Elevated aminotransferase can be seen in physiological and pathological reasons, symptoms vary, patients may appear fatigue, poor appetite, anorexia, nausea, vomiting and other manifestations. 1. Physiological high: staying up late, overeating, strenuous exercise, etc. may cause transient elevation of transaminase, usually no abnormal symptoms, and can be relieved on their own. 2. Pathological causes: mainly including liver, heart, kidney, skeletal muscle diseases may lead to transaminase elevation. Clinical manifestations are related to the original disease, such as hepatitis B patients, transaminase mildly elevated, can be asymptomatic, transaminase elevation is more, the patient may appear nausea, fatigue, anorexia, skin sclera yellowing, liver distension and discomfort. Abnormal elevation of aminotransferase after myocardial injury, patients may have chest pain, chest tightness, dyspnea, dizziness and other symptoms. Clinically, there are many causes of transaminase elevation, when you find transaminase elevation, you should go to the hospital in a timely manner, through the perfect examination to investigate the cause of the disease, under the guidance of the doctor to carry out symptomatic treatment.