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 usually manifests as symptoms such as fatigue, decreased appetite, jaundice, etc., and requires intervention based on specific causes.

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 have no obvious symptoms, and some may experience hidden pain in the upper right abdomen. The treatment mainly focuses on lifestyle adjustments, such as weight control, low-fat diet, and increasing aerobic exercise. If combined with liver fibrosis, liver protective drugs 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 persistent abnormal liver function, often transmitted through blood or body fluids. The patient may experience yellowing of the skin and sclera, as well as darkening of urine color. Diagnosis requires testing for hepatitis virus markers, and treatment should follow the doctor's advice to use antiviral drugs such as entecavir tablets, sofosbuvir, vedipatavir tablets, and compound glycyrrhizin tablets to protect liver cells.

3. Drug induced liver injury

Long term use of acetaminophen tablets, antituberculotics or some traditional Chinese patent medicines and simple preparations may cause liver enzymes to increase. Mild cases may present with asymptomatic elevation of transaminase, while severe cases may experience nausea and vomiting. Suspected drugs should be stopped immediately upon discovery, and if necessary, detoxifying and hepatoprotective drugs such as glutathione tablets and bicyclic acid tablets should be used. Severe cases require hospitalization for treatment.

4. Alcoholic liver disease

Long term excessive alcohol consumption can lead to hepatic steatosis and even cirrhosis. Early symptoms include alcoholic fatty liver, and in the advanced stage, liver pain and spider nevi may occur. The core of treatment is strict abstinence from alcohol, supplementation of B vitamins, and the use of Metadoxine capsules to promote alcohol metabolism in critically ill patients. When combined with cirrhosis, aspartic acid ornithine granules are needed to reduce blood ammonia.

5. Autoimmune liver disease

Autoimmune hepatitis or primary biliary cholangitis are rare causes that are related to the immune system attacking liver tissue. Common symptoms include skin itching and joint pain. Diagnosis requires testing for autoantibodies, and treatment mainly involves immunosuppression with prednisone tablets combined with azathioprine tablets. Ursodeoxycholic acid capsules can improve bile stasis. After discovering abnormal liver function, one should avoid behaviors that worsen liver damage such as alcohol consumption and high-fat diet, ensure sufficient sleep, and supplement high-quality protein such as fish and soy products in moderation. It is recommended to have liver function and liver ultrasound examinations rechecked every 3-6 months. If there is persistent fatigue, abdominal distension, or worsening skin discoloration, it is necessary to seek medical attention promptly at a gastroenterology or liver disease department. It is advisable to consume foods such as goji berries and hawthorn that have liver protective effects in daily life, but blind consumption of health supplements should be avoided.