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Hyperbilirubinemia Tips

Jaundice - Common Causes Of It!!

Dr. Bhupindera Jaswant 88% (4570 ratings)
MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Jaundice - Common Causes Of It!!

Jaundice is a disease which causes the skin and the sclerae of the eye to turn yellow. It is caused by hyperbilirubinemia or excess secretion of bilirubin into the blood. The body fluids may also turn yellow. The shade of the skin depends on the bilirubin level. A mild increase in the bilirubin turns the skin pale yellow, and high level makes the skin turn brown.

There are three primary types of jaundice:

  1. Hepatocellular jaundice: This type of jaundice occurs due to liver disorders.
  2. Hemolytic jaundice: This type of jaundice occurs due to the breakdown of erythrocytes or red blood cells, and then excess bilirubin is produced.
  3. Obstructive jaundice: This type of jaundice develops due to an obstruction in your bile duct, restricting the bilirubin to exit the liver.

The common causes of jaundice are as follows:

  1. Inflammation of the liver disables the secretion and production of bilirubin and results in a buildup of bilirubin.
  2. Inflammation of the bile duct disables the secretion of bile juice, which results in bilirubin removal and leads to jaundice.
  3. In case the bile duct gets obstructed, the liver cannot dispose the bilirubin and leads to hyperbilirubinemia.
  4. Hemolytic anaemia may result in jaundice. When a large number of red blood cells break down, bilirubin production gets enhanced.
  5. An inherited condition known as Gilbert’s syndrome may also lead to jaundice. The enzyme’s ability to process bile excretion is also impaired.
  6. Another medical condition called Cholestasis disrupts the flow of bile from the liver. The conjugated bilirubin containing bile remains in the liver and leads to jaundice.
  7. Jaundice is also caused from alcoholic liver disease, caused due to excess alcohol consumption.

Treatment of jaundice
Jaundice itself cannot be cured and hence, the underlying cause of the jaundice is treated. Different types of jaundice are cured using different methods:

  1. Jaundice induced by anaemia can be cured by increasing the iron amount in your blood. This is done by intake of iron supplements or having iron rich food.
  2. Jaundice caused from hepatitis is treated by injections of anti-viral and steroid medicines.
  3. Obstruction induced jaundice has to be treated by surgical means. The obstruction is removed by surgery.
  4. Jaundice inflicted from medication is usually treated by choosing alternative medicines and abstaining from the medicines which caused the jaundice.
  5. Jaundice can be kept away if you take proper care of your liver. For this, you should eat a balanced diet, work out regularly and prohibit yourself from consuming excess of alcohol.

Jaundice is the most common type of liver disorder and occurs in people of all ages and also in newborn babies. Keep away from contaminated food and water, if you want to avoid jaundice.

2 people found this helpful

Jaundice - Know The Basic Types Of It!

Dr. Amit Beniwal 87% (110 ratings)
MBBS, MD - Medicine, Masters In Evidence Based Medicine
General Physician, Delhi

Jaundice is a disease which causes the skin and the sclerae of the eye to turn yellow. It is caused by hyperbilirubinemia or excess secretion of bilirubin into the blood. The body fluids may also turn yellow. The shade of the skin depends on the bilirubin level. A mild increase in the bilirubin turns the skin pale yellow, and high level makes the skin turn brown.

There are three primary types of jaundice:

  1. Hepatocellular jaundice: This type of jaundice occurs due to liver disorders.
  2. Hemolytic jaundice: This type of jaundice occurs due to the breakdown of erythrocytes or red blood cells, and then excess bilirubin is produced.
  3. Obstructive jaundice: This type of jaundice develops due to an obstruction in your bile duct, restricting the bilirubin to exit the liver.

