficult to communicate with an infant and understand his/her needs and problems but with a close observation you will surely be able to detect any alteration in the baby's behavior and sense it when he/she is ill. Here are some of the most common diseases infants are susceptible to and what you can do about them.

1. Abdominal distension
It is normal for a baby's belly to stick out after he/she has been fed, but if between feedings there is swelling in the abdomen or it feels hard, it can be an indication of a problem. If this symptom is accompanied by vomiting and absence of bowel movements for more than two days, your baby may be suffering from abdominal distention. This condition may have been caused by swallowing of extra air by the baby while crying or feeding. In such a situation, a pediatrician should be consulted for proper diagnosis and treatment.

2. Jaundice
It is common among newborns to develop mild forms of jaundice as the undeveloped liver is often not able to eliminate the chemical bilirubin from the blood. Mostly, this situation proves to be harmless till the level of bilirubin reaches a certain limit. After that, the disease must be properly treated to avoid damage to the baby's brain or nervous system.

3. Rsv infection
Rsv or respiratory syncytial virus is responsible for causing respiratory problems among infants. Rsv infection usually affects the bronchial passage and shows symptoms like cough, runny nose and mild fever which may even lead to bronchitis. Moreover, this infection may also develop into viral pneumonia, which makes it more important to consult a pediatrician if your baby shows any of the above symptoms.

4. Diarrhea
Infants are susceptible to watery bowel movements due to the action of virus, allergens, specific medications or bacteria. If you observe that your baby is passing stools more often than usual and it is watery, then it may be a case of diarrhea. Sometimes, these symptoms are accompanied by high fever, abdominal pain, lethargy, vomiting, dry eyes and mouth etc. In this situation you should consult your pediatrician and focus on replacing the fluids your baby has lost, to prevent dehydration.

4 Common Diseases that Babies are Susceptible To

Jaundice is a disorder marked by yellowness of the skin as well as the eyes. An increased amount of bilirubin in the body triggers this condition. Bilirubin is the product that is left after the break down of red blood cells. The liver excretes bilirubin. But if too much bilirubin is produced because of an underlying illness, or the liver function has been impaired, it will lead to jaundice.

Which Illnesses does Jaundice indicate?
In adults, jaundice could be the symptom of any of the following illnesses or conditions-

  Reaction to a medicine
  Liver cancer
  Infection of the liver
  Liver parasites
  Cirrhosis of the liver
  Gallstones
  Hepatitis
  Haemolytic anaemia
Jaundice may strike both adults as well as children. It is very common among babies who have been born preterm because their livers have not developed completely.

Jaundice in Siddha -
Siddha is a very old branch of medicinal science that cropped up in the southern part of India. According to Siddha, the human body mirrors the world around it. And our bodies too are made of the five elements- earth, fire, air, water and ether and three humours- Vata, pitta and Kapha. Usually, if there are too much of one of the elements in the body it may trigger an imbalance in the humor and this is at the root of all illnesses. So the aim of Siddha is to discover which humour is present in excess and then restore to balance.

Jaundice is mentioned in the ancient texts of Siddha medicine. It is called  manjal kamalai .  Manjal  means yellow and  Kamalai  means losing interest. It refers to a common side effect of jaundice. The person afflicted by it often loses interest in food and his/her everyday duties and activities.

Jaundice, in the Siddha texts, is the result of the distortion of pitta humour and it turns the skin, eyes and tongue yellow. When a person consumes too much spicy and hot food or if the person is too active, pitta levels will rise. This leads to  pitta neer  to mingle with blood, which will stagnate in different parts of the body.

According to Siddha, the symptoms of jaundice are -

  Constant fatigue
  Different parts of the body may turn yellow
  Constipation
  Sleepiness
  Headache
  Fever and shivers
The medicines of Siddha are all derived from herbs. Jaundice medicine is taken in the form of powder or a paste that is applied to the forehead or mixed with milk and consumed.

A person is advised against staying out in the sun for too long. As for diet, meat, poultry, salt and tamarind are prohibited. Rice has to be cooked twice before consuming. Fast food should strictly be avoided. Vegetables should be fried in ghee. Some foods that Siddha recommends are -

  Whole wheat flour
  Bananas
  Mangoes
  Almonds
  Berriesgrapes
  Potatoes
  Spinach
  Tomatoes

Siddha is a safe and secure way to treat jaundice because unlike allopathy, it does not leave a lasting and detrimental effect on the human body.

