Elevated transaminase levels may lead to hidden pain in the liver area, which is common in cases of liver injury, but not all situations can cause pain. When liver cells are damaged, transaminases are released from the cell into the bloodstream, leading to an increase in detection values. In this case, there may be dull pain, bloating pain, or dull pain in the liver area. Pain is usually located in the upper right abdomen and may be accompanied by symptoms such as fatigue, nausea, and decreased appetite. Liver inflammation such as viral hepatitis, drug-induced liver injury, and advanced fatty liver can all lead to elevated transaminase levels and liver discomfort. Some patients have low sensitivity to pain, and even if their transaminase levels are significantly elevated, they may not necessarily feel significant pain. Mild elevation of certain transaminases, such as after staying up late or engaging in vigorous exercise, usually does not cause hidden pain in the liver area. Some non liver diseases such as myocarditis and muscular dystrophy may also cause elevated transaminase levels, but these conditions do not result in liver pain. Some patients with chronic liver disease have long-term mild abnormalities in transaminase levels, but no obvious pain symptoms.

If elevated transaminase is found accompanied by hidden pain in the liver area, timely medical attention should be sought, and liver function and abdominal ultrasound examinations should be completed to clarify the cause. Avoid self medication for liver protection, control high-fat diet, abstain from alcohol, and ensure adequate sleep. Regularly review transaminase levels, pay attention to symptom changes, and if necessary, perform liver fibrosis testing to evaluate the degree of liver damage.


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