Symptoms may not be specific. A history of hepatitis, drug intake, injection, alcohol intake, sexual contact, and ingestion of raw shellfish and wild mushrooms are some of the causes. In addition to yellow discoloration of skin and sclera, patient may present with upper abdominal pain or discomfort, fever, weight loss, loss of appetite, nausea and vomiting, tea-colored urine, clay-colored stool or skin itchiness.