Reasons for abnormal liver function during physical examination

Abnormal liver function during physical examination may be caused by factors such as fatty liver, viral hepatitis, drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, etc. Abnormal liver function is usually manifested as elevated transaminase and bilirubin levels. It is recommended to seek medical attention promptly to clarify the cause.

1. Fatty liver

Fatty liver is a common cause of liver dysfunction, which may be related to long-term high-fat diet, lack of exercise, and other factors. Mild fatty liver usually has no obvious symptoms, while moderate to severe cases may present with fatigue and discomfort in the upper right abdomen. Treatment requires adjusting dietary structure, reducing intake of high-fat foods, and increasing aerobic exercise. Doctors may prescribe liver protective drugs such as Silymarin capsules and compound glycyrrhizin tablets.

2. Viral hepatitis

Viral infections such as hepatitis B and C can lead to abnormal liver function. Viral hepatitis can be transmitted through blood, mother to child, and other routes, with common symptoms including decreased appetite, nausea, and jaundice. Diagnosis requires testing for hepatitis virus markers. The therapeutic drugs include entecavir tablets, sofosbuvir, velpatasvir tablets and other antiviral drugs, which need to be taken under the guidance of a doctor for a long time.

3. Drug induced liver injury

Some antibiotics, antipyretic analgesics, anti tuberculosis drugs, etc. may cause drug-induced liver injury. The clinical manifestations are diverse. Mild cases may be asymptomatic, while severe cases may present with jaundice and liver pain. When abnormal liver function is detected, suspicious drugs should be stopped in a timely manner. Doctors may recommend using liver protective drugs such as glutathione tablets and bicyclic acid tablets.

4. Alcoholic liver disease

Long term excessive alcohol consumption can lead to alcoholic liver disease, which initially manifests as fatty liver and can progress to alcoholic hepatitis and cirrhosis. Typical symptoms include dull pain in the liver area and indigestion. The key to treatment lies in strict abstinence from alcohol, and doctors may prescribe medication such as metoprolol capsules and polyene phosphatidylcholine capsules as adjunctive therapy.

5. Autoimmune liver disease

Autoimmune hepatitis, primary biliary cholangitis and other diseases belong to autoimmune liver disease, which is more common in women. Symptoms include fatigue, skin itching, jaundice, etc. Diagnosis requires a combination of autoantibody testing and liver tissue pathological examination. Immunomodulatory drugs such as prednisone tablets and ursodeoxycholic acid capsules are commonly used for treatment. After discovering abnormal liver function, one should avoid drinking alcohol, ensure sufficient sleep, and consume high-quality protein and fresh vegetables and fruits in moderation. Regularly review liver function indicators and follow medical advice for medication. If there are obvious symptoms such as fatigue, jaundice, abdominal distension, etc., timely medical attention should be sought, and if necessary, abdominal ultrasound, CT and other examinations should be performed to evaluate the liver condition. Maintaining a regular schedule and moderate exercise can contribute to liver health.