Elevated blood routine albumin is usually caused by dehydration, chronic inflammation, multiple myeloma, drug effects, or liver dysfunction. Albumin is an important protein in the blood, and abnormal levels of it may reflect physiological or pathological conditions.
1. Dehydration:
A large loss of body fluids can lead to blood concentration, manifested as a relative increase in albumin concentration. Intense exercise, high temperature environment, or failure to replenish water in a timely manner after diarrhea and vomiting are common causes. Supplementing electrolyte solution can quickly alleviate symptoms, and it is necessary to monitor urine density and skin elasticity.
2. Chronic inflammation:
Long term inflammatory diseases such as tuberculosis and rheumatoid arthritis will stimulate the liver to synthesize more albumin. These patients often have symptoms such as accelerated erythrocyte sedimentation rate and elevated C-reactive protein. Controlling the primary disease is the key to improving indicators, and immune regulation therapy is necessary when necessary.
3. Multiple myeloma:
This malignant plasma cell disease can lead to abnormal proliferation of monoclonal immunoglobulin, indirectly causing compensatory increase in albumin. The patient may experience symptoms such as bone pain and renal dysfunction, which need to be diagnosed through bone marrow aspiration and protein electrophoresis.
4. Drug effects:
Long term use of glucocorticoids, androgens, and other drugs can promote liver protein synthesis function. Commonly seen in patients with autoimmune diseases or those undergoing hormone replacement therapy, the indicators can gradually return to normal after discontinuation of medication.
5. Abnormal liver function:
Compensatory liver cirrhosis patients may experience transient elevation of albumin, which is related to liver cell hyperfunction. Usually accompanied by transaminase fluctuations and portal hypertension manifestations, ultrasound and liver fibrosis scans need to be combined for evaluation. When high levels of albumin are found, liver function, kidney function, and inflammatory indicators should be rechecked to rule out detection errors. It is necessary to maintain a daily intake of 2000 milliliters of water to avoid a high salt diet that exacerbates blood concentration. Chronic disease patients are advised to monitor changes in protein indicators every 3 months and promptly supplement with electrolyte containing drinks after exercise. If there are persistent abnormalities, in-depth examinations such as immune fixation electrophoresis and abdominal CT should be performed. Pregnant women and elderly people with abnormal indicators should be prioritized for investigating nutritional and metabolic problems.
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