Patient's question:
Routine health checkup liver function test results showed that three transaminase levels were elevated above the normal range. Further detailed tests for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti-HBc), hepatitis B e antigen (HBeAg), hepatitis B surface antibody (anti-HBs), and hepatitis B e antibody (anti-HBe) (two pairs of tests) were all negative. A liver function color Doppler ultrasound was performed, which indicated inflammatory lesions of the gallbladder.Doctor's answer:
Hello, elevated transaminase levels indicate that liver function has been compromised. When liver cells experience inflammation, pus formation, poisoning, or other issues, leading to cell damage, transaminase is released into the bloodstream, causing an increase in serum transaminase levels. However, elevated transaminase is a very common condition and does not necessarily mean there is a problem with the liver. Since transaminase is highly sensitive, many factors can cause fluctuations around the normal range, such as poor sleep the night before the test, which can also lead to elevated transaminase levels. If there are no symptoms, there is generally no need for special treatment. Regular follow-up liver function tests should be conducted, and before the next retest, avoid emotional stress and fasting after 9 p.m. the previous night, ensuring sufficient deep sleep.