The common causes of jaundice are as follows:

  1. Inflammation of the liver disables the secretion and production of bilirubin and results in a buildup of bilirubin.
  2. Inflammation of the bile duct disables the secretion of bile juice, which results in bilirubin removal and leads to jaundice.
  3. In case the bile duct gets obstructed, the liver cannot dispose the bilirubin and leads to hyperbilirubinemia.
  4. Hemolytic anaemia may result in jaundice. When a large number of red blood cells break down, bilirubin production gets enhanced.
  5. An inherited condition known as Gilbert’s syndrome may also lead to jaundice. The enzyme’s ability to process bile excretion is also impaired.
  6. Another medical condition called Cholestasis disrupts the flow of bile from the liver. The conjugated bilirubin containing bile remains in the liver and leads to jaundice.
  7. Jaundice is also caused from alcoholic liver disease, caused due to excess alcohol consumption.

Treatment of jaundice
Jaundice itself cannot be cured and hence, the underlying cause of the jaundice is treated. Different types of jaundice are cured using different methods:

  1. Jaundice induced by anaemia can be cured by increasing the iron amount in your blood. This is done by intake of iron supplements or having iron rich food.
  2. Jaundice caused from hepatitis is treated by injections of anti-viral and steroid medicines.
  3. Obstruction induced jaundice has to be treated by surgical means. The obstruction is removed by surgery.
  4. Jaundice inflicted from medication is usually treated by choosing alternative medicines and abstaining from the medicines which caused the jaundice.
  5. Jaundice can be kept away if you take proper care of your liver. For this, you should eat a balanced diet, work out regularly and prohibit yourself from consuming excess of alcohol.

Jaundice is the most common type of liver disorder and occurs in people of all ages and also in newborn babies. Keep away from contaminated food and water, if you want to avoid jaundice.

3060 people found this helpful

Jaundice - 7 Factors That Can Cause It

Dr. Mohd. Sajid Khan 90% (272 ratings)
MD, MBBS
General Physician, Delhi
Jaundice - 7 Factors That Can Cause It

Jaundice is a disease which causes the skin and the sclerae of the eye to turn yellow. It is caused by hyperbilirubinemia or excess secretion of bilirubin into the blood. The body fluids may also turn yellow. The shade of the skin depends on the bilirubin level. A mild increase in the bilirubin turns the skin pale yellow, and high level makes the skin turn brown.

There are three primary types of jaundice:

  1. Hepatocellular jaundice: This type of jaundice occurs due to liver disorders.
  2. Hemolytic jaundice: This type of jaundice occurs due to the breakdown of erythrocytes or red blood cells, and then excess bilirubin is produced.
  3. Obstructive jaundice: This type of jaundice develops due to an obstruction in your bile duct, restricting the bilirubin to exit the liver.

The common causes of jaundice are as follows:

  1. Inflammation of the liver disables the secretion and production of bilirubin and results in a buildup of bilirubin.
  2. Inflammation of the bile duct disables the secretion of bile juice, which results in bilirubin removal and leads to jaundice.
  3. In case the bile duct gets obstructed, the liver cannot dispose the bilirubin and leads to hyperbilirubinemia.
  4. Hemolytic anaemia may result in jaundice. When a large number of red blood cells break down, bilirubin production gets enhanced.
  5. An inherited condition known as Gilbert’s syndrome may also lead to jaundice. The enzyme’s ability to process bile excretion is also impaired.
  6. Another medical condition called Cholestasis disrupts the flow of bile from the liver. The conjugated bilirubin containing bile remains in the liver and leads to jaundice.
  7. Jaundice is also caused from alcoholic liver disease, caused due to excess alcohol consumption.

Treatment of jaundice
Jaundice itself cannot be cured and hence, the underlying cause of the jaundice is treated. Different types of jaundice are cured using different methods:

  1. Jaundice induced by anaemia can be cured by increasing the iron amount in your blood. This is done by intake of iron supplements or having iron rich food.
  2. Jaundice caused from hepatitis is treated by injections of anti-viral and steroid medicines.
  3. Obstruction induced jaundice has to be treated by surgical means. The obstruction is removed by surgery.
  4. Jaundice inflicted from medication is usually treated by choosing alternative medicines and abstaining from the medicines which caused the jaundice.
  5. Jaundice can be kept away if you take proper care of your liver. For this, you should eat a balanced diet, work out regularly and prohibit yourself from consuming excess of alcohol.

