What are symptoms of high liver enzymes. Understanding Elevated Liver Enzymes: Causes, Symptoms, and Treatment Options
What are the common causes of elevated liver enzymes. How can you recognize the symptoms of high liver enzyme levels. What treatment options are available for managing elevated liver enzymes. How do lifestyle factors contribute to liver enzyme abnormalities. When should you seek medical attention for elevated liver enzymes.
What Are Liver Enzymes and Why Are They Important?
Liver enzymes are specialized proteins that facilitate crucial chemical reactions within the liver. These enzymes play a vital role in various liver functions, including:
- Detoxification of harmful substances
- Metabolism of nutrients
- Production of bile for digestion
- Synthesis of essential proteins
- Storage and release of glucose
When liver enzyme levels become elevated, it often indicates liver damage or inflammation. Understanding the causes and implications of high liver enzymes is essential for maintaining overall health and preventing potential liver complications.
Common Causes of Elevated Liver Enzymes
Elevated liver enzymes can result from various factors, ranging from temporary conditions to chronic liver diseases. Some of the most frequent causes include:
1. Fatty Liver Disease
Fatty liver disease occurs when excess fat accumulates in liver cells. This condition can be alcohol-related (alcoholic fatty liver disease) or non-alcoholic (NAFLD). Both forms can lead to elevated liver enzymes and, if left untreated, may progress to more severe liver damage.
2. Hepatitis
Viral hepatitis, particularly hepatitis B and C, can cause inflammation of the liver and result in elevated enzyme levels. These infections can be acute or chronic, potentially leading to long-term liver damage if not properly managed.
3. Drug and Alcohol Abuse
Excessive alcohol consumption and the misuse of certain drugs, including prescription medications, can cause liver inflammation and elevated enzyme levels. Prolonged substance abuse may lead to more severe liver conditions, such as cirrhosis.
4. Medications
Some prescription and over-the-counter medications can affect liver function and cause temporary elevations in liver enzymes. Common culprits include:
- Acetaminophen (when taken in high doses)
- Certain antibiotics
- Statins (cholesterol-lowering drugs)
- Some antidepressants
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
5. Metabolic Syndrome
Metabolic syndrome, characterized by a cluster of conditions including obesity, high blood pressure, and insulin resistance, can contribute to liver dysfunction and elevated enzyme levels.
6. Cirrhosis
Cirrhosis, a late-stage liver disease characterized by extensive scarring of the liver tissue, can cause persistent elevation of liver enzymes. This condition results from long-term liver damage and can have serious health consequences.
Recognizing Symptoms of Elevated Liver Enzymes
While elevated liver enzymes themselves may not cause immediate symptoms, the underlying conditions often manifest various signs. Common symptoms associated with liver problems include:
- Jaundice (yellowing of the skin and eyes)
- Dark-colored urine
- Abdominal pain or swelling
- Chronic fatigue
- Loss of appetite
- Joint pain
- Muscle soreness
- Persistent itching
It’s important to note that some individuals with elevated liver enzymes may remain asymptomatic, especially in the early stages of liver disease. Regular check-ups and blood tests can help detect liver abnormalities before symptoms become apparent.
Risk Factors for Elevated Liver Enzymes
Several factors can increase the likelihood of developing elevated liver enzymes. Understanding these risk factors can help individuals take proactive measures to protect their liver health:
1. Alcohol Consumption
Excessive alcohol intake is a significant risk factor for liver damage. The Centers for Disease Control and Prevention (CDC) recommends limiting alcohol consumption to no more than two drinks per day for men and one drink per day for women.
2. Obesity and Overweight
Individuals with a body mass index (BMI) over 25 are at higher risk of developing fatty liver disease and other liver complications. Maintaining a healthy weight through proper diet and exercise can help reduce this risk.
3. Family History
A family history of liver disease can increase an individual’s susceptibility to liver problems. Genetic factors may influence the likelihood of developing certain liver conditions.
4. Diabetes and Prediabetes
People with diabetes or prediabetes are at higher risk of developing non-alcoholic fatty liver disease (NAFLD) and other liver complications. Proper management of blood sugar levels is crucial for liver health.
5. Exposure to Toxins
Certain environmental toxins and chemicals can contribute to liver damage. Occupational exposure to harmful substances or living in areas with high pollution levels may increase the risk of liver enzyme abnormalities.
Diagnosis and Testing for Elevated Liver Enzymes
Detecting elevated liver enzymes typically involves blood tests that measure specific enzyme levels. The most common liver enzyme tests include:
- Alanine transaminase (ALT)
- Aspartate transaminase (AST)
- Alkaline phosphatase (ALP)
- Gamma-glutamyl transpeptidase (GGT)
If elevated liver enzymes are detected, healthcare providers may recommend additional tests to identify the underlying cause. These may include:
- Ultrasound or CT scan of the liver
- Liver biopsy
- Viral hepatitis tests
- Autoimmune liver disease tests
- Genetic testing for hereditary liver conditions
Early detection and proper diagnosis are crucial for effective management of liver enzyme abnormalities and prevention of further liver damage.
Treatment Options for Elevated Liver Enzymes
The treatment approach for elevated liver enzymes depends on the underlying cause. In many cases, liver enzyme levels can be normalized with appropriate interventions. Common treatment strategies include:
1. Lifestyle Modifications
Adopting a healthy lifestyle is often the first line of treatment for many liver conditions. This may involve:
- Maintaining a balanced diet rich in fruits, vegetables, and whole grains
- Engaging in regular physical activity
- Limiting alcohol consumption or abstaining completely
- Achieving and maintaining a healthy weight
2. Medication Adjustments
If certain medications are causing liver enzyme elevations, healthcare providers may recommend alternative treatments or adjust dosages. It’s crucial to consult with a medical professional before making any changes to prescribed medications.
3. Treatment of Underlying Conditions
Addressing the root cause of elevated liver enzymes is essential for long-term management. This may involve:
- Antiviral therapy for viral hepatitis
- Blood sugar management for diabetes
- Treatment for autoimmune liver diseases
- Management of metabolic syndrome
4. Liver-Protective Medications
In some cases, healthcare providers may prescribe medications to support liver function and reduce inflammation. These may include:
- Ursodeoxycholic acid for certain liver conditions
- Antioxidants to combat oxidative stress
- Hepatoprotective supplements (under medical supervision)
5. Alcohol and Substance Abuse Treatment
For individuals with alcohol-related liver problems, seeking professional help for addiction treatment is crucial. Support groups and counseling can aid in maintaining sobriety and improving liver health.
Preventing Elevated Liver Enzymes: Lifestyle Strategies
While some causes of elevated liver enzymes are beyond an individual’s control, many cases can be prevented or managed through lifestyle choices. Here are some strategies to promote liver health:
1. Maintain a Healthy Diet
A balanced diet can significantly impact liver function. Consider the following dietary recommendations:
- Incorporate plenty of fruits and vegetables
- Choose whole grains over refined carbohydrates
- Limit saturated and trans fats
- Reduce sugar and processed food intake
- Stay hydrated with water and herbal teas
2. Exercise Regularly
Physical activity can help prevent fatty liver disease and improve overall liver function. Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, swimming, or cycling.
