The Relationship Of Gilbert’s Disease And Jaundice

Unpopular diseases such as Gilberts disease can be alarming once you are diagnosed with it because you will never know what will happen to you. Upon hearing that you are or you might be suffering from it, it can be hard to accept it because you dont know what to do.

To ease the burden that people with Gilberts disease, doctors try to explain everything about the condition in laymans terms. And one of the easiest ways to understand it is if it is compared to more common diseases that have similarities in it like jaundice.

What Gilberts disease is all about

Gilberts disease was first described by a French gastroenterologist names Augustin Nicolas Gilbert in 1901. Gilberts disease is an asymptomatic (no external symptoms) condition affecting the liver. The condition affect an enzyme in the body called urodine diphosphate glucuronosyltransferase or UGT (abbreviation). UGT aids the liver in breaking down bilirubin which is found also in the blood stream.

Bilirubin is the waste product of the hemoglobin in the blood. Hemoglobin is found in the red blood cells that carry oxygen to other cells in the body to complete the cycle of respiration. After the red blood cells successfully brought the oxygen to the other parts of the body, the blood produces bilirubin. The liver cells then collect all the bilirubin produced by the blood, transfer it to the liver to be broken down into the gut, and turned to bile.

This is where UGT or urodine diphosphate glucuronosyltransferase comes in, it helps the liver cells process the bilirubin in to bile. Gilberts disease affects the production of UGT, this is because it fluctuates the production of UGT in the body. The fluctuating levels of UGT greatly affect the levels of bilirubin retained in the blood. Bilirubin is orangey- yellow in color, which in turn causes a patient to have jaundiced skin.

What is jaundice?

Jaundice is the condition of the blood that has external manifestations. The two most common manifestation of Jaundice is the yellowing of the skin and in the white of the eyes. Jaundice if one of the most common symptoms or manifestations of different liver diseases and sometimes it may be the cause of some discomfort among patients. The heightened bilirubin stores in the body and in the bloodstream causes jaundice but it usually has no serious effects and it can occur in people more than once in their entire lifetime. Mild jaundice is not always caused by diseases of the liver there are times when it may happen under conditions of over exertion, long term stress, intense fasting, and other bodily infections, but the condition is otherwise shows no external manifestations.

It happens when there is a flaw in the liver that averts from removing bilirubin from the blood, to be converted to glucuronic acid (conjugated) or excreted in bile in this case if the person has Gilberts disease.

Lastly, when there is obstruction of the bile ducts that reduces the stream of bile and bilirubin from the liver into the guts. The decreased conjugation, emission, or gush of bile that can result in jaundice refers to cholestasis: however, cholestasis does not always effect in jaundice.

Jaundice or cholestasis, by themselves, causes just a few problems (excluding the conditions of newborns, and jaundice in this case in newborns is different from most other types of jaundice.) Jaundice can make the skin and the whites of the eyes look sclera yellow. As well, stool can turn out to be light in color, even clay-colored because of the lack of bilirubin that usually gives stool its brown color. The urine may become dark or brownish in color. This takes place when the bilirubin that is building up in the blood starts to be excreted from the body in the urine.

Other than those scenarios there is not much to worry about if you have Gilberts disease, you may experience a jaundiced appearance but you can still enjoy a healthy life.

The Anatomy Of Gilbert’s Disease

People have long asked about how exactly does Gilberts disease affect us in our daily lives? Well these questions have also concerned doctors and medical experts for the longest time. This because of the peculiarity of the condition itself, Gilberts disease is hereditary in nature yet unlike other hereditary diseases it does not have any major effects on the body. To further understand the structure and the inner workings of the condition here are some of the facts revolving around it so you will be better informed.

Gilberts Syndrome

Gilbert syndrome is frequently an autonomic recessive disorder and is a familiar origin of unconjugated hyperbilirubinaemia. There has been some information of heterozygous cases, mostly in Asian populations. Gilberts disease was named after the French gastroenterologist Augustin Nicolas Gilbert in 1901. The presence of Gilberts disease in a global scale is three to eight percent depending on the area of the diagnostic criteria was used:

1. Genetics. The reason for the body contacting high bilirubin levels is because of the fluctuating levels of UGT or urodine diphosphate glucuronosyltransferase in the liver and the blood stream. UGT is an enzyme that aids the liver in breaking down bilirubin. Bilirubin is the waste product of the hemoglobin in the blood. Hemoglobin is used to carry oxygen in our bloodstream.

– Hepatic glucuronidation (essential for conjugating bilirubin) is concentrated to minimal levels to around 30 percent of standard; and – In addition to their reduced Bilirubin-UGT enzyme activity, most patients with Gilberts syndrome may have irregularities in the glucuronidation of aspirin or derivatives of coumarin and dopamine.

2. Presentation. It can stay overlooked for many years, but more often than not makes its manifestation in adolescence with:

– Irregular jaundice noticed after fasting, being short of of sleep, hearty exercise or during an intercurrent sickness. – Contacting certain medications may aid in the manifestation of jaundice e.g. chemotherapy. Unfavorable effects of anticancer agents have been observed in Gilberts patients owing to reduced drug or bilirubin glucuronidation.

There is hope

Despite other distinctive results related to Gilberts disease include jaundice, nausea, exhaustion, instability, bowel complaints, queasiness and vomiting, and difficulty concentrating. Investigations associated with the condition include: full blood count proves usual reticulocyte count – to differentiate from haemolysis; a climb in bilirubin on fasting or after IV nicotinic acid can corroborate the conclusion; additional liver function tests (as well as lactate dehydrogenase) and liver biopsy are regular, but the latter should hardly ever be required clinically; and absence of bilirubin and abnormally low amounts of urobilinogen in the urine.