Jaundice is the most common type of liver disorder and occurs in people of all ages and also in newborn babies. Keep away from contaminated food and water, if you want to avoid jaundice.anemia

If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

5342 people found this helpful

Radish Greens - You Will Never Throw Them Away After Reading This!

Dr. Pradnya Aptikar 87% (186 ratings)
B.A. Sanskrit, BAMS, M.A. Sanskrit, MS -Gynaecology Ayurveda
Ayurveda, Thane
Radish Greens - You Will Never Throw Them Away After Reading This!

While you may not consume 10 large radishes in a single sitting, a 100-gram portion serves a good nutritional value. Radish is an excellent source of vitamin C - 25% of the daily recommended value and helps in rebuilding of tissues, blood vessels and will keep your teeth and bones very strong. Vitamin C fights disease, increasing the immunity of your body, and helping to fight against all types of diseases, including stroke, heart disease, and cancer.

Radish is also known as 'Raphanus raphanistrum', can be eaten raw (in salads) or can be used in the preparation of different cuisines. While many people trash away radish greens, they are actually one of the best parts of this root vegetable. Although they are not among those classic leafy green vegetables, Radish greens are packed with some lesser known but important nutrients that can fill out a healthy diet.

Radish greens are an excellent source of vitamins (such as - riboflavin, thiamine, niacin, pantothenic acid, vitamin B6, folate, C, E, K), minerals (like - iron, calcium, phosphorus, sodium, copper, potassium, manganese, magnesium), protein, and dietary fiber.

What Are Radish Greens?
Radish greens are the green leaves on top of the radish itself. These radish greens have an earthen, peppery taste, making them a nutritional addition to any salad. Besides, they can also be used in sandwiches or salted for a healthy side dish. So, if you are among those countless people who just trash the radish greens away, change your ways and include this new food in your diet. Read on to know more about the benefits-

Let us get a quick look at the various benefits that radish greens have to offer:

  1. The Radish leaves have antibacterial properties that go a long way to treat the condition of piles. For maximum results, crush the radish leaves, preferably the dry leaves to a fine powder, add sugar and water to it, mix well (make a paste) and consume daily. Alternately, one can also apply the paste at the inflamed area for some relief.
  2. The radish leaves are laden with iron and Vitamin C and can work wonders for people with iron deficiency, low hemoglobin level, extreme weakness, and fatigue.
  3. The high phosphorous content of radish leaves makes it vital for boosting the immune system.
  4. Radish leaves are a rich source of dietary fiber and are also known for their natural laxative and diuretic properties (contain Vitamin B6) taking care of conditions such as constipation and kidney stones or gallbladder stones respectively.
  5. Not known to many, but the radish leaves serve as an excellent remedy for Hyperbilirubinemia (increased level of bilirubin in the blood) triggered by a condition known as Jaundice.
  6. The radish leaves play a significant role in regulating the blood glucose level and are highly recommended for diabetic patients.
  7. The radish leaves are packed with many vital and essential nutrients and serves as a natural detoxifying agent, cleansing the body of the harmful toxins. The detoxification goes a long way to keep the body (both physical and mental) hale and hearty.
  8. The application of a paste comprising of radish leaves, sugar, (take both in equal quantity) and water on the knee joints work wonders to alleviate the pain and discomfort triggered by Rheumatism.
  9. The radish leaves have antiseptic properties and act as a natural moisturizer. Thus, the radish leaves take care of a myriad of skin problems such as dry and chapped skin, rashes, to name a few.
  10. The consumption of radish leaves provides relief from colds and other respiratory infections and discomfort.
  11. The flavonoids Anthocyanins present in radish leaves minimizes the risk of various heart ailments and cardiovascular disorders by many folds.
  12. The radish leaves are also known for their anticarcinogenic and anti-inflammatory properties and play an instrumental role to ward off many health conditions including cancer.