3. Limit Alcohol Consumption
If you choose to drink alcohol, do so in moderation. Follow the CDC guidelines of no more than one drink per day for women and two drinks per day for men.
4. Avoid Unnecessary Medications
Use over-the-counter medications, especially acetaminophen, as directed. Consult with a healthcare provider before starting any new medications or supplements.
5. Protect Against Hepatitis
Take precautions to avoid hepatitis infections:
- Get vaccinated against hepatitis A and B
- Practice safe sex
- Avoid sharing needles or personal hygiene items
- Be cautious when traveling to areas with high hepatitis rates
6. Manage Stress
Chronic stress can negatively impact liver function. Incorporate stress-management techniques such as meditation, yoga, or deep breathing exercises into your daily routine.
When to Seek Medical Attention for Elevated Liver Enzymes
While mild elevations in liver enzymes may not always require immediate medical attention, certain situations warrant prompt consultation with a healthcare provider:
- Persistent or significantly elevated liver enzyme levels on repeated tests
- Symptoms of liver disease, such as jaundice, abdominal pain, or unexplained weight loss
- Known exposure to hepatitis or other liver-damaging substances
- Family history of liver disease combined with abnormal liver function tests
- Elevated liver enzymes in conjunction with other health conditions, such as diabetes or obesity
Early intervention can prevent the progression of liver damage and improve long-term outcomes. If you’re concerned about your liver health or have risk factors for liver disease, don’t hesitate to consult with a healthcare professional.
The Role of Regular Health Screenings in Liver Health
Regular health check-ups and blood tests play a crucial role in maintaining liver health and detecting potential issues early. Here’s why routine screenings are important:
1. Early Detection of Liver Problems
Many liver conditions, including fatty liver disease and early-stage cirrhosis, may not cause noticeable symptoms. Regular blood tests can detect elevated liver enzymes before more severe damage occurs.
2. Monitoring Chronic Conditions
For individuals with known liver conditions or risk factors, regular screenings help track the progression of the disease and the effectiveness of treatment strategies.
3. Identifying Drug-Induced Liver Injury
Routine liver function tests can detect medication-related liver damage, allowing for timely adjustments to treatment plans.
4. Assessing Overall Health
Liver function tests are often part of comprehensive health screenings, providing valuable information about overall metabolic health and potential underlying conditions.
5. Personalized Prevention Strategies
Based on screening results, healthcare providers can offer tailored advice on lifestyle modifications and preventive measures to maintain optimal liver health.
Consult with your healthcare provider to determine the appropriate frequency of liver function tests based on your individual risk factors and health status.
What Causes Elevated Liver Enzymes?
Your liver is truly a powerhouse of an organ. It helps your body fight disease and infection, removes toxins, creates energy from the foods you eat, and so much more. Behind the scenes, helping the liver perform all of these critical functions are enzymes. These chemicals enable and accelerate the chemical reactions that your liver carries out as it works to keep your body healthy. When these enzyme levels become elevated, however, it means that damage has occurred in your liver. Left unchecked, this can lead to serious — and even fatal — consequences.
Causes of High Liver Enzymes
Elevated liver enzymes is a sign that something has caused damage or inflammation to occur within your liver. The most common causes of high liver enzyme levels are:
- Fatty liver disease
- Hepatitis
- Drug or alcohol abuse
- Certain prescription and over-the-counter medications
- Metabolic syndrome
- Cirrhosis
While some of the causes of elevated liver enzymes can be chronic, severe liver conditions, that’s not always the case. Many times levels are only temporarily elevated and will return to healthy levels once the underlying cause is treated.
Symptoms of Elevated Liver Enzymes
High liver enzyme levels don’t immediately cause any signs or symptoms to develop, but the underlying condition often will. Common symptoms of liver disease include:
- Jaundice – yellowing of the skin and whites of eyes
- Dark urine
- Abdominal swelling/pain
- Fatigue
- Low appetite
- Joint pain
- Muscle soreness
- Itchy skin
Risk Factors for Elevated Liver Enzymes
The risk factors for elevated liver enzymes are really risk factors for liver disease. While some liver conditions may be hereditary or environmental, many are brought on by lifestyle habits. The food and chemicals you put into your body all have an effect on your liver, and can lead to varying levels of liver damage and deterioration. Some of the most common risk factors include:
- Excessive alcohol use – more than two drinks a day for men, or one for women, according to CDC guidelines
- Overweight / Obesity – generally defined as having a BMI of over 25 for adults
- Family history of liver disease
- Have prediabetes or diabetes
Diagnosis & Treatment for High Liver Enzymes
Elevated liver enzymes are detected through regular blood tests. These tests usually check for elevated levels of:
- Alanine transaminase (ALT)
- Aspartate transaminase (AST)
- Alkaline phosphatase (ALP)
- Gamma-glutamyl transpeptidase (GGT)
If your healthcare provider determines that you have elevated liver enzymes, they will probably want to run other tests to get to the root of the underlying issue. Only once that is determined can an effective treatment plan be created.
High Liver Enzymes Treatment
Lowering high liver enzyme levels will depend on the underlying cause, but in most cases these levels can be brought back within healthy limits and are not indicative of a chronic, severe liver condition. Some possible treatment options include:
- Healthy diet and exercise – this not only will help prevent or reduce overweight/obesity, it will boost your overall health, including that of your internal organs
- Reducing or avoiding drug/alcohol intake – since these substances can be especially harmful to your liver, keeping consumption levels to healthy limits (or avoiding them altogether) will certainly improve your liver health
- Adjusting medications – some prescription and over-the-counter medicines can cause inflammation of the liver. If your medication regimen is causing liver inflammation or damage, your doctor will work with you to create a safer treatment plan
- Manage blood sugar – this is especially important for diabetics and those suffering from metabolic syndrome. Keeping blood sugar within healthy levels can prevent the underlying conditions from causing additional liver damage
If You Need Blood Screenings or Help Managing Elevated Liver Enzymes, Nurse Practitioners of Florida Can Help
At Nurse Practitioners of Florida, we have a dedicated team of certified nurse practitioners who have an unwavering commitment to providing you with care and compassion. When you call any of our locations, you will be greeted by a live person who’s ready to offer acute medical care as well as preventive measures — including flu vaccines. And, above everything else, you will be treated like family.
If you need assistance, call us or fill out our online contact form.
Elevated Liver Enzymes in Asymptomatic Patients – What Should I Do?
