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Jaundice is a liver-related condition that causes a yellowing of the skin and the whites
of the eyes, and sometimes other less obvious symptoms. While it’s quite common
and temporary in newborns, jaundice in children can be a sign of a more serious
medical problem.
obstructive jaundice, which results from blockage in the bile duct between the
pancreas and the liver
hepatocellular jaundice, which appears if there is liver disease or damage
hemolytic jaundice, which develops when there is an abnormal breakdown of
red blood cells, leading to excessive levels of bilirubin in the blood
fever
abdominal pain
nausea
fatigue
Hepatitis
There are five basic types of transmittable hepatitis, each one triggered by a different
virus.
A child who shares a toothbrush or a drinking glass with someone who has EBV is
vulnerable. You or your child could have EBV and experience no symptoms or lasting
health problems. But in more serious cases, jaundice, fever, enlarged lymph nodes,
and other signs may be present.
Gallstones
Gallstones are small, hardened deposits of bile, a digestive fluid. The deposits form in
the gallbladder, a small organ located just below the liver.
It’s not always clear why gallstones develop, but it may be due to an abundance of
bile in your child’s cholesterol or too much bilirubin in the bile. If the gallbladder
doesn’t properly empty of bile, the fluid can build up and form gallstones.
Cancer
Cancers of the pancreas and liver may cause jaundice, among other symptoms.
However, these are rare in children.
Hemolytic anemia
There are several types of hemolytic anemia, but they all cause the destruction and
removal of red blood cells at a faster rate than is healthy and normal. Hemolytic
anemia can be an inherited condition, passed down from one or both parents, or it can
result from an infection or an autoimmune disease, among other things.
Your child’s doctor may look for signs of liver disease by checking for unusual
bruises or for spider angiomas, which are small, abnormal clusters of blood vessels
just under the surface of the skin. If the fingers and palm of the hand turn a reddish
color (palmar erythema), that could be a sign of liver disease. A physical exam to
check for swelling of the liver will also be done.
A blood test and urinalysis can reveal high levels of bilirubin in the body along with
problems with liver function and anemia. Blood tests can also help diagnose
conditions such as hepatitis and Epstein-Barr.
If your child has anemia in addition to jaundice, your child’s doctor may also order a
screening known as a Coombs test to confirm or rule out whether antibodies are
attacking red blood cells. This is a sign that an autoimmune disease is at the root of
your child’s jaundice.
Hepatitis treatments vary, depending on the type of virus. Hepatitis A, for example,
usually leaves the body without treatment, though it can take several months.
Hepatitis B and C require antiviral drugs.
EBV has no antiviral cure other than time. For EBV and some other causes of
jaundice, treatments tend to focus on managing other symptoms, such as nausea and
fever.
Mild cases of jaundice in children can sometimes go away without treatment once the
cause has resolved, the way it often does with infants.
Making sure your child has regular bowel movements may also help rid the body
faster of bilirubin. Tips for avoiding constipation and establishing regular bowel
movements include making sure your child:
is well-hydrated
has regular physical activity
gets enough dietary fiber, which can be found in fruit, beans, and bran cereals
Preventing jaundice isn’t always possible, especially if your child has an inherited
condition or an autoimmune condition that’s causing the bilirubin buildup. However,
good hygiene and avoiding the sharing of cups and other items that might carry a
virus may reduce the risk of conditions such as EBV. Two of the most common types
of hepatitis are preventable by vaccines.
Article resources
FEEDBACK:
Medically reviewed by Karen Gill, MD on July 29, 2018 — Written by James Roland
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