How to use radish greens for Jaundice treatment

  • Crush radish leaves and extract the juice using a muslin cloth
  • Consume 1/2 liter of this juice for 10 days 

This is helpful in improving your condition of jaundice and hyperbilirubinemia. With so many health benefits, it would be foolish to exclude radish leaves from the diet.

In case you have a concern or query you can always consult an expert & get answers to your questions!

9370 people found this helpful

Jaundice - The Right Way It Can Be Treated!

MBBS, DNB - Internal Medicine, DNB - Gastroenterology
Gastroenterologist, Faridabad
Jaundice - The Right Way It Can Be Treated!

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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2140 people found this helpful

Understanding Jaundice (Kamala)

Dr. Sushant Sud 90% (198 ratings)
M.D. (Ayurved), D.H.M, CHSE
Ayurveda, Jamnagar
Understanding Jaundice (Kamala)

Jaundice (also known as icterus) is a yellowish pigmentation of the skin, the conjunctival membranes over the sclera (whites of the eyes), and other mucous membranes caused by hyperbilirubinemia (increased levels of bilirubin in the blood). This hyperbilirubinemia subsequently causes increased levels of bilirubin in the extracellular fluid. Concentration of bilirubin in blood plasma does not normally exceed 1 mg/dl (gt 17 x00b5 mol/l). A concentration higher than 1.8 mg/dl (gt 30 x00b5 mol/l) leads to jaundice. This is a brief presentation on jaundice and its ayurvedic management.

Jaundice, also known as icterus is a disease caused due to the dysfunction of the liver. It is the most common of all liver disorders that results from an obstruction in the bile duct or the loss of the bile producing liver cells. Jaundice refers to the yellowing of skin and whites of the eyes caused by the high level of pigment bilirubin in the body. Bile is a vital digestive fluid that is essential for proper nutrition. It is unable to function properly and filtering and elimination of toxins from your system is affected.

Jaundice is caused mainly by the dysfunctional liver or other liver diseases. In tropical countries jaundice is more likely to happen because of the extreme nature of summer heat and digestive difficulties that it causes. Chronic digestive disorders like bowels inflammatory syndromes, gastric problems also play bigger roles in causing the disease. In relation to these internal causes jaundice can be of various types. Apart from this hepatitis virus can cause some major types of jaundice which can be potential life threats. Obstructive jaundice is another type of jaundice which is caused by obstruction caused in the liver function to relieve the bilirubin from the body. Pregnancy related jaundice and jaundice at child birth are other types of jaundice which is more common in pregnant women. Before introducing some of the major types of jaundice, for a better clinical understanding of the disease let us take a look at the basic process which causes jaundice.

Causes, incidence, and risk factors:
Every day, a small number of red blood cells in your body die, and are replaced by new ones. The liver removes the old blood cells, forming bilirubin. The liver helps break down bilirubin so that it can be removed by the body in the stool. This waste product is called bilirubin and when liver cannot perform its assigned function of relieving this waste product from our organic process the higher amount of presence of this chemical substance in the blood is felt and this is how the jaundice occurs. All major types of jaundice can have different areas of reasoning for the malfunction of the production process and relieving process of bilirubin, but the basic facts related with the bilirubin and its effects are all same in all minor or major types of jaundice

When too much bilirubin builds up in the body, jaundice may result.

Jaundice is caused due to following causes:
Obstruction of the bile ducts (by infection, tumor or gallstones)
Viral hepatitis (hepatitis a, hepatitis b, hepatitis c, hepatitis d, and hepatitis e)
Drug-induced cholestasis (bile pools in the gallbladder because of the effects of drugs)
Drug-induced hepatitis (hepatitis triggered by medications, including erythromycin sulfa drugs, antidepressants, anti-cancer drugs, aldomet, rifampin, steroids, chlorpropamide, tolbutamide, oral contraceptives, testosterone, propylthiouracil)
Biliary stricture
Alcoholic liver disease (alcoholic cirrhosis)
Pancreatic carcinoma (cancer of the pancreas)
Primary biliary cirrhosis
Ischemic hepatocellular jaundice (jaundice caused by inadequate oxygen or inadequate blood flow to the liver)
Intrahepatic cholestasis of pregnancy (bile pools in the gallbladder because of the pressure in the abdomen with pregnancy)
Haemolytic anemia
Congenital disorders of bilirubin metabolism (gilbert’s syndrome, dubin-johnson syndrome, rotor’s syndrome)
Chronic active hepatitis
Autoimmune hepatitis
Malaria