1. Hultcrantz R, Glaumann H, Lindberg G, Nilsson LH. Liver investigation in 149 asymptomatic patients with moderately elevated activities of serum aminotransferases. Scand J Gastroenterol. 1986;21:109–113. 10.3109/00365528609034632. [PubMed] [Google Scholar]
2. Ioannou GN, Boyko EJ, Lee SP. The prevalence and predictors of elevated serum aminotransferase activity in the United States in 1999–2002. Am J Gastroenterol. 2006;101:76–82. 10.1111/j.1572-0241.2005.00341.x. [PubMed] [Google Scholar]
3. Kwo PY, Cohen SM, Lim JK. ACG clinical guideline: evaluation of abnormal liver chemistries. Am J Gastroenterol. 2017;112:18–35. 10.1038/ajg.2016.517. [PubMed] [Google Scholar]
4. Dufour DR, Lott JA, Nolte FS, Gretch DR, Koff RS, Seeff LB. Diagnosis and monitoring of hepatic injury. II. Recommendations for use of laboratory tests in screening, diagnosis, and monitoring. Clin Chem. 2000;46:2050–2068. [PMC free article] [PubMed] [Google Scholar]
5. Dufour DR. Effects of habitual exercise on routine laboratory tests. Clin Chem. 1998;44:A136. [Google Scholar]
6. Green RM, Flamm S. AGA technical review on the evaluation of liver chemistry tests. Gastroenterology. 2002;123:1367–1384. 10.1053/gast.2002.36061. [PubMed] [Google Scholar]
7. Pratt DS, Kaplan MM. Evaluation of abnormal liver-enzyme results in asymptomatic patients. N Engl J Med. 2000;342:1266–1271. 10.1056/NEJM200004273421707. [PubMed] [Google Scholar]
8. Gopal DV, Rosen HR. Abnormal findings on liver function tests. Interpreting results to narrow the diagnosis and establish a prognosis. Postgrad Med. 2000;107:100–114. 10.3810/pgm.2000.02.869. [PubMed] [Google Scholar]
9. Friedman LS, Dienstag JL, Watkins E, Hinkle CA, Spiers JA, Rieder SV, et al. Evaluation of blood donors with elevated serum alanine aminotransferase levels. Ann Intern Med. 1987;107:137–144. 10.7326/0003-4819-107-2-137. [PubMed] [Google Scholar]
10. Hay JE, Czaja AJ, Rakela J, Ludwig J. The nature of unexplained chronic aminotransferase elevations of a mild to moderate degree in asymptomatic patients. Hepatology. 1989;9:193–197. 10.1002/hep.1840090205. [PubMed] [Google Scholar]
11. Daniel S, Ben-Menachem T, Vasudevan G, Ma CK, Blumenkehl M. Prospective evaluation of unexplained chronic liver transaminase abnormalities in asymptomatic and symptomatic patients. Am J Gastroenterol. 1999;94:3010–3014. 10.1111/j.1572-0241.1999.01451.x. [PubMed] [Google Scholar]
12. Harrison SA, Kadakia S, Lang KA, Schenker S. Nonalcoholic steatohepatitis: what we know in the new millennium. Am J Gastroenterol. 2002;97:2714–2724. 10.1111/j.1572-0241.2002.07069.x. [PubMed] [Google Scholar]
13. Aragon G, Younossi ZM. When and how to evaluate mildly elevated liver enzymes in apparently healthy patients. Cleve Clin J Med. 2010;77:195–204. 10.3949/ccjm.77a.09064. [PubMed] [Google Scholar]
14. Rude MK, Kerr T, Lisker-Melman M. Liver diseases. In: Godara H, Hirbe A, Nassif M, Otepka H, Rosenstock A, editors. The washington manual of medical therapeutics. 34th Edition. Washington: Lippincott Williams & Wilkins; 2014. pp. 664–721. [Google Scholar]
15. Verslype C. Evaluation of abnormal liver-enzyme results in asymptomatic patients. Acta Clin Belg. 2004;59:285–289. 10.1179/acb.2004.042. [PubMed] [Google Scholar]
16. Das A, Post AB. Should liver biopsy be done in asymptomatic patients with chronically elevated transaminases: A costutility analysis. Gastroenterology. 1998;114:A9. 10.1016/S0016-5085(98)80035-8. [Google Scholar]
17. Sorbi D, McGill DB, Thistle JL, Therneau TM, Henry J, Lindor KD. An assessment of the role of liver biopsies in asymptomatic patients with chronic liver test abnormalities. Am J Gastroenterol. 2000;95:3206–3210. 10.1111/j.1572-0241.2000.03293.x. [PubMed] [Google Scholar]
18. Cohen JA, Kaplan MM. The SGOT/SGPT ratio–an indicator of alcoholic liver disease. Dig Dis Sci. 1979;24:835–838. 10.1007/BF01324898. [PubMed] [Google Scholar]
19. Diehl AM, Potter J, Boitnott J, Van Duyn MA, Herlong HF, Mezey E. Relationship between pyridoxal 5’-phosphate deficiency and aminotransferase levels in alcoholic hepatitis. Gastroenterology. 1984;86:632–636. [PubMed] [Google Scholar]
20. Ruhl CE, Everhart JE. Joint effects of body weight and alcohol on elevated serum alanine aminotransferase in the United States population. Clin Gastroenterol Hepatol. 2005;3:1260–1268. 10.1016/S1542-3565(05)00743-3. [PubMed] [Google Scholar]
21. Alter HJ. To C or not to C: these are the questions. Blood. 1995;85:1681–1695. [PubMed] [Google Scholar]
22. Everhart JE. Digestive diseases in the United States: Epidemiology and impact. Maryland: NIH Publication; 1994. pp. 94–1447. [Google Scholar]
23. Dancygier H, Rogart JN. Approach to the patient with abnormal liver enzymes. In: Dancygier H, editor. Clinical hepatology. Verlag Berlin Heidelberg: Springer; 2010. pp. 533–547. 10.1007/978-3-540-93842-2_49. [Google Scholar]
24. Raimondo G, Navarra G, Mondello S, Costantino L, Colloredo G, Cucinotta E, et al. Occult hepatitis B virus in liver tissue of individuals without hepatic disease. J Hepatol. 2008;48:743–746. 10.1016/j.jhep.2008.01.023. [PubMed] [Google Scholar]
25. Schiff ER, de Medina M, Kahn RS. New perspectives in the diagnosis of hepatitis C. Semin Liver Dis. 1999;19(Suppl 1):3–15. [PubMed] [Google Scholar]
26. Halfon P, Bourlière M, Pénaranda G, Khiri H, Ouzan D. Real-time PCR assays for hepatitis C virus (HCV) RNA quantitation are adequate for clinical management of patients with chronic HCV infection. J Clin Microbiol. 2006;44:2507–2511. 10.1128/JCM.00163-06. [PMC free article] [PubMed] [Google Scholar]
27. Giannini EG, Testa R, Savarino V. Liver enzyme alteration: a guide for clinicians. CMAJ. 2005;172:367–379. 10.1503/cmaj.1040752. [PMC free article] [PubMed] [Google Scholar]
28. Williams AL, Hoofnagle JH. Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis. Gastroenterology. 1988;95:734–739. 10.1016/S0016-5085(88)80022-2. [PubMed] [Google Scholar]
