Mir Dinar Hossain, Special Correspondent:
Jaundice is not a disease in itself, but a symptom of the disease. Jaundice can be due to various reasons. Jaundice usually refers to inflammatory jaundice of the liver. Inflammation of the liver can be caused by various drugs, alcohol, etc., starting from viruses. Hepatitis E, A and B viruses are the main cause of liver inflammation in our country. The first two are transmitted through water and food and the third is transmitted mainly through blood. The hepatitis A virus mainly causes jaundice in children, but people of any age can be infected with the hepatitis E and B virus.
Sayeda Rahim, an associate professor in the Department of Gastroenterology at Shaheed Suhrawardy Medical College Hospital, said jaundice was suspected when the color of the urine, eyes and skin turned yellow. There are many reasons for jaundice. Therefore, you should seek the help of a doctor to find out the cause, extent, complications, etc. of jaundice. And jaundice patients are very confused about their diet. There is no end to the advice on what to eat and what not to eat. This is because the prevailing beliefs about the diet of jaundice patients are in many cases incompatible with modern medicine.
How to prevent?
Eat pure food and water at all times. If you need to take blood in the body, you must do the necessary screening. It is also important to use disposable syringes. Everyone should be vaccinated against hepatitis B in particular. People who shave at the salon should take care not to reuse previously used blades or razors. There is no benefit to vaccination in case of jaundice. So you need to get vaccinated before you can stay healthy. In the case of hepatitis B, one dose is given in the first month, one in the second month or one in six months. One dose is sufficient for hepatitis A. In both cases, booster vaccines are given every five years.
Since jaundice is not a disease, there is no cure for it. Jaundice is cured when the amount of bilirubin in the blood becomes normal within 6 to 28 days. Adequate rest at this time is the treatment. At this time pain medications such as: paracetamol, aspirin, sleeping pills and any other unnecessary and Kabiraji drugs should not be taken. In a word, it is not right to take any medicine without the advice of a specialist doctor. The risk of the opposite is higher.
The patient should avoid outside food at all times. Especially be very careful in the case of water. Whether you have jaundice or not, you can’t drink boiled water. Special care should be taken about Fuchka, Chatpati, Borhani and Salad. This is because waterborne viruses such as hepatitis A or E are spread through these. Pregnant women in particular should be very careful. At this time mothers often eat outside food. And if hepatitis E occurs in the last three months of pregnancy, the risk of maternal and fetal death is more than 50 percent.
How will the food be?
There are no restrictions on food. However, in viral hepatitis, the function of the liver is somewhat impaired. Therefore, certain foods that do not put extra work pressure on the liver and gallbladder should be avoided. Such as fatty foods (ghee, butter, any fried food or fast food, beef, etc.). Patients with jaundice should therefore eat more easily digestible simple sugars such as sherbet, rice, porridge, semolina, bread, etc. as a source of calories.
How will the rest be?
Full rest means not doing any heavy work or hard work at this time. Because, viral hepatitis causes inflammation in the liver. As a result, the level of jaundice can increase and take on a complex shape if you do not get full rest or excessive physical activity.
Many people think that if you have jaundice, you should drink more water. You should eat more sugarcane juice, coconut water, glucose syrup etc. In fact, this is not the case. Jaundice patients need to drink enough water just like normal people. The problem may be if you drink less water than usual. Drinking more water makes you urinate more frequently, but it does not reduce the amount of bilirubin in the blood. Rather, the patient’s rest is disturbed if the patient has to go to the toilet repeatedly for frequent urination.
Sugarcane juice is a very common medicine for jaundice in our country. Hepatitis A or E virus can be spread in people by consuming sugarcane juice mixed with contaminated water in the side of the road.
Another common belief is that jaundice can be aggravated by feeding curry cooked with turmeric. Jaundice is caused by an increase in the amount of a yellow pigment called bilirubin in the blood. Food turmeric has no contact with it.
To the mother with jaundice:
A mother with jaundice can safely breastfeed her child. However, if the mother has hepatitis B virus jaundice, it is important to get the hepatitis B virus vaccine and immunoglobulin injection as soon as the baby is born. This is because, even if not spread through breast milk, there is a risk of the baby being infected with the hepatitis B virus in close association with the mother.
If all goes well, 60 to 70 percent of newborns may have jaundice after birth. About 50 percent of children with jaundice have normal jaundice. Jaundice is caused by an increase in the level of bilirubin in the blood when the baby’s liver is a little late to become fully functional. Under no circumstances should the newborn be prevented from breastfeeding at this time. Normal jaundice within seven days