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Recognize the symptoms of biliary atresia and how to overcome them

Biliary atresia is a bile duct disorder in newborns which is quite rare, but cannot be overlooked. If the bile ducts are disrupted, bile cannot flow out of the liver, causing serious disruption to the liver, even to the point of losing its function. Generally, biliary atresia is most often found to occur between the ages of 2 to 4 weeks after birth, which is when it causes symptoms in the form of skin discoloration to yellowish (jaundice). This condition needs to be recognized early on, so that it can be dealt with promptly, to avoid fatal consequences.

Recognizing the Symptoms Caused

The cause of biliary atresia is not clearly known, there is not even a way to prevent the condition or predict when it will occur. However, there are several factors that are believed to be related to the occurrence of biliary atresia, including:
  • Genetic changes / mutations.
  • Effects of toxic substances.
  • Impaired formation and development of the fetal liver or bile duct in the uterus.
  • Immune system disorders.
  • Viral or bacterial infections after birth.
To recognize the symptoms of biliary atresia in infants, the first thing you notice is a change in the color of the skin and the side of the baby's eyes turn yellow. In addition, other symptoms caused include:
  • Dark urine.
  • Enlarged spleen.
  • Pale stools or very smelly.
  • Slow growth or even weight gain does not increase.

Examination for Diagnosing Biliary Atresia

Before taking medication, the doctor will assess the severity of the condition based on the symptoms caused. To ensure biliary atresia, your pediatrician will do the following:
  • X-ray or ultrasound of the abdomen.
  • Cholangiography, which is an X-ray examination by inserting a contrast agent into the bile duct.
  • Blood test to check total and direct bilirubin levels.
  • Liver biopsy to determine the severity of cirrhosis or to rule out other causes of jaundice.
In addition, a hepatobiliary iminodiacetic acid (HIDA) scan or cholescintigraphy test can also be used to help determine whether the bile ducts and gallbladder function properly.

The Right Way to Overcome Biliary Atresia

Basically, the management of biliary atresia will be adjusted to the conditions suffered, although generally if possible, babies with biliary atresia will be operated on to deal effectively with biliary atresia. The most common treatment procedure is the Kasai procedure. In the Kasai procedure, a portion of the intestine is connected to the liver, so bile can flow directly from the liver to the intestine. This surgery works best if it is done when the baby is less than 2 months old. This effort has a success rate of around 80% if done on infants less than 3 months old. If surgery does not help, then over time the baby's heart will become increasingly damaged and liver failure occurs. The only way to deal with liver failure is a liver transplant. However, in many cases of biliary atresia that were successfully treated through the Kasai surgical procedure, these babies still require special medical treatment from a doctor. It does not even rule out the possibility that in the future they will still need a liver transplant. So thus, you are advised to understand and follow the instructions recommended by your doctor and do not hesitate to consult a doctor immediately if your baby has an illness or worrisome symptoms.

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