29. Giannini E, Botta F, Fasoli A, Ceppa P, Risso D, Lantieri PB, et al. Progressive liver functional impairment is associated with an increase in AST/ALT ratio. Dig Dis Sci. 1999;44:1249–1253. 10.1023/A:1026609231094. [PubMed] [Google Scholar]
30. Giannini E, Risso D, Botta F, Chiarbonello B, Fasoli A, Malfatti F, et al. Validity and clinical utility of the aspartate aminotransferase-alanine aminotransferase ratio in assessing disease severity and prognosis in patients with hepatitis C virus-related chronic liver disease. Arch Intern Med. 2003;163:218–224. 10.1001/archinte.163.2.218. [PubMed] [Google Scholar]
31. Giannini E, Botta F, Testa E, Romagnoli P, Polegato S, Malfatti F, et al. The 1-year and 3-month prognostic utility of the AST/ALT ratio and model for end-stage liver disease score in patients with viral liver cirrhosis. Am J Gastroenterol. 2002;97:2855–2860. 10.1111/j.1572-0241.2002.07053.x. [PubMed] [Google Scholar]
32. Sorbi D, Boynton J, Lindor KD. The ratio of aspartate aminotransferase to alanine aminotransferase: potential value in differentiating nonalcoholic steatohepatitis from alcoholic liver disease. Am J Gastroenterol. 1999;94:1018–1022. 10.1111/j.1572-0241.1999.01006.x. [PubMed] [Google Scholar]
33. Bacon BR, Farahvash MJ, Janney CG, Neuschwander-Tetri BA. Nonalcoholic steatohepatitis: an expanded clinical entity. Gastroenterology. 1994;107:1103–1109. 10.1016/0016-5085(94)90235-6. [PubMed] [Google Scholar]
34. Brunt EM. Nonalcoholic steatohepatitis. Semin Liver Dis. 2004;24:3–20. 10.1055/s-2004-823098. [PubMed] [Google Scholar]
35. Diehl AM, Goodman Z, Ishak KG. Alcohollike liver disease in nonalcoholics. A clinical and histologic comparison with alcohol-induced liver injury. Gastroenterology. 1988;95:1056–1062. 10.1016/0016-5085(88)90183-7. [PubMed] [Google Scholar]
36. Angulo P, Keach JC, Batts KP, Lindor KD. Independent predictors of liver fibrosis in patients with nonalcoholic steatohepatitis. Hepatology. 1999;30:1356–1362. 10.1002/hep.510300604. [PubMed] [Google Scholar]
37. Mofrad P, Contos MJ, Haque M, Sargeant C, Fisher RA, Luketic VA, et al. Clinical and histologic spectrum of nonalcoholic fatty liver disease associated with normal ALT values. Hepatology. 2003;37:1286–1292. 10.1053/jhep.2003.50229. [PubMed] [Google Scholar]
38. Matteoni CA, Younossi ZM, Gramlich T, Boparai N, Liu YC, McCullough AJ. Nonalcoholic fatty liver disease: a spectrum of clinical and pathological severity. Gastroenterology. 1999;116:1413–1419. 10.1016/S0016-5085(99)70506-8. [PubMed] [Google Scholar]
39. Eriksson S, Eriksson KF, Bondesson L. Nonalcoholic steatohepatitis in obesity: a reversible condition. Acta Med Scand. 1986;220:83–88. 10.1111/j.0954-6820.1986.tb02733.x. [PubMed] [Google Scholar]
40. Lavine JE. Treatment of obesity-induced steatohepatitis with vitamin E. Gastroenterology. 1998;114:A1284–A1285. 10.1016/S0016-5085(98)85214-1. [Google Scholar]
41. Powell LW, George DK, McDonnell SM, Kowdley KV. Diagnosis of hemochromatosis. Ann Intern Med. 1998;129:925–931. 10.7326/0003-4819-129-11_Part_2-199812011-00002. [PubMed] [Google Scholar]
42. Tavill AS, American Association for the Study of Liver Diseases. American College of Gastroenterology. American Gastroenterological Association Diagnosis and management of hemochromatosis. Hepatology. 2001;33:1321–1328. 10.1053/jhep.2001.24783. [PubMed] [Google Scholar]
43. Guyader D, Jacquelinet C, Moirand R, Turlin B, Mendler MH, Chaperon J, et al. Noninvasive prediction of fibrosis in C282Y homozygous hemochromatosis. Gastroenterology. 1998;115:929–936. 10.1016/S0016-5085(98)70265-3. [PubMed] [Google Scholar]
44. Morrison ED, Kowdley KV. Genetic liver disease in adults. Early recognition of the three most common causes. Postgrad Med. 2000;107:147–159. 10.3810/pgm.2000.02.872. [PubMed] [Google Scholar]
45. Krawitt EL. Autoimmune hepatitis. N Engl J Med. 1996;334:897–903. 10.1056/NEJM199604043341406. [PubMed] [Google Scholar]
46. Manns MP, Bahr MJ. Recurrent autoimmune hepatitis after liver transplantation-when non-self becomes self. Hepatology. 2000;32:868–870. 10.1053/jhep.2000.19149. [PubMed] [Google Scholar]
47. Czaja AJ. Natural history, clinical features, and treatment of autoimmune hepatitis. Semin Liver Dis. 1984;4:1–12. 10.1055/s-2008-1040641. [PubMed] [Google Scholar]
48. Alvarez F, Berg PA, Bianchi FB, Bianchi L, Burroughs AK, Cancado EL, et al. International Autoimmune Hepatitis Group Report: review of criteria for diagnosis of autoimmune hepatitis. J Hepatol. 1999;31:929–938. 10.1016/S0168-8278(99)80297-9. [PubMed] [Google Scholar]
49. Limdi JK, Hyde GM. Evaluation of abnormal liver function tests. Postgrad Med J. 2003;79:307–312. 10.1136/pmj.79.932.307. [PMC free article] [PubMed] [Google Scholar]
50. Bardella MT, Vecchi M, Conte D, Del Ninno E, Fraquelli M, Pacchetti S, et al. Chronic unexplained hypertransaminasemia may be caused by occult celiac disease. Hepatology. 1999;29:654–657. 10.1002/hep.510290318. [PubMed] [Google Scholar]
51. Lo Iacono O, Petta S, Venezia G, Di Marco V, Tarantino G, Barbaria F, et al. Anti-tissue transglutaminase antibodies in patients with abnormal liver tests: is it always coeliac disease? Am J Gastroenterol. 2005;100:2472–2477. 10.1111/j.1572-0241.2005.00244.x. [PubMed] [Google Scholar]
52. Volta U, De Franceschi L, Lari F, Molinaro N, Zoli M, Bianchi FB. Coeliac disease hidden by cryptogenic hypertransaminasaemia. Lancet. 1998;352:26–29. 10.1016/S0140-6736(97)11222-3. [PubMed] [Google Scholar]
53. Farrell RJ, Kelly CP. Diagnosis of celiac sprue. Am J Gastroenterol. 2001;96:3237–3246. 10.1111/j.1572-0241.2001.05320.x. [PubMed] [Google Scholar]
54. Lee WM. Drug-induced hepatotoxicity. N Engl J Med. 2003;349:474–485. 10.1056/NEJMra021844. [PubMed] [Google Scholar]