Jaundice is often a sign of a problem with the liver, gallbladder, or pancreas. Infections, use of certain drugs, cancer, blood disorders, gallstones, birth defects and a number of other medical conditions can lead to jaundice.

Clinical symptoms:
Jaundice may appear suddenly or develop slowly over time. Common symptoms of jaundice commonly include:


Yellow skin and the white part of the eyes (sclera) -- when jaundice is more severe, these areas may look brown 
Yellow color inside the mouth
Dark or brown-colored urine
Pale or clay-colored stools

Other symptoms depend on the disorder causing the jaundice:
Cancers may produce no symptoms, or there may be fatigue, weight loss, or other symptoms

Hepatitis may produce nausea, vomiting, fatigue, or other symptoms.

Differential diagnosis:
When a pathological process interferes with the normal functioning of the metabolism and excretion of bilirubin just described, jaundice may be the result. Jaundice is classified into three categories, depending on which part of the physiological mechanism the pathology affects.

Pre-hepatic jaundice: it is caused by anything which causes an increased rate of hemolysis (breakdown of red blood cells).

Laboratory findings include:
Urine: no bilirubin present, urobilinogen gt; 2 units (i.e. hemolytic anemia causes increased heme metabolism; exception: infants where gut flora has not developed).
Serum: increased unconjugated bilirubin.
Kernicterus is associated with increased unconjugated bilirubin.

Hepatocellular jaundice: it can be caused by acute or chronic hepatitis, hepatotoxicity, cirrhosis, drug induced hepatitis and alcoholic liver disease.

Laboratory findings depend on the cause of jaundice, include:
Urine: conjugated bilirubin present, urobilirubin gt; 2 units but variable (except in children). Kernicterus is a condition not associated with increased conjugated bilirubin.
Plasma protein show characteristic changes.
Plasma albumin level is low but plasma globulins are raised due to an increased formation of antibodies.

Post-hepatic jaundice: it is also called obstructive jaundice, 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 pancreatic cancer in the head of the pancreas. Also, a group of parasites known as" liver flukes" can live in the common bile duct, causing obstructive jaundice.

The presence of pale stools and dark urine suggests an obstructive or post-hepatic cause as normal feces get their color from bile pigments. However, although pale stools and dark urine is a feature of biliary obstruction, they can occur in many intra-hepatic illnesses and are therefore not a reliable clinical feature to distinguish obstruction from hepatic causes of jaundice. Patients also can present with elevated serum cholesterol, and often complain of severe itching or" pruritus" because of the deposition of bile salts.

Signs and tests:
No single test can differentiate between various classifications of jaundice. A combination of liver function tests is essential to arrive at a diagnosis.

Other tests vary, but may include:
Hepatitis virus panel to look for infection of the liver
Liver function tests to determine how well the liver is working
Complete blood count to check for low blood count or anemia
Abdominal ultrasound
Abdominal ct scan
Endoscopic retrograde cholangiopancreatography (ercp)
Percutaneous transhepatic cholangiogram (ptca)
Liver biopsy
Cholesterol level
Prothrombin time


