What should be noted in liver and gallbladder physical examination

Hepatobiliary examination requires attention to fasting for 8-12 hours, avoiding alcohol and vigorous exercise, discontinuing drugs that may interfere with the results, wearing loose clothing, and carrying past examination reports.

1. Fasting Requirements

Hepatobiliary examination usually requires fasting for 8-12 hours, mainly focusing on liver function, blood lipids, gallbladder ultrasound and other examination items. Fasting can avoid interference from food digestion on bile secretion and blood components, especially triglyceride detection is easily affected by diet. The dinner before the physical examination should be light, avoiding high-fat and high protein diets, but drinking water in moderation is recommended. Patients with diabetes need to consult the doctor in advance to adjust the medication time to prevent hypoglycemia.

2. Prohibition of Alcohol and Sports

Three days before the physical examination, alcohol should be strictly prohibited as it can directly damage liver cells and cause abnormal elevation of transaminases. Intense exercise may cause transient increases in creatine kinase and transaminase levels. It is recommended to avoid anaerobic activities such as fitness and running 24 hours before a physical examination. Long term drinkers should inform their doctors in advance of their drinking history and, if necessary, add alcohol liver disease related testing items such as gamma glutamyl transpeptidase.

3. Drug Management

Some drugs may interfere with liver function indicators, such as antibiotics, statins, lipid-lowering drugs, and antiepileptic drugs, which should be suspended 3-5 days in advance under the guidance of a doctor. Chronic disease patients are required to bring a daily medication list for evaluation by doctors and are not allowed to stop taking medication without authorization. Traditional Chinese patent medicines and simple preparations and health care products may also affect the test results, such as liver protecting tablets, Ganoderma lucidum spore powder, etc.

4. Dressing Preparation

It is recommended to wear loose fitting split clothing and avoid jumpsuits or metal accessories. Liver and gallbladder ultrasound examination requires exposure of the upper abdomen, and women can choose to wear a front button top. When performing elastography or contrast examination, it is necessary to confirm the absence of metal implants. Winter physical examination should pay attention to keeping warm, as cold may cause gallbladder contraction and affect the ultrasound imaging effect.

5. Data Carrying

Previous liver function reports, hepatitis virus test results, imaging examination films, etc. should be carried for doctors to compare and analyze. Individuals with a history of liver and gallbladder surgery, blood transfusion, or family history of liver disease require special explanation. If symptoms such as jaundice and upper right abdominal pain occur recently, the onset time and characteristics should be recorded in detail for the doctor's reference. After the physical examination, it is recommended to eat in a timely manner to avoid low blood sugar. For those who have a high-fat diet, it is recommended to choose light and easily digestible foods. If mild elevation of transaminase is found, there is no need to be overly nervous. It may be related to staying up late or exercising before the examination. It is recommended to have a follow-up examination 1-2 weeks later. Hepatitis B surface antigen positive patients need to improve the quantitative detection of virus DNA and liver elasticity. Long term medication users should regularly monitor their liver function, and it is recommended to have liver and gallbladder ultrasound and liver fibrosis indicators rechecked every 3-6 months. Maintaining a regular daily routine and moderate exercise, avoiding the abuse of drugs and health products, can help maintain liver and gallbladder health.