Many elderly people think they have hepatitis and infectious diseases when they mention high transaminases and cannot eat with their families. The first thing you should do is to find out the reason for the increase in transaminases when you find them during a medical checkup. In fact, it often happens that the transaminase level of healthy people temporarily exceeds the normal range, such as: strenuous exercise, fatigue, greasy food, recent colds, smoking, drinking alcohol, taking medication can make the transaminase temporarily high, after removing the above-mentioned reasons, the re-examination will soon be normal. There are many other reasons that can cause the increase of transaminases. The first thing to do is to test the hepatitis virus indicators to see if you are really infected with the hepatitis virus, only hepatitis A and E can be transmitted orally and should be isolated to prevent transmission. In addition, the liver function series should be tested to see if other liver function indicators are also higher than normal. It is also necessary to do an abdominal ultrasound to see if the liver, gallbladder, pancreas and kidney form are normal, because an increase in aminotransferases alone does not determine liver disease, as there are distributions in the liver, heart, kidney, muscle and bile duct tissues in the human body, and aminotransferases can increase when these organs are out of order. In addition, for the elderly, heart diseases are more frequent, so it is important to do heart tests, such as electrocardiogram and cardiac enzymes, to find high aminotransferases. Other elderly people have many systemic diseases and often take many kinds of medications, so it is important to avoid drug-induced aminotransferase increase by changing the medications recently. There are also seniors who have biliary tract infections, biliary stones, and pancreatic tumors that can also cause an increase in transaminases. Seniors can learn about some of the common causes of elevated transaminases and go to the hospital to see a specialist for their past medical history and other physical complaints.