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Understanding Gamca Unfit Status

When you undergo a medical examination at a Gamca-approved clinic, the doctor evaluates various aspects of your health to ensure you meet the necessary standards set by the Gulf Cooperation Council (GCC) countries. If any health conditions or abnormalities are detected that fall outside the acceptable limits, you may be declared “Gamca unfit.” This status can be a source of concern and confusion, as it implies that you currently do not meet the required health standards for overseas employment in the GCC countries.

What situations are considered to be unfit status?

Infectious Diseases: 1. HIV positive (AIDS) 2. Hepatitis (B) Surface Antsgen Poutive 3. Hepatitis C Antibody – postive 4. Microfilaria and Malaria 5. Leprosy

Non-infectious diseases 1. Renal failure 2. Liver failure or hepatic insufficency 3. Heart failure 4. Uncontrolled Hypertension 5. Uncontrolled diabetes. 6. Different types of cancer. 7. Psychiatric and neurological disorders 8 Hemoglobin below 79/100di.

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 What is Jaundice/High Bilirubin?

Bilirubin is a yellow chemical that contributes to the breakdown of aged red blood cells. It is found in bile, a material the liver makes to aid digestion. A healthy liver effectively eliminates excess bilirubin. However, improper bilirubin management can lead to diseases like Gilbert’s Syndrome. The genetic condition is often discovered by chance in blood tests. The condition is manageable under medical supervision despite the possibility of symptoms such as black urine and yellowing of the skin, nails, and eyes.

Signs of elevated bilirubin:

Jaundice, or yellow skin and eyes.

black urine and pale stools.

Itching is called pruritus

Reasons for Elevated Bilirubin Levels

•  Disease of the liver (cirrhosis, hepatitis)

•  Gilbert’s Syndrome, an innocuous liver disease

•  Gallstones

•  Infections with hepatitis

•  Diabetes, obesity, and excessive alcohol use

•  Liver damage

•  Brain damage (in infants – kernicterus)  

The following factors may cause hyperbilirubinemia or high bilirubin:

•  Red blood cell deterioration, or severe hemolytic anemia.

•  Hepatitis or toxic overload are examples of liver dysfunction.

•  obstructed bile ducts or gallbladder issues.

Levels of Bilirubin and Gamca Fitness

•  Fit for work if your bilirubin level is normal (<0.8 mg/dL).

•  Mildly Increased Bilirubin (Gilbert’s Syndrome, for example) → Usually not a problem.

•  Rejection may result from elevated bilirubin (liver disease, jaundice, hepatitis, etc.).

Is Jaundice/High Bilirubin/ Gilbert syndrome a Barrier to GAMCA Certification?

 An enzyme shortage causes the liver to handle bilirubin inefficiently in Gilbert’s Syndrome, a genetic liver disease. It is sometimes found by accident in blood testing and is usually innocuous. fatigue, dark urine, and mild jaundice (yellowing of the skin and eyes) are common symptoms, although serious liver damage is not the result. If there is no underlying liver illness and bilirubin levels are only slightly increased, Gilbert’s syndrome often does not present a hurdle to GAMCA medical certification. However, an unfit status may arise from elevated bilirubin brought on by cirrhosis, hepatitis, or other liver disorders. Retesting may be necessary in certain situations if there is a transient increase in bilirubin brought on by illnesses, fasting, or dehydration. To increase your chances of passing the GAMCA medical exam, drink plenty of water, abstain from alcohol, maintain a healthy diet, and, if you have Gilbert’s syndrome, get a fitness certificate from a doctor attesting to the fact that it doesn’t interfere with your capacity to work.

How to Prepare for the GAMCA Medical Test?

•  Have a lot of water.

•  A balanced diet consisting of fruits, vegetables, and lean protein is advised, as well as avoiding alcohol, fatty foods, and heavy smoking.

•  Before the test, eat something light.

•  What gives stool its yellow-brown color is bile, which is created by the liver and leaves the body through the digestive system.

•  Blood test for bilirubin: A blood test measures bilirubin levels to assess the condition of the liver and blood.

A detailed guide to help candidates understand the impact of high bilirubin levels on the GAMCA (WAFID) medical exam, how to manage liver and bile health, and steps to improve your chances of passing the screening for GCC employment visas.

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