What should I do if the physical examination shows abnormal liver function

Abnormal liver function can be improved by adjusting diet, quitting alcohol, avoiding drug abuse, regular check ups, and following medical advice. Abnormal liver function may be caused by viral hepatitis, fatty liver, drug-induced liver injury, alcoholic liver disease, autoimmune liver disease, and other reasons.

1. Adjust diet

Reduce the intake of high-fat and high cholesterol foods, such as animal organs, fried foods, etc., to avoid increasing the metabolic burden on the liver. Increase high-quality protein such as fish and soy products, and supplement vitamin rich vegetables and fruits. Patients with cirrhosis should limit their protein intake to avoid inducing hepatic encephalopathy. Control the daily salt intake within 5 grams to prevent the formation of ascites.

2. Abstinence from alcohol

Alcohol needs to be metabolized by the liver, and long-term alcohol consumption can lead to hepatic steatosis, causing alcoholic fatty liver disease. Abstinence from alcohol can prevent the progression of liver damage, and patients with alcoholic hepatitis can restore normal transaminase levels after 6 months of abstinence. During the period of quitting alcohol, if you experience withdrawal symptoms, seek medical attention and avoid taking sedatives on your own.

3. Avoid drug abuse

Antipyretic and analgesic drugs such as acetaminophen tablets, anti tuberculosis drugs such as isoniazid tablets, and some antibiotics such as erythromycin enteric coated tablets all have hepatotoxicity. Taking traditional Chinese herbs such as Polygonum multiflorum and Panax notoginseng may also lead to drug-induced liver damage. Before using medication, it is recommended to consult a doctor to avoid using multiple liver damaging drugs in combination.

4. Regular follow-up

It is recommended to have liver function, liver ultrasound, and other examinations every 3-6 months to monitor changes in indicators such as transaminase, bilirubin, and albumin. Patients with chronic hepatitis B also need to regularly detect the HBV DNA load. When symptoms such as worsening fatigue, yellowing of the skin, and bloating occur, timely medical attention should be sought to be alert to the risk of liver failure.

5. Follow medical advice

Patients with viral hepatitis can use antiviral drugs such as entecavir dispersible tablets and propafenone fumarate tenofovir tablets. Ursodeoxycholic acid capsules can be used for bile stasis. When liver damage is obvious, compound glycyrrhizin tablets can be used for short-term liver protection. All medications must strictly follow medical advice and cannot be adjusted in dosage or discontinued on one's own. Individuals with abnormal liver function should maintain a regular daily routine and avoid staying up late and overexertion. Moderate aerobic exercise such as brisk walking and swimming, 3-5 times a week, for 30 minutes each time. Pay attention to changes in urine color and stool characteristics. The appearance of clay like stool or dark brown urine indicates abnormal bilirubin metabolism. Patients with combined ascites need to measure their weight and abdominal circumference daily, and strictly control their water intake. It is recommended to undergo alpha fetoprotein and liver imaging examinations every 3 months to detect liver space occupying lesions early.