The good news for people with Gilberts disease is that they really dont have much to worry about since the damage done by Gilberts disease is almost non threatening. No healing is required and life expectation is normal. Bear in mind also that not all the people who are affected by Gilberts disease show signs and symptoms at all. Although asymptomatic Gilberts disease all the way through ones life is very exceptional, there can positively be periods of time a patient has no external signs of the disease.

Absolutely no treatment is required for the condition. Patients with Gilberts disease can normally lead healthy lives. Their life expectancy is not really affected. Mild jaundice may recur from time to time for short periods, but usually causes no health problems.

Health Risks of Essential Oils

Like anything, too much of a good thing becomes bad. There are risks associated with the overexposure of essential oils, but the proper use of them proves to be medically enhancing to our lives. It is always best to use the oils under the guidance of an aromatherapy practitioner. It is also prudent to seek medical attention should you experience any signs or symptoms of overexposure.

Most essential oils were not meant to be ingested. While the oils do have medicinal benefits, they are also concentrated. Keep in mind that there are exceptions to this rule of thumb and knowing what you are putting into your body is critical. For example, chamomile can be used in a tea to ease an upset stomach. It’s also important to note that what ever flows into your body gets processed in the liver and kidneys. Too much exposure to chemicals (even the natural ones) can be harmful to their functioning.

Many essential oils travel into the body by inhalation. The oil vaporizes into the air in the form of an aroma. We inhale those aromas and they then enter into our blood stream to affect our brain and nervous system. Prolonged effects may change the chemical make up of our tissues. Chemicals are still chemicals no matter if we can see them or not. What are the side effects of this inhalation? We may feel dizzy or light headed. We may even experience headaches or nausea. If we have experienced any symptoms like these, step out side to get some fresh air and let our body readjust. Remove the essential oil element and discard. Everyone’s body reacts differently to different things. If you’re also taking medication, using essential oils could impact that treatment.

Essential oils that are topically applied (meaning applied directly to your skin) may also create rash like symptoms or redness. These symptoms are temporary effects, but exposure to a large enough area could be darn irritating to deal with. Safely test to see if your skin can handle the oil application by applying a drop of oil mixed with a tablespoon of vegetable oil to your skin. If the skin turns red or if there is burning or itching, cease the use of the oil immediately and flush the area with water. Consult with your doctor and aromatherapy practitioner. Essential oils that are applied topically can heal many skin conditions like acne, eczema and athlete’s foot.

It is especially important that if you have a medical condition or are pregnant or nursing, that you consult with a medical professional before using essential oils. In addition, it is recommended that you read all the safety information before using the product.

While there are risks involved, the use of essential oils to promote health and wellness has been a growing market as people seek to find natural methods for cures. We find that risks vary from person to person and that moderation is best practice. Remember to be under the guidance of a doctor and / or aromatherapy practitioner while using the oils. Make the most of what nature provides and minimize risk by understand what is involved and how to correctly use the product.

Guideline for Determining Essential Oil Quality

How can I determine the quality of the essential oil I am purchasing? A quick search on Google for essential oils suppliers will show that costs for essential oils varies and they vary a lot! How can you decide which oil to purchase? Here are a few factors to help you determine the level of quality of the oil you intend to purchase.

Essential oils are derived from plants. They go through a process which could impact the quality of the oil being used. The plants can be grown on a farm or “wild crafting” conditions and factors such as soil condition and rainfall affect can impact the oil quality. Essential oil descriptions should also contain the country of origin since the quality of the oil can vary from country to country. The use of pesticides or other chemicals can also impact the essential oil obtained. It is important to note that pesticides may also adulterate the essential oil if it is not eliminated in the manufacturing process. Adulteration becomes important if you plan on using the essential oil for therapeutic purposes. Even if you plan on using the oils as an air freshener, the aroma contains particles that enter your blood stream via inhalation.

Essential oils in the market place can be found in various dilutions or even marketed as perfume oils or aromatherapy oils. There are wide variations and taking the time to read the labels, product descriptions and research your product will help to safely assess the quality of the oil. Perfume oils are not the same as essential oils and they do not share the therapeutic benefits that essential oils have. Aromatherapy oils may have already been blended with other oils or chemicals. Preservatives may have been added to protect and enhance the mixture.

There is nothing wrong with purchasing diluted, pre-mixed blends or perfume oils but just beware of what you are purchasing at what price. As you price shop at various stores online, you will find that many stores claim to sell essential oils, but in actuality, they are only selling a diluted version of the oil or the perfume oil. These oils are excellent for making soaps, creams, bath salts and other beauty body products.

While there are no set standards for the shelf life of essential oils, most can be used within 1 – 2 years after opening. The oils should be stored in a dark bottle (amber glass or blue cobalt works nicely) and tightly sealed. Bottles with rubber stoppers should not be used to store the essential oil since the potency of the oil degrades the rubber and turns it into a gummy substance. The rubber can then fall into the oil thus contaminating the purity of the oil. Also, excessive exposure of the oil to sun’s ultra violet rays, heat, or air will degrade the oil. The oils should also be stored in a cool, dark place once you have them. A wooden craft box works nicely.

Be the informed buyer. Take the time to learn about what you are purchasing and then check if that fulfills your intended use. You will find that the quality of the essential oils can vary greatly and understanding what information is being provided to you will impact your purchasing decision.