55. Fogden E, Neuberger J. Alternative medicines and the liver. Liver Int. 2003;23:213–220. 10.1034/j.1600-0676.2003.00843.x. [PubMed] [Google Scholar]
56. Shad JA, Chinn CG, Brann OS. Acute hepatitis after ingestion of herbs. South Med J. 1999;92:1095–1097. 10.1097/00007611-199911000-00011. [PubMed] [Google Scholar]
57. Kessler WR, Cummings OW, Eckert G, Chalasani N, Lumeng L, Kwo PY. Fulminant hepatic failure as the initial presentation of acute autoimmune hepatitis. Clin Gastroenterol Hepatol. 2004;2:625–631. 10.1016/S1542-3565(04)00246-0. [PubMed] [Google Scholar]
58. Whitehead MW, Hawkes ND, Hainsworth I, Kingham JG. A prospective study of the causes of notably raised aspartate aminotransferase of liver origin. Gut. 1999;45:129–133. 10.1136/gut.45.1.129. [PMC free article] [PubMed] [Google Scholar]
59. Seeto RK, Fenn B, Rockey DC. Ischemic hepatitis: clinical presentation and pathogenesis. Am J Med. 2000;109:109–113. 10.1016/S0002-9343(00)00461-7. [PubMed] [Google Scholar]
60. Fuchs S, Bogomolski-Yahalom V, Paltiel O, Ackerman Z. Ischemic hepatitis: clinical and laboratory observations of 34 patients. J Clin Gastroenterol. 1998;26:183–186. 10.1097/00004836-199804000-00007. [PubMed] [Google Scholar]
61. Singer AJ, Carracio TR, Mofenson HC. The temporal profile of increased transaminase levels in patients with acetaminophen-induced liver dysfunction. Ann Emerg Med. 1995;26:49–53. 10.1016/S0196-0644(95)70237-7. [PubMed] [Google Scholar]
62. Sellers EM, Freedman F. Treatment of acetaminophen poisoning. Can Med Assoc J. 1981;125:827–829. [PMC free article] [PubMed] [Google Scholar]
63. Marcellin P. Hepatitis C: the clinical spectrum of the disease. J Hepatol. 1999;31(Suppl 1):9–16. 10.1016/S0168-8278(99)80368-7. [PubMed] [Google Scholar]
64. Wedemeyer H, Jäckel E, Wiegand J, Cornberg M, Manns MP. Whom? When? How? Another piece of evidence for early treatment of acute hepatitis C. Hepatology. 2004;39:1201–1203. 10.1002/hep.20221. [PubMed] [Google Scholar]
65. Roberts EA, Schilsky ML. Division of Gastroenterology and Nutrition, Hospital for Sick Children, Toronto, Ontario, Canada. A practice guideline on Wilson disease. Hepatology. 2003;37:1475–1492. 10.1053/jhep.2003.50252. [PubMed] [Google Scholar]
66. Fortson WC, Tedesco FJ, Starnes EC, Shaw CT. Marked elevation of serum transaminase activity associated with extrahepatic biliary tract disease. J Clin Gastroenterol. 1985;7:502–505. 10.1097/00004836-198512000-00012. [PubMed] [Google Scholar]
67. Anciaux ML, Pelletier G, Attali P, Meduri B, Liguory C, Etienne JP. Prospective study of clinical and biochemical features of symptomatic choledocholithiasis. Dig Dis Sci. 1986;31:449–453. 10.1007/BF01320306. [PubMed] [Google Scholar]
68. Ferenci P, Caca K, Loudianos G, Mieli-Vergani G, Tanner S, Sternlieb I, et al. Diagnosis and phenotypic classification of Wilson disease. Liver Int. 2003;23:139–142. 10.1034/j.1600-0676.2003.00824.x. [PubMed] [Google Scholar]
69. Lindor KD, Gershwin ME, Poupon R, Kaplan M, Bergasa NV, Heathcote EJ, et al. Primary biliary cirrhosis. Hepatology. 2009;50:291–308. 10.1002/hep.22906. [PubMed] [Google Scholar]
70. Lee YM, Kaplan MM. Primary sclerosing cholangitis. N Engl J Med. 1995;332:924–933. 10.1056/NEJM199504063321406. [PubMed] [Google Scholar]
71. Angulo P, Lindor KD. Primary sclerosing cholangitis. Hepatology. 1999;30:325–332. 10.1002/hep.510300101. [PubMed] [Google Scholar]
72. Chapman R, Fevery J, Kalloo A, Nagorney DM, Boberg KM, Shneider B, et al. Diagnosis and management of primary sclerosing cholangitis. Hepatology. 2010;51:660–678. 10.1002/hep.23294. [PubMed] [Google Scholar]
When the liver goes wrong: a gastroenterologist named 4 common reasons why ALT and AST are elevated in the blood
- Health
However, the growth of these main “liver” markers in the blood test does not always indicate problems.
April 25, 2022
- Source:
- Getty Images
A biochemical blood test is considered one of the main ways to find out if the liver copes with the load of “wrong” nutrition, alcohol, and medication. This will be told by such indicators in the analysis as ALT (alanine aminotransferase) and AST (aspartate aminotransferase) – these liver enzymes are among the first to respond to malfunctions of the organ.
– If there is an increase in both ALT and AST, this means that the liver cells are destroyed and the enzymes from them enter the blood. (…) An increase in AST and ALT means that an inflammatory process is taking place in the liver and its cells are being destroyed. If the indicators are above the norm, you need to contact a gastroenterologist, – gastroenterologist Maria Lopatina wrote in her telegram channel, adding that the upper limits of the norm may differ in different laboratories and one must focus on those established where the analysis was taken.
The doctor named the 4 most common causes of increased liver values.
Chronic viral hepatitis
With an increase in ALT and AST in the blood, viral hepatitis B and C are always excluded first. This is very important, as they can be asymptomatic, while destroying the liver. Mandatory tests: HBsAg – hepatitis B and Anti-HCV – hepatitis C.
Non-alcoholic fatty liver disease
When fatty liver cells destroy them, ALT and AST in the blood rise and steatohepatitis develops.
Fatty liver disease is suspected if:
Waist circumference ≥94/≥80 cm in men/women;
Blood pressure 130/85 mmHg And more, or the person is taking antihypertensive drugs;
Fasting glucose level of 5. 6 mmol/l or more, or the person is taking hypoglycemic drugs;
Serum triglycerides more than 1.7 mmol/l;
High-density lipoprotein (HDL) level less than 1.0/1.3 mmol/l in men/women.
Drug-induced liver injury
All drugs that we take by mouth pass through the liver. The more drugs we take, the more likely it is to be damaged. This group includes both herbal preparations and dietary supplements. Liver damage can occur immediately or after several weeks.
