During the physical examination, abnormal liver function was found

Abnormal liver function found during physical examination may be related to factors such as fatty liver, viral hepatitis, drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, etc. Abnormal liver function usually manifests as symptoms such as fatigue, decreased appetite, jaundice, abdominal distension, and discomfort in the liver area, which need to be further evaluated based on specific examination indicators.

1. Fatty liver

Fatty liver is a common cause of liver dysfunction, which may be related to factors such as obesity, high-fat diet, and lack of exercise. Patients usually present with mild elevation of transaminases, and ultrasound examination shows hepatic fat deposition. Treatment requires adjusting dietary structure, reducing intake of high-fat foods, and increasing aerobic exercise. If metabolic syndrome is combined, liver protection treatment such as polyene phosphatidylcholine capsules and silibinin capsules can be used according to medical advice.

2. Viral hepatitis

Hepatitis B or C virus infection can lead to significant elevation of transaminases, which may be accompanied by yellowing of the skin and sclera, and darkening of urine color. Diagnosis needs to be confirmed through hepatitis virus marker testing. Antiviral therapy can choose drugs such as entecavir tablets, sofosbuvir, and patasvir tablets, while monitoring viral load and liver ultrasound changes. Patients should avoid drinking alcohol and undergo regular check ups.

3. Drug induced liver injury

Long term use of acetaminophen tablets, anti tuberculosis drugs or some traditional Chinese patent medicines and simple preparations may cause liver cell damage, which is manifested by simultaneous increase of glutamic pyruvic transaminase and glutamic oxalic transaminase. Suspected drugs should be immediately discontinued, and if necessary, reduced glutathione injection should be used for detoxification treatment. It is recommended to monitor liver function indicators monthly during medication.

4. Alcoholic liver disease

Long term excessive alcohol consumption can lead to a significant increase in gamma glutamyl transpeptidase, which may progress to alcoholic fatty liver or cirrhosis. Abstinence from alcohol is the fundamental treatment measure, which can be combined with the use of metoprolol tablets to improve alcohol metabolism. Severe cases require nutritional support treatment, supplemented with vitamin B and high-quality protein.

5. Autoimmune liver disease

Autoimmune hepatitis or primary biliary cholangitis can cause an increase in alkaline phosphatase, often accompanied by an increase in immunoglobulin G. Diagnosis requires self antibody testing and liver biopsy. The treatment mainly uses prednisone tablets combined with azathioprine tablets for immunosuppression, and long-term follow-up of liver function and immune indicators is required. After discovering abnormal liver function, self medication should be avoided, and timely diagnosis and examination should be conducted in the gastroenterology department. It is necessary to strictly quit drinking in daily life, control weight within a reasonable range, and reduce intake of high sugar and high-fat diets. Ensure 7-8 hours of sleep per day to avoid staying up late and increasing the burden on the liver. Moderate consumption of foods rich in antioxidants such as broccoli, goji berries, and oats is recommended, but it is not advisable to blindly take liver protection and health supplements. It is recommended to have liver function, liver ultrasound, and elastography rechecked every 3-6 months to dynamically evaluate the liver condition.