What is the reason for high blood transaminase

In medicine, transaminase is known as an indicator of liver function. We usually do this test during physical examinations. Transaminase is mainly present in the liver cells of the human body. It is a "catalyst" that helps the body's metabolism. The normal value of transaminase is usually between 0-40. If it exceeds this level, the transaminase is too high. What is going on when the transaminase in the human body becomes high?

1. Reasons for high

Common causes of elevated transaminases include:

1. Viral hepatitis This is a common disease that causes high transaminase levels.

2. Many drugs and chemical agents can cause high levels of transaminase, but they will return to normal after stopping the medication.

3. Heart diseases, such as acute myocardial infarction, myocarditis, heart failure, etc., can cause high levels of transaminase.

4. Acute attacks of biliary diseases such as cholecystitis and cholelithiasis may cause fever, abdominal pain, nausea, vomiting, jaundice, etc., as well as elevated blood bilirubin and transaminase levels.

5. When liver cirrhosis and severe liver cirrhosis are active, elevated transaminases are usually present.

6. During pregnancy, the growth of the fetus will place a great burden on the pregnant woman's liver, resulting in high levels of transaminase.

7. Certain infectious diseases: influenza, measles, schistosomiasis, lobar pneumonia, tuberculosis and other diseases can also be the cause of elevated transaminase levels.

8. Non-pathological reasons: For example, strenuous exercise, excessive fatigue, eating greasy food before the examination, drinking, staying up late, etc., may cause mild high transaminase levels.

There are many reasons for a high alanine aminotransferase ratio. Therefore, if the alanine aminotransferase ratio is elevated, further examination should be conducted to find out the cause and take effective measures. Be careful not to make random guesses so as not to create unnecessary psychological burden.

In addition, fatigue may also increase transaminase.

2. Understanding Misunderstandings

There are several indicators in the physical examination, and even if they are abnormal, it may not be a big deal. The most typical one is the discovery of high "transaminase". Many people think that there is a problem with the liver, but in fact, it is not necessarily the case, because this indicator has a low specificity.

Transaminase is divided into alanine aminotransferase and aspartate aminotransferase, and increase in the former is more common. This enzyme exists in cells of the liver, heart, muscles and kidneys, with the highest concentration in liver cells. Whenever liver cells are damaged, this enzyme is released into the blood and the index rises. However, if you stay up late, drink alcohol, or catch a cold before the physical examination, it may rise. If your hepatitis B "two pairs and a half" is normal, and only the transaminase is high, you don't need to be nervous, you don't need treatment, and you don't need to worry about having infectious liver disease. Pay attention to a balanced diet, drink Xiaojiang tea regularly for conditioning, and pay attention to rest. You may return to normal after a period of time.

In addition, urea nitrogen and blood creatinine are the indicators for checking renal function. Urea nitrogen is the final product of protein metabolism. If only the urea nitrogen level is elevated, while the blood creatinine level, which can observe kidney function, is normal, it may be caused by too much protein in the food before the physical examination, such as eating a meal of shabu-shabu or fried chicken, resulting in excessive protein intake. At this time, as long as you change the diet structure and do another check-up after a few days, it is very likely that it has returned to normal.

Blood urea nitrogen can infer renal function, but it is not as accurate as blood creatinine. If the blood creatinine is elevated and does not continue to decrease, a systematic examination is necessary. Problems are often seen in acute nephritis or even renal insufficiency. At this time, symptoms generally appear, such as edema, fatigue, etc.