Alcohol
According to Russian clinical guidelines, a safe dose for the liver in women is 20 grams of ethanol per day, for men – 40 grams. Regular excess of this dose leads to the development of alcoholic hepatitis and an increase in ALT and AST.
Determining the ethanol content in 100 ml of a drink is very simple: the percentage of alcohol in the drink must be multiplied by 0.8. Thus, 100 ml of 40% vodka contains 40×0.8=32 grams of ethanol, and 100 ml of 12% wine contains 12×0. 8=9.6 grams of ethanol.
The doctor specifies that there are other reasons for the increase in ALT and AST in the blood, but these four are the most common.
Read also
When an increase in the indicator is not a cause for alarm
It happens that an increase in the level of “liver” indicators may not be associated with a problem in the work of our main “filter”. According to gastroenterologist Maria Lopatina, this may be the case if only the AST index is elevated.
– AST is found not only in the liver, but also in the heart, muscles, kidneys, brain and pancreas. If AST levels are elevated and ALT is normal, causes that are not related to damage to liver cells should be ruled out. For example, active training for all muscle groups, the doctor clarifies.
But if the liver values were below normal in the blood test, in most cases this is not a cause for serious concern. According to the gastroenterologist, a decrease in their level can occur during pregnancy, starvation and a reduced content of vitamin B6.
What other indicators of a blood test can be used to understand that something is wrong with the liver, read HERE.
Signs of liver problems that can be seen in the mirror
According to doctors, the liver does not hurt in the usual sense of the word, especially at first – specific symptoms of the disease appear when things have gone too far. As the head of the MIBS outpatient department, gastroenterologist Iyri Alaya said, liver diseases are often accompanied by various digestive disorders:
Increased flatulence;
Feeling of fullness in the stomach;
Rapid satiety after eating;
Loss of appetite;
Dryness and bitterness in the mouth;
Attacks of nausea and vomiting;
Constipation or diarrhoea.
And the most famous sign of liver problems is yellowness of the skin, mucous membranes and sclera, which indicates an increase in the level of bilirubin (bile pigment) in the blood.
Text author: Anastasia Romanova
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liver tests for liver enzymes
Contents
- 1 Liver tests: alat and asat in the blood – what does it mean and what conclusions can be drawn
- 1.1 Liver enzymes: what are they?
- 1.2 Liver tests
- 1.3 Alat and Asat: Key liver enzyme parameters
- 1.3.1 What are Alat and Asat?
- 1.4 Norm of Alat and Asat levels in the blood
- 1.5 Reasons for increasing the level of Alat and Asat in the blood
- 1. 5.1 Pathological processes in the liver
- 1.5.2 Injury and toxic effects
- 1.5.3 Diseases of other organs
- 1.5.4 Pathology of muscle tissue
- 1.5.5 Conclusions
9 0004
- 1.6 Reasons for the decrease in the level of Alat and Asat
- 1.7 Symptoms of elevated levels of Alat and Asat
- 1.8 Testing for Alat and Asat: preparation and performance
- 1.8.1 Preparing for the test
- 1.8.2 Conducting the test
- 1.8.3 Decoding results
- 1.9 Preparation for the analysis for Alat and Asat
- 1.10 Interpretation of the results of the analysis of ALAT and ASAT in the blood
- 1.10.1 What are ALAT and ASAT?
- 1.10.2 What do elevated blood levels of ALAT and ASAT mean?
- 1.10.3 What do low blood levels of ALAT and ASAT mean?
- 1.10.4 How to interpret the test results?
- 1.11 What to do in case of elevated levels of Alat and Asat?
- 1. 12 How can the level of Alat and Asat in the blood be reduced?
- 1.13 Prevention of liver diseases
- 1.13.1 1. Proper nutrition.
- 1.13.2 2. Refusal of bad habits.
- 1.13.3 3. Physical activity.
- 1.13.4 4. Doctor’s instructions.
- 1.13.5 5. Taking protective measures.
- 1.14 How to keep the liver healthy?
- 1.15 Conclusions
- 1.16 Related videos:
- 1.17 Q&A:
- 1.17.0.1 What are alat and asat?
- 1.17.0.2 What values of alat and asat in the blood can be considered normal?
- 1.17.0.3 What are the reasons for the increase in the level of ALAT and ASAT in the blood?
- 1.17.0.4 How can I lower my ALAT and ASAT levels?
- 1.17.0.5 What symptoms are signs of elevated levels of ALAT and ASAT?
- 1.17.0.6 Who is at particular risk for elevated ALAT and ASAT?
- 1.17.0.7 Can ALAT and ASAT levels fall back to normal without treatment?
- 1. 17.0.8 What is the significance of alat and asat in the diagnosis of diseases?
Alat and asat are liver enzymes that can be found in the blood when liver function is impaired. Find out how the test is done, what the results mean, and what diseases can be associated with elevated enzyme levels.
The liver is an organ that plays a key role in processing food and removing waste from the body. Under normal conditions, the liver produces enzymes that help break down the fats and proteins in food. If the liver is exposed to toxins, infection, or other type of stress, the concentration of these enzymes in the patient’s blood may increase.
The two most common enzymes measured in the blood for suspected liver disease are Alat and Asat. They are produced in the liver and can become “excessive” when liver cells become damaged or die. Therefore, the measurement of Alat and Asat levels is an important component in the diagnosis of many liver diseases.
In this article, we will look at why measuring the concentration of Alat and Asat in the blood can help in the diagnosis of liver diseases, what indications for such a study exist, and how to properly prepare for analysis and interpret the results.
Liver enzymes: what are they?
Liver enzymes are protein compounds that help carry out metabolic processes in the body. These enzymes are found in various liver cells and act as markers that may indicate the presence of pathologies in the organ or other possible diseases.
Some other liver enzymes, such as lactate dehydrogenase (LDH) and gamma-glutamyl transferase (GGT), can also help determine liver health. LDH is normally found in high concentrations in various body tissues, including the liver. GGT, like ALAT and ASAT, is located in the liver and can be used to detect the presence of diseases in this organ.
- Important to remember: High levels of liver enzymes do not always indicate a disease. There are many factors that can increase the levels of these enzymes, such as the use of alcohol and certain medications. In any case, if you have elevated levels of liver enzymes, you need to consult a doctor for further examination and diagnosis.
Liver tests
The liver is one of the most important organs in our body. It performs many functions responsible for metabolism, blood purification and storage of the necessary substances. One way to monitor liver health is through liver tests.
Your doctor may order liver tests if the patient complains of abdominal pain, nausea, loss of appetite, fatigue, or jaundice. Tests can be used to determine the cause of elevated enzyme levels, which may be due to alcoholism, a viral infection, drug poisoning, or other causes. Liver tests can also monitor the effectiveness of treatment and track changes over time.
