What should be done if jaundice neither rises nor falls nor resolves?
May 14, 2023
Source: Cainiu Health
Dr. Zhou Chao
Introduction
Jaundice that neither rises nor falls nor resolves may be caused by conditions such as common bile duct stones, chronic hepatitis, or hemolytic anemia, and targeted treatment is required. Specific analysis is as follows: Stones in the common bile duct can directly cause abnormal bilirubin levels. If a larger stone causes obstruction, it may lead to persistent jaundice that neither increases nor decreases. Treatment may include medications such as anti-inflammatory and bile-promoting tablets or cefuroxime axetil tablets.
Persistent jaundice that neither increases nor decreases may be caused by conditions such as common bile duct stones, chronic hepatitis, or hemolytic anemia. Targeted treatments are required, with specific analysis as follows:
1. Common Bile Duct Stones
Stones in the common bile duct can directly cause abnormal bilirubin levels. If larger stones cause obstruction, patients may develop persistent jaundice that neither worsens nor improves. Treatment may include medications such as anti-inflammatory and cholagogue tablets (e.g., Xiaoyan Lidan Pian) or cefuroxime axetil tablets, as recommended by a physician.
2. Chronic Hepatitis
In patients with chronic hepatitis, long-term hepatocyte necrosis can lead to abnormal bilirubin metabolism, resulting in persistent jaundice. Symptoms can be improved under medical guidance using medications such as entecavir tablets or compound glycyrrhizin tablets.
3. Hemolytic Anemia
Due to destruction of red blood cells, secondary liver cell damage may occur, leading to abnormal bilirubin levels and persistent jaundice. Treatment may include corticosteroids such as prednisone acetate tablets or dexamethasone tablets, as directed by a physician.
In addition to the above, biliary obstruction or cholangiocarcinoma may also cause this phenomenon. It is recommended to seek medical evaluation at a hospital for accurate diagnosis and targeted treatment.
