Patient's question:
No symptoms, no pain, Alanine aminotransferase (ALT) 234, Aspartate aminotransferase (AST) 74. Haven't drunk alcohol or taken medication for the past half month, and no pain either. The hepatitis B markers are normal. Why is it more than 5 times higher, indicating a tendency towards fatty liver?Doctor's answer:
The clinical manifestations of fatty liver are diverse. Mild fatty liver may only cause fatigue, while most patients with fatty liver, who are often overweight and have palmar erythema and spider angiomas, find it harder to notice subtle subjective symptoms. Moderate to severe fatty liver has symptoms similar to chronic hepatitis, such as poor appetite, fatigue, nausea, vomiting, weight loss, and dull pain in the liver region or upper right abdomen. Most patients with fatty liver have no subjective symptoms or only mild fatigue, poor appetite, abdominal pain, belching, or a sense of fullness in the liver region. Due to the frequent fluctuation or persistence of transaminase levels and liver enlargement, fatty liver is often misdiagnosed as hepatitis, so it is particularly important to distinguish between the two. Both B and CT have high diagnostic accuracy.