Can Siddha Help Cure Jaundice?

The medical name for the yellow tint on your skin and around the white portion of the eye is jaundice. However, jaundice is a symptom of a variety of underlying medical conditions, and not a specific disease. When the body break downs deceased red blood cells, a yellow pigment known as bilirubin is formed. Jaundice develops when your system contains excess bilirubin. Usually, the bilirubin, as well as the dead blood cells, are exterminated by your body.
Jaundice may symbolise a critical problem with your pancreas, blood cells, gallbladder or liver.
Causes:
Jaundice isn t a disease; it is a symptom. Thus if you have jaundice, it might indicate you may have any of the following complications:
Alcohol abuse.
Liver infection.
Liver cancer.
Cirrhosis (Liver scarring mostly due to alcohol).
Gallstones.
Hepatitis (Swollen liver that decreases its functionality).
Pancreatic cancer.
Blood disorders.
An overdose or adverse reaction to certain medications.
Symptoms:
The major indication of jaundice is yellow tinted skin and eyes. In serious cases, the sclera (white parts) of the eye can turn orange or brown. You might additionally exhibit other symptoms such as pale stools and dark urine.
If a concealed condition such as viral hepatitis is causing jaundice, you will probably experience symptoms such as vomiting and excessive fatigue.
Misdiagnosis is common when it comes to jaundice. Sometimes, an abundance of beta carotene (a type of anti-oxidant found abundantly in fruits and plants) can turn your skin yellow.
Treatments:
Since jaundice is a symptom of some other underlying disease, the treatment will focus on that disease. When your treatment starts, the yellow tint will disappear on its own.
If the jaundice is serious, blood transfusions might be needed to expel the excess bilirubin and rejuvenate the body s red blood cells. However, if the body s bile duct mechanism gets blocked, a surgery might be required to unblock the same.

Jaundice: Causes, Symptoms and Treatments

Jaundice is a disease that is caused by high levels of bilirubin in the human body. It is a serious condition of the liver that needs to be treated on time because it leads to weakness, weight loss, fever, loss of appetite and other disturbing symptoms. It severely affects the functioning of the liver and since the liver is one of the most important organs of the body, its dysfunction can cause a lot of trouble to the patient. So, most of them prefer Ayurvedic treatment to get jaundice cured as allopathic medicines are harsh and not every patient can handle them with weak immunity.



Ayurveda treatment principle in jaundice
In Ayurveda, jaundice is known as  Kamala  and it is believed to be caused by pitta aggravation. When the liver starts producing bile in excess, the liver becomes dysfunctional and it causes jaundice. Therefore, Ayurveda tries to correct this aggravation. It focuses on curing the pitta imbalance and therefore, all of the Ayurvedic medicines that are used to treat jaundice have diuretic, detoxification, anti-bacterial, and anti-inflammatory properties. These medicines work by flushing out the toxins, in this case, excessive pitta from the liver, while also relaxing the liver muscles.

Ayurvedic medicine effects
Medicines have anti-inflammatory and anti-bacterial properties and it restores the normal functions of the liver. So, Ayurveda aims to correct the root cause of the disease and does not suppress the symptoms of the disease. It cures the disease completely without being harsh on the liver. Also, the diet guidelines prescribed in Ayurvedic treatment increase the efficiency of the medicines, thereby, helping in quicker recovery.

Liver cleansing in jaundice
In the Ayurvedic treatment of jaundice, correction of pitta dosha is the prime goal. Even the therapies help in detoxifying the body so that the liver does not have to work hard to remove the toxins. The idea is to restore the liver to its previous state so that it can perform the normal functions without any trouble. So, all the Ayurvedic remedies work at strengthening the liver and it can be done only when the liver does not have excess pitta in the form of toxins.

Also, excess water and fluid intake are especially emphasized during Ayurvedic treatment and the motive behind this instruction is also the same   to expel the toxins. The liver is badly affected by jaundice. The excessive bile secretion makes it work extra hard to filter the toxins, which puts additional strain on the liver and as a result, it gets inflamed.

Ayurveda is a holistic and permanent curing system that works to provide lasting relief to the patient. It does not harm the body either and the remedies are always in sync with the medical state of the patient. Ayurveda diagnoses the patient before prescribing the medicines as every patient differs from another.

In case you have a concern or query, you can always consult an ayurvedic doctor for a proper line of treatment.

Treatment Of Jaundice - The Ayurvedic Approach!

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