A HealthTap patient asked: Eyes and skin yellow, mass on upper right side and middle abdomen, fever, vomiting, black moles on arms face shoulders v, back, stomach, green to dark. What is causing this.
Yellow eyes & skin indicate jaundice which is due to many reasons: hepatitis, liver issues.
The below are excellent reviews that will help pinpoint the cause.
Sandra Lora Cremers, MD, FACS
Jaundice in Adults
- Ascites: Accumulation of fluid within the abdomen
- Coagulopathy: A tendency to bleed or bruise
- Hepatic encephalopathy: Deterioration of brain function because the liver malfunctions, allowing toxic substances to build up in the blood, reach the brain, and cause changes in mental function (such as confusion and drowsiness)
- Portal hypertension: High blood pressure in the veins that bring blood to the liver, which can lead to bleeding in the esophagus and sometimes stomach
- Damage the liver
- Interfere with the flow of bile
- Trigger the destruction of red blood cells (hemolysis), thus producing more bilirubin than the liver can handle
- A toxic reaction to a drug or medicinal herb
- Severe abdominal pain and tenderness
- Changes in mental function, such as drowsiness, agitation, or confusion
- Blood in stool or tarry black stool
- Blood in vomit
- A tendency to bruise or to bleed easily, sometimes resulting in a reddish purple rash of tiny dots or larger splotches (which indicate bleeding in the skin)
- Working at a day care center
- Living in or working at an institution with long-term residents, such as a mental health care facility, prison, or long-term care facility
- Living in or traveling to an area where hepatitis is widespread
- Participating in anal sex
- Eating raw shellfish
- Injecting illegal or recreational drugs
- Having hemodialysis
- Sharing razor blades or toothbrushes
- Getting a tattoo or body piercing
- Working in a health care facility without being vaccinated against hepatitis
- Having had a blood transfusion before 1992
- Having sex with someone who has hepatitis
- Having been born between 1945 and 1965
- Blood tests to evaluate how well the liver is functioning and whether it is damaged (liver function tests)
- Usually imaging tests such as ultrasonography, computed tomography (CT), or magnetic resonance imaging (MRI)
- Sometimes biopsy or laparoscopy
- Tests to assess the blood’s ability to clot (prothrombin time and partial thromboplastin time)
- Tests to check for hepatitis viruses or abnormal antibodies (due to autoimmune disorders)
- A complete blood count
- Blood cultures to check for infection of the bloodstream
- Examination of a blood sample under a microscope to check for excessive destruction of red blood cells
- Treatment of cause
- For itching, cholestyramine
- For a blocked bile duct, a procedure to open it (such as endoscopic retrograde cholangiopancreatography)
- If damage to the liver is severe, jaundice may be accompanied by serious problems, such as deterioration of brain function and a tendency to bleed or bruise.
- Acute viral hepatitis is a common cause of jaundice, particularly in young and otherwise healthy people.
- People should see a doctor promptly if they have jaundice so that the doctor can check for serious causes.
- Cholestyramine may help relieve itching.