High ALT and normal AST is a manifestation of impaired liver function, which may be caused by physiological factors such as late night, exertion, etc. It may also be caused by viral hepatitis B or alcoholic liver disease. General treatment such as lifestyle modification and medication such as entecavir and compound glycyrrhizin can be taken.
1. Physiological factors: staying up late, alcoholism, large amount of exercise, etc. may lead to transient ALT high AST normal, this time as long as the removal of triggers can be restored. Generally no special treatment is needed.
2. Hepatitis B virus hepatitis: it can also lead to high ALT and normal AST, which can be treated with antiviral drugs such as entecavir, and at the same time, use liver-protecting drugs such as compound glycyrrhizin.
3. Alcoholic Liver Disease: Early symptoms include loss of appetite, pain in the liver area, fatigue, jaundice and edema. The main treatment is to stop drinking, and