Which department should I go to for liver disease examination? Which department should I go to for liver disease examination?

The liver is the place for detoxification. It absorbs toxins every day. Diseases are inevitable as toxins go in and out of the liver. Because the antibody capacity decreases and the body's resistance is insufficient, it will cause liver function problems. Therefore, we need to have a certain understanding of the liver's function indicators and know what department patients with liver disease should go to? How to do this inspection well?

Which department should I go to for liver disease examination?

Liver disease examination items generally include:

(1) Liver function indicators include alanine aminotransferase (ALT), aspartate aminotransferase (AST), choline esterase (CHE), glucagon-glutamic acid (GGT), albumin (ALB), globulin (GLO), total serum bilirubin (TBIL), direct bilirubin (DBIL), prothrombin activity (PA), etc. Based on the above indicators, we can comprehensively judge what stage the disease is in, whether it is mild or severe.

(2) Routine blood tests include white blood cells, red blood cells, hemoglobin, platelets, etc. Once the disease enters the stage of cirrhosis, changes in blood counts can often indicate the severity of the disease. For example, in the early stage of cirrhosis, the platelet count is slightly decreased; in the middle and late stages of cirrhosis, the spleen function is hyperactive and the whole blood volume is decreased; if the hemoglobin is simply decreased, attention should be paid to whether there is gastrointestinal bleeding.

(3) Alpha-fetoprotein (AFP): In general, the level of AFP in hepatitis rarely rises. Even if it does, it rarely exceeds 200 ng. However, in liver cancer, alpha-fetoprotein is often greater than 400 nanograms. If alpha-fetoprotein continues to remain above 400 nanograms, you should be aware of the possibility of liver cancer. (4) B-ultrasound: Regular B-ultrasound examinations can be used to understand the size and shape of the liver, the echogenicity, the internal diameter of the portal vein, the thickness of the spleen, and the presence or absence of ascites. This can also be used to determine whether the condition is turning toward cirrhosis or whether space-occupying lesions have occurred.

(5) Gastroscopy: When it is impossible to determine whether liver cirrhosis exists based on the test results, a gastroscopy can be performed to understand the condition of the esophageal mucosa, esophageal varices, and gastric fundus varices. If varicose veins are present, it indicates that cirrhosis of the liver has occurred.

(6) Examination of liver fibrosis indicators Blood tests to examine serum type III procollagen, laminin, hyaluronic acid, type IV collagen, etc. can be used to preliminarily determine the degree of liver fibrosis.

(7) Hepatitis B virus indicators include hepatitis B virus two-pair-half, hepatitis B virus DNA, etc., to understand the virus replication and infectiousness.

(8) Blood sugar, urine sugar, and urine routine tests are mainly used to understand whether there are hepatitis B-related diseases, such as hepatic diabetes, hepatitis B virus-related nephritis, etc.

(9) Liver puncture examination When other means and testing methods cannot determine the severity of the disease or there are doubts, liver puncture and biopsy can be performed to help confirm the diagnosis.