Is high ALT always hepatitis?

Patient's question:

My mother is 64 years old this year. The results of her health check-up showed that both her ALT and AST levels were elevated. No one in my family has a history of hepatitis. My mother has high blood sugar and high blood pressure. An abdominal ultrasound was performed, which showed no problems, but there was fatty liver. My father is completely normal. Could it be that my mother's high blood sugar is causing the elevated ALT levels? I am very worried that my mother might actually have hepatitis. I now recommend seeking expert assistance!

Doctor's answer:

Elevated transaminase levels in liver function tests are likely caused by mild fatty liver. Restlessness generally does not affect transaminase levels. Your current issue primarily involves the treatment of mild fatty liver. It is recommended to take liver-protecting tablets, which help lower cholesterol, protect the liver, stabilize liver function, and effectively enhance the lipid metabolism of liver cells. These are clinically proven medications for liver protection and lipid metabolism. They also help lower cholesterol and are often used alone in the clinical treatment of hyperlipidemia and fatty liver. Strictly avoid spicy, irritating, and stimulating foods. Reduce intake of greasy foods, animal fats, and organ meats, and maintain a low-fat, light diet with plenty of vegetables, fruits, and digestive vitamins. There are many treatment methods for hepatitis, but since symptoms vary among patients, the treatment approaches differ. Therefore, patients need to undergo timely examination and diagnosis.

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