Enzyme Normal level Increased level may indicate
Alanine aminotransferase (ALT) | Men: up to 50 units per liter, women: up to 35 units per liter | Hepatitis, liver cirrhosis, liver tumor. |
Aspartate aminotransferase (AST) | Men: up to 40 units per liter, women: up to 35 units per liter | Acute myocarditis, myocardial infarction, hepatitis, liver cirrhosis. |
Alkaline phosphatase (AP) | Men: up to 260 units per liter, women: up to 230 units per liter | Diseases of the liver and biliary tract, bone tumors. |
Bilirubin | Less than 21 µmol per liter | Jaundice, hepatitis, liver cirrhosis, hemolytic anemia. |
If the patient is scheduled for a liver test, the patient should follow all of the doctor’s instructions, such as not eating before the blood test and avoiding alcohol. In addition, it is important to understand that elevated levels of these enzymes do not always mean liver disease; sometimes they can be elevated with other diseases or medications.
Alat and Asat: key indicators of liver enzymes
What are Alat and Asat?
Alat and Asat are important enzymes produced by the liver that can affect the health of the body. Alat (Alanine transaminase) and Asat (Aspartate transaminase) are associated with protein metabolism and are involved in the process of amino acid degradation.
High levels of Alat and Asat in the blood may indicate problems in the functioning of the liver. A key indicator of the level of Alat and Asat in the blood is used to determine the harmful effects of medications taken. It can also help in the diagnosis of various liver diseases such as hepatitis, cirrhosis and others.
- Alat is mainly produced by the liver and, to a lesser extent, by the muscles and kidneys.
- Asat is most commonly produced in the heart, liver and muscles.
If the level of Alat and Asat in the blood is increased, it is necessary to consult a doctor for additional research and determination of the cause. Controlling your liver enzyme levels is an important part of your overall health and can help prevent various diseases.
Alat and Asat blood levels
Alat and Asat are enzymes that are normally found inside liver cells. If the liver cells are damaged, these enzymes are released into the blood, causing their levels to rise to abnormal levels. However, the level of Alat and Asat can be increased in various diseases and even with regular intake of certain medications.
Alat and Asat levels may vary slightly depending on age, gender and other factors such as being obese or taking certain medications. In addition, different laboratories may use different methods and reagents, which may lead to some deviations in the measurement of Alat and Asat levels.
If the level of Alat and Asat exceeds the norm, this may indicate the presence of pathological processes in the liver. To determine the exact cause of the increase in the level of Alat and Asat, it is necessary to perform additional tests and examinations, which must be prescribed by a doctor.
Causes of increased levels of Alat and Asat in the blood
Pathological processes in the liver
Alat and Asat are enzymes that are found in large quantities in liver cells. Therefore, an increase in the level of Alat and Asat in the blood indicates violations of the liver. This can be caused by various pathological processes in the liver, such as cirrhosis, hepatitis, fatty degeneration, and others.
Injuries and toxic effects
Elevated levels of Alat and Asat can be caused by trauma to the liver, such as bruises, falls or car accidents. Also, increased rates can be caused by toxic effects on the liver, for example, when drinking alcohol, drugs, or when using drugs that have hepatotoxic properties.
Diseases of other organs
Sometimes elevated levels of Alat and Asat in the blood can be caused by diseases of organs other than the liver. For example, it may be associated with diseases of the heart, pancreas, or kidneys.
Pathology of muscle tissue
Increased levels of Alat and Asat can also be associated with pathology of muscle tissue, for example, in the destruction of muscle fibers during myopathies or during intense physical exertion, especially in untrained people.
Conclusions
An increase in the level of Alat and Asat in the blood is an unfavorable signal for health, as it may indicate various diseases. Therefore, with an increase in the level of these enzymes, you should consult a doctor to conduct an examination and find out the reason for the increase in the level of Alat and Asat.
Causes of low levels of Alat and Asat
Alat and Asat are liver enzymes that are present in the blood. Their elevated level indicates a violation of liver function. But what if the levels of these enzymes are low?
Vitamin B6 deficiency may be one of the reasons, since this vitamin is an important catalyst for the processes associated with Alat and Asat. A lack of vitamin B6 can cause a decrease in the level of these enzymes in the blood.
Another reason may be long-term use of drugs such as hepatoprotectors or antibiotics, which may have an inhibitory effect on liver function. Decreased levels of Alat and Asat can also be associated with anemia or certain infections such as viral hepatitis.
Finally, many people who lead a healthy lifestyle may have low levels of Alat and Asat, as these enzymes are associated with alcohol, fat and protein metabolism, which can be reduced with a healthy diet and exercise.
In any case, the decrease in Alat and Asat should be considered along with other tests and clinical findings to determine possible causes and necessary treatment measures.
Symptoms of elevated levels of Alat and Asat
Alat and Asat are enzymes produced in the liver and can be used to evaluate liver function. Elevated levels of these enzymes may indicate problems with the liver or other organs.
One of the most common symptoms of an increase in Alat and Asat is jaundice, which manifests itself in the form of yellow eyes and skin. There may also be an increase in the size of the liver and spleen, as well as discomfort or pain in the right upper quadrant of the abdomen.
Other symptoms of an increase in Alat and Asat can be fatigue, a constant feeling of weakness, loss of appetite and involuntary weight loss. In some cases, elevated levels of these enzymes may be asymptomatic and only show up on blood tests.
In any case, elevated levels of Alat and Asat require diagnosis and treatment under medical supervision. It is necessary to conduct regular medical examinations and monitor the condition of your body in order to detect and prevent health problems in a timely manner.
Analysis for Alat and Asat: preparation and conduct
Preparation for analysis
Before undergoing analysis for Alat and Asat, you must follow a number of simple rules. It is not recommended to take food and alcohol 8 hours before donating blood. Also, do not engage in physical activity, no matter how insignificant it may be. Before the analysis, it is necessary to clarify the family and medical history, as well as inform the attending physician about the use of any medications and supplements.
Testing
Testing for Alat and Asat is performed from a vein on an empty stomach. The specialist takes blood from a vein using a special syringe and sends it to the laboratory for analysis. The results of the analysis are usually ready in a day, sometimes in 2-3 days.
Decode results
Liver tests for liver enzymes are used to determine the level of Alat and Asat in the blood. The level of these enzymes may indicate possible diseases of the liver or gallbladder. The normal value of Alat is 5-40 IU / l, and Asat – 5-37 IU / l. However, the norms may vary slightly depending on the laboratory, so the results should only be interpreted in conjunction with the attending physician.
It is important to remember that the analysis for Alat and Asat is only an additional tool in the diagnosis of diseases. The results of the analysis should be evaluated in conjunction with other data – medical history, complete blood count, ultrasound and other studies. Only in this case, you can get an accurate diagnosis and start treatment.
Preparation for analysis for Alat and Asat
For correct diagnosis of the liver condition, it is necessary to take a blood test for Alat and Asat. These indicators reflect the work of this body, reveal the presence of violations in its functioning and establish the cause of the disease.
