When it comes to jaundice, most people are scared of the word “yellow” and avoid it, and the first concept that comes to mind is the infectious disease hepatitis A. The hepatitis A that swept Shanghai in 1988 is still fresh in everyone’s mind. The most common manifestation of jaundice is yellowing of the skin and sclera, deepening of the color of urine, even like soy sauce, and in some patients, the color of stool is like white ash, which is mainly due to the abnormal increase of bilirubin content in the blood. However, according to the latest statistical studies, non-hepatitis jaundice is increasing, which is related to the increased incidence of pancreatic cancer, biliary stones, liver tumors, duodenal tumors, etc. in recent years in China. Jaundice caused by many of these diseases is mostly obstructive jaundice, also known as surgical jaundice, which is not infectious and can be resolved surgically. How do I know I have elevated jaundice? The skin color of normal people can vary in shades, but the sclera, commonly known as the white of the eye, is the same color. If you find that your sclera is yellowish or dark, your urine is yellowish or red, and you have not taken any new medications recently, you need to be alert. Do not take it for granted that “fire eating power” or not enough water due to. Most of the patients who come to the hospital with jaundice are mostly bystanders who find abnormalities and are persuaded to consult a doctor, so it can be said that “they do not know the true face of the mountain, but only because they are in the mountain. At this time, the jaundice index is often very high, and the danger to the whole body has deepened. In some diseases, jaundice deepens very slowly, even without any uncomfortable symptoms, and early detection is very helpful in the diagnosis and treatment of the disease. How is jaundice treated? The blood bilirubin level is 6-22 mmol/L, abnormal elevation is mainly seen in hepatitis, “no fever, no abdominal pain, no weight loss, just a little yellow urine, it is estimated that the force is on fire”, 53-year-old Xu said to his visiting doctor about his condition, but the doctor still let him do liver function tests, upper abdominal CT and MRCP, a mild increase in jaundice index, but no pancreatic tumor or biliary tract disease was found. Given Xu’s condition, the doctor still recommended that he be admitted to the hospital for a complete examination. After performing duodenoscopy (longer than gastroscopy, which examines the patient’s duodenum and is mostly used to perform biliary tract examination or treatment), a mass in his duodenal papilla was found and biopsy pathology suggested high-grade intraepithelial neoplasia. Out of professional sensitivity and years of clinical experience, the doctor recommended that he undergo surgical resection, which was performed as a pancreaticoduodenectomy. Although the surgery was very traumatic and risky, Xu agreed to it. The surgery was successfully completed and the pathological examination of the removed mass showed adenocarcinoma. It is no coincidence that 41-year-old Li was also hospitalized with the same symptoms, as in the case of the duodenal papilla mass, and the preoperative pathology was also benign, and the postoperative pathology was also “adenocarcinoma”. As we all may know, the most common causes of jaundice are hepatitis, drug-related liver damage, common bile duct stones or tumors, and pancreatic cancer. Generally, blood biochemical tests and CT or MRCP can clarify the cause, but Xu and Li are usually strong, belong to the kind of hospital doors open to the main, thought to go to the hospital to check and eat some medicine will be fine, did not expect to get a “major disease”, which is a wakeup call for us all. “Small jaundice” may be a big problem. At present, with the improvement of living conditions, the general public’s attention to health has also increased, the awareness of health care is also strong, a CT gastroscopy and so on is very common. However, most people may ignore this small jaundice because there are no obvious symptoms, and even if they go to the hospital to do a CT or gastroscopy or something, the problem may not be detected, but we must remind everyone that there is no unexplained jaundice, and when hepatitis, pancreatic and biliary diseases are ruled out, an ERCP test is necessary, and when a mass is found, even if the pathology is temporarily benign , surgery should also be considered. Out of the current medical environment, if it is a benign tumor, if you yourself have no requirement for surgery, doctors often will not take the risk to do it for you and end up regretting yourself.