Ayurvedic approach:
In the ayurvedic perspectrive jaundice (kamala) is a complaint of the pitta region of the body, which denotes a build up of toxins in an intestinal area that is causing an in-balance in the overall dosha. You need to expel such toxins to rebalance the immune system and yourself. All the great indian laureates viz. Acharaya charaka, sushruta and vagbhatta have described the yakrita roga (liver diseases). Acharaya charaka has mentioned a detailed description of kamala roga in connection with liver disease. He has given details of nidan, samprapti, rupa, bheda, sadhyasadhayata and chikitsa karma. The concept of kamala in ayurveda kayam malyati iti kamala. i.e. The whole body becomes dirty because of accumulation of pitta in the body which refers to accumulation of bilirubin in this context. Kamala produces various signs and symptoms as haridra netra (yellow discoloration of conjunctiva), haridra twaka (yellow colour of skin), haridra nakha (yellow nails), bheka varna (frog like body color), daha (burning sensation), ajirna (indigestion), daurbalaya (weakness), kshudhanasha (anorexia) etc.

Management:
Since liver is the largest organ and main site of metabolism and detoxification, the diet should be easily digestible during this condition. So ayurvedic treatment contains such medicines which will facilitate removal of waste substances from the gut and kidney.

The treatment of kamala (jaundice) must start with purgation. The basic theory is that no burden be placed on the liver and for that, a daily purgative is recommended. A diuretic may also be administered to encourage the flow of urine, which will expel most of the bile from the system this helps to remove the toxins accumulated in the liver and the rest of the body. Strong purgatives are avoided. Oral medicines and rasayana treatments are also given to the patient. Strong purgatives are avoided.

Ayurvedic treatments for jaundice will aim to rectify the pitta imbalance and eliminate the toxins accumulated in the human system. Elimination of toxins is done through the panchakarma treatments that begin with an oil massage followed by mild emesis and purgation with bitter herbs.

Medicines used:
Regular intake of avipattikar churna about one- teaspoonful twice a day with hot water.
Arogyavardhani vati 2-2 tablets regularly with hot water twice a day.
Punarnava mandoor, 1 tab thice daily for 2 to 3 weeks.
Navrayas loh can also be given in the dose of 125mg thrice daily.
Daily consumption of triphala powder (10gm) soaked in water overnight. (equivalent to lactulose)
Regular intake of guduchi juice 10gm twice or thrice a day.
Daily intake of neem juice is also useful for jaundice
Rohitakyadi, punarnava, phalatrikyadi kwath, dhatri lauha etc. May also be used.

Some routine home remedies:
Mix 1 teaspoon of roasted barley powder to 1 cup of water. Add 1 teaspoon of honey to it and have this twice a day.
Add 1 teaspoon paste of basil leaves to a cup of radish juice. Have this juice twice a day for 15-20 days.
Have a cup of sugarcane juice with teaspoon of basil leaves paste twice a day. Juice should be prepared in hygienic conditions so as to avoid contamination from dust or other substances


Pathya-apathya (do's don'ts):
Avoid non-vegetarian foods at least till the effects of the jaundice last on the skin. Do not take even heavy vegetarian foods. The reason is that the liver needs to produce more bile to digest these heavy foodstuffs and this could alleviate the pigmentation of the skin.

Completely restrict your intake of junk food such as chocolate, cakes, pastries, potato chips, ice-creams, colas and other aerated drinks, etc.
Always drink water that is filtered or boiled. Do not drink raw milk.
Do not eat sea foods especially oysters, unless you are sure they have come from a reliable source.
Take simple food for the first three days of the jaundice affliction. Have a meal of porridge, especially rice gruel (kanji). You can flavor it with jaggery syrup or honey.
There must be a complete abstinence of salt as it is a mineral and requires a difficult digestion process.
Do not give cereals and pulses to the patient as they cause inflammation in the liver. Grapes, black soya beans, nuts, sweet potatoes are the fruits that are beneficial in jaundice.
Vegetable salad of tomato, carrot, radish and its leaves, and two-three slices of lemon are very good for health and very effective in curing jaundice in a natural way.
It is advised for the patient suffering with jaundice to take proper rest and drink fruit juices.
Bitter vegetables like bitter gourd and the bitter variety of drumsticks are beneficial to the jaundice patient.
Alcohol is very harmful to the jaundice patient. It can complicate the disease with fatal consequences. Hence say a strict no to alcohol.

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