Should I undergo a hepatitis C test for repeated high transaminase levels?

Repeated elevated transaminase levels are usually recommended for hepatitis C testing. Hepatitis C virus infection is one of the common causes of elevated transaminase levels, while other possible causes include fatty liver, drug-induced liver injury, alcoholic liver disease, etc. It is recommended to seek medical attention promptly to complete tests such as hepatitis C antibody and HCVRNA testing, and receive targeted treatment after identifying the cause. Repeated elevated transaminase levels may be associated with hepatitis C virus infection. The hepatitis C virus continues to attack liver cells, causing liver cell damage and transaminase release. The patient may experience symptoms such as fatigue, decreased appetite, and discomfort in the upper right abdomen. Diagnosis requires screening for hepatitis C antibodies and HCVRNA testing. If diagnosed with hepatitis C, antiviral drugs such as Sofosbuvir, Vepatasvir tablets, and Gecarevir, Pembrolizumab tablets can be used according to medical advice. In addition to hepatitis C, non-alcoholic fatty liver disease may also cause an increase in transaminase volatility. These patients are usually accompanied by metabolic abnormalities such as obesity and insulin resistance, and ultrasound examination shows hepatic fat infiltration. Treatment requires improving metabolic status through dietary control, weight loss, and exercise. Drug induced liver injury is common in people who have been taking liver toxic drugs such as acetaminophen tablets and anti tuberculosis drugs for a long time. After stopping the medication, transaminase levels can gradually recover.

It is necessary to avoid liver damaging behaviors such as drinking alcohol and staying up late in daily life, maintain a regular schedule and balanced diet. Moderate supplementation of high-quality protein and vitamins, limiting intake of high-fat and high sugar foods. Regularly monitor liver function indicators. If transaminase levels remain abnormal or symptoms such as jaundice and ascites occur, seek medical attention immediately to investigate the possibility of severe liver diseases such as cirrhosis.