Can high ALT levels confirm hepatitis?

Patient's question:

23 years old, male, married. A few days ago, during a hospital health check-up, it was found that: Alanine aminotransferase (ALT) was 173 IU/L, Aspartate aminotransferase (AST) was 70 IU/L, but in the hepatitis B surface antigen (HBsAg) test, only the second item was positive, while the rest were negative. I have never had liver disease, and there is no history of liver disease in my family.

Doctor's answer:

That's not the case. This enzyme is used to test liver function and its condition. If it's high, it can be caused by many factors, as long as it's related to liver disease, it doesn't necessarily have to be hepatitis. For a detailed examination of hepatitis, they look at the "two pairs of half" (HBsAg, anti-HBs, HBeAg, anti-HBe, anti-HBc). Your test results are normal. If this enzyme is high, it could be due to factors like drinking beer, working overtime, or others.
Question: The daily treatment for hepatitis patients primarily focuses on symptomatic treatment. Patients can take many oral medications and supplement with various vitamins. They should also pay attention to their diet, eating light, soft, and easily digestible foods. We hope that hepatitis patients can recover as soon as possible! Thank you!

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