We would like to share with you several medical examination results such as fatty liver, elevated transaminases, multiple polyps in the gallbladder and gallbladder stones. 1, fatty liver: fatty liver is also common in the diagnosis of physical examination results, generally speaking, fatty liver will be accompanied by varying degrees of transaminases elevated (ALT, AST). In this case, do not worry too much, eat less fatty, exercise to lose weight, and regular checkups can be done. If the blood test indicates an abnormal elevation of lipids, it is recommended to follow up with cardiology or endocrinology to check whether there are other possible diseases. 2. Elevated transaminases: Many patients’ liver function tests will indicate elevated transaminases (alanine aminotransferase ALT, aspartate aminotransferase, AST). Factors such as exertion, staying up late, drinking alcohol, and being on medication may cause this indicator to rise. Fatty liver, active hepatitis, liver tumors, and diseases of the heart or skeletal muscle system may also cause the indicator to rise. Therefore, the doctor suggested that we refer to the normal value provided by the test, if the value of their test results are only a little higher than the normal range of values, you can consider re-examination to exclude measurement errors; if the value is more than the normal value, or the value of the increase in the number of times larger, you need to combine with the presence of hepatitis and other underlying medical history, it is recommended to seek professional advice from the hospital. 3, gallbladder polyps: Gallbladder polyps is a common gallbladder disease, Chinese statistics show that the incidence of the disease in the population is 9.5%. Most polyps are cholesterol crystals deposited in the wall of the gallbladder, with a diameter of less than 10 mm, and are not as prone to malignancy as single adenomatous polyps of the gallbladder. It is worth noting that unlike gallbladder stones (the difference can be seen in the figure below), gallbladder polyps do not cause painful discomfort such as biliary colic because they are fixed in the mucous membrane of the gallbladder wall and are less mobile, rarely causing painful discomfort such as biliary colic. In terms of treatment, there is no need to take any medication, you can observe them regularly and have ultrasound examination 1~2 times a year, as long as the polyps do not exceed 10mm in diameter, there is no need to worry. For multiple gallbladder polyp lesions with a diameter of more than 10mm polyps, it is necessary to identify whether they are measurement errors or adenomatous polyps, and it is recommended to consult an experienced ultrasound examiner and hepatobiliary surgeon. 4.Gallbladder stones: Most of the gallbladder stones belong to cholesterol stones, and the pathogenesis is more complicated, related to local cholesterol metabolism disorder, gallbladder contraction and emptying dysfunction and possible genetic factors, long-term high-fat diet and other factors. Long-term skipping breakfast is also a relevant factor in the production of gallbladder stones, because long fasting time, bile accumulation in the gallbladder for too long, easy to cause cholesterol deposition, and gradually form stones. Common misconceptions about gallbladder stones: If you have gallbladder stones you can only eat vegetarian food such as green vegetables and white porridge? For patients with gallbladder stones that are asymptomatic and do not require treatment after doctor’s evaluation, it is actually perfectly fine to live a normal diet. Is extracorporeal lithotripsy and lithotripsy treatment feasible? Extracorporeal lithotripsy and lithotripsy are not recommended treatments because the smaller the gallbladder stone, the greater the risk of harm. Small stones or sediment-like stones can enter the common bile duct through the cystic duct, and during the migration process, they may cause impaction and lead to biliary colic, cholangitis or even biliary pancreatitis. The treatment varies for different patients. For patients with asymptomatic gallbladder stones, it is recommended that regular observation, one to two hepatobiliary ultrasound examinations per year, and a regular diet with high fat and high protein is sufficient for lifestyle habits. The main danger of gallbladder stones is to cause cholecystitis and pancreatitis attacks, and there is a risk of gallbladder cancer for long time. Therefore, for patients with a long history of gallbladder stones (longer than 10 years), or patients with combined diseases such as diabetes, it is also recommended to consider whether to perform cholecystectomy depending on the situation. Will removal of the gallbladder result in loss of bodily functions? The gallbladder is only an organ for storing bile. Removing the gallbladder does not mean that there will be no bile or no “bile capacity”. The bile ducts compensate for some of the gallbladder’s bile storage function. Most people will return to normal life after cholecystectomy and will not feel any discomfort, while a few people will experience steatorrhea and will gradually adapt to it by controlling their diet and adjusting their living habits. Lastly, Dr. Chen reminds us that we must have the right attitude towards the problems found in the medical examination, and we should not be too nervous or ignore them. For any disease, a positive and optimistic mood is always helpful for recovery and treatment. There is also an important suggestion, for the body is not comfortable or feel that they are not sure about the examination report, timely to the hospital to seek the advice of a professional physician, rather than rely on the Internet and a variety of rumors and experience wild guesses, blind treatment. Finally, I wish you all good health~~