Preparation for analysis is carried out according to simple rules:
- 10-14 days before the analysis, do not take drugs that can affect liver function;
- Avoid alcoholic beverages, low-fat foods, and high-fat foods 3 days before the test;
- do not smoke, drink coffee, tea or chocolate a few hours before the test;
- on the day of the test, bring your passport and doctor’s referral;
Responsibly treat the preparation for the analysis for Alat and Asat, as this helps to more accurately determine the cause of the disease and prescribe the necessary treatment.
Interpretation of ALAT and ASAT blood test results
What are ALAT and ASAT?
ALAT (alanine aminotransferase) and ACAT (aspartate aminotransferase) are enzymes secreted by the liver into the blood. They are actively involved in metabolic processes and the production of proteins in the body.
What do elevated blood levels of ALAT and ASAT mean?
An increase in the levels of ALAT and ACAT in the blood may indicate a violation of liver function. This is usually associated with various pathologies, such as hepatitis, cirrhosis of the liver, fatty liver and other diseases.
However, elevated blood levels of these enzymes can also be caused by certain medications, alcohol, stress, and strenuous exercise.
What do low blood levels of ALAT and ASAT mean?
Low levels of ALAT and ACAT in the blood are not usually diagnostic of liver disease. This may indicate a violation of the functions of these enzymes, but may also be due to insufficient intake of necessary substances in the body and some other reasons.
How to interpret the test results?
The interpretation of ALAT and ASAT blood test results should only be performed by a qualified physician based on a comprehensive analysis of the patient’s general condition, medical history and other factors.
Elevated levels of ALAT and ACAT in the blood may indicate the presence of liver disease, but require further examination and confirmation of the diagnosis. Constantly monitoring the blood levels of these enzymes can help diagnose liver problems early and take the necessary steps to treat them.
What to do in case of elevated levels of Alat and Asat?
High levels of Alat and Asat may indicate the presence of liver diseases such as hepatitis, cirrhosis, fatty degeneration and others. In this case, it is necessary to consult a gastroenterologist or hepatologist for further examination and treatment.
In addition, there are several recommendations that can help improve performance:
- maintain a healthy lifestyle: stop smoking, moderate alcohol consumption, eat healthy, exercise;
- take only medicines approved by your doctor;
- Monitor your cholesterol and blood sugar levels, as high levels can adversely affect the liver.
In any case, a more accurate diagnosis and prescription of treatment is possible only after examination by a doctor.
How can the level of Alat and Asat in the blood be reduced?
To reduce the level of Alat and Asat in the blood, you need to take a quality approach to your health. It is necessary to stop drinking alcohol and smoking, as this is the main source of increased levels of Alat and Asat.
You also need to pay attention to nutrition. The diet should contain foods rich in vitamins and minerals, such as vegetables, fruits, herbs, nuts, fish and meat.
It is important not to forget about an active lifestyle, as exercise will help improve blood circulation and reduce the level of Alat and Asat in the blood.
In addition, elevated levels of these enzymes should see a doctor. Treatment may include taking special medications and following a diet.
- Stop drinking alcohol and smoking
- Proper nutrition
- Active lifestyle
- Medical consultation and treatment
Prevention of liver diseases
1. Proper nutrition.
One of the most important factors in the prevention of liver disease is proper nutrition. Red meat, heavy consumption of fatty and fried foods, alcohol, strong coffee and tea – all this adversely affects the functioning of the liver. The diet should contain a lot of fruits, vegetables, fish, dairy products and greens.
2. Refusal of bad habits.
Alcoholism and smoking are the main bad habits that damage the liver. It is necessary to completely abandon them in order to preserve the health of the liver.
3. Physical activity.
Regular exercise and exercise help strengthen the body and improve overall health, including the liver.
4. Doctor’s instructions.
Follow your doctor’s advice to prevent liver disease. In case of liver disease, it is necessary to strictly follow the prescribed treatment and undergo regular examinations.
5. Taking protective measures.
To avoid infection with viral hepatitis, you must follow the rules of personal hygiene, do not share other people’s personal belongings. Hepatitis A and B vaccinations are also recommended.
How can I keep my liver healthy?
The liver is a large and complex organ that performs many functions in our body. It is involved in metabolism, normalization of blood glucose levels, cleaning of toxins and much more. It is important to take care of the health of the liver in order to avoid various diseases and problems.
Some of the following tips can help you keep your liver healthy:
- Give up bad habits. Smoking, alcohol and certain drugs can seriously damage the health of the liver. It is necessary to abandon such habits in order to avoid problems with the liver.
- Proper nutrition. Avoid fatty, spicy, fried and high-calorie foods. It is useful to eat vegetables, fruits, herbs, bread made from whole grain flour.
- Physical activity. Sports and exercise can help keep your liver healthy. They help facilitate the release of toxins and other harmful substances.
- Avoidance of harmful substances. Maintain a healthy lifestyle and avoid exposure to hazardous substances that can harm your liver.
- Treat diseases in time. You may develop a disease that can seriously damage the health of your liver. Treat diseases in time to avoid such problems.
By following these simple tips, you can keep your liver healthy, avoid problems and enjoy life to the fullest.
Conclusions
Alat and asat are liver enzymes that can be detected in the blood when the level of liver damage is high enough. The levels of these enzymes can give an indication of the level of damage, but do not always allow for an accurate diagnosis. Therefore, it is important to conduct additional research to determine the cause of the increase in the levels of these enzymes.
Elevated levels of alat may indicate liver damage, but may also be associated with other problems, such as increased physical activity or medication. Elevated levels of asat can also be associated with liver damage, as well as heart and muscle problems.
Therefore, additional investigations such as ultrasound, MRI or liver biopsy are necessary for accurate diagnosis.
If an increase in the levels of alat and asat is detected, it is necessary to consult a doctor for additional studies and determine the cause of this phenomenon. Prompt treatment can help prevent further liver damage and preserve liver function.
Related videos:
Q&A:
What are alat and asat?
Alanine aminotransferase (ALAT) and Aspartate aminotransferase (ASAT) are enzymes made in the liver and used to break down amino acids in the body.
What values of alat and asat in the blood can be considered normal?
Normal values for ALAT can range from 0 to 45 units/l, and for ASAT from 0 to 35 units/l.
What are the reasons for the increase in the level of ALAT and ASAT in the blood?
Elevated levels of ALAT and ACAT may indicate the presence of liver disease, such as hepatitis, cirrhosis or fatty degeneration. They can also indicate the presence of heart disease, alcohol dependence or other metabolic disorders in the body.
How can I lower my ALAT and ASAT levels?
To lower the levels of ALAT and ASAT, you first need to find out the reason for their increase. Typically, this may be due to lifestyle changes, including avoiding alcohol and changing diet. In some cases, medication may be required.
What symptoms are signs of elevated levels of ALAT and ASAT?
Elevated levels of ALAT and ASAT may not present with obvious symptoms. However, if they are caused by liver disease, symptoms such as jaundice, liver enlargement, fatigue, anemia, etc. are possible.
Who is at particular risk for elevated ALAT and ASAT?
People who have alcoholic or fatty liver disease, or who are taking medications that can damage the liver, are at increased risk of elevated blood levels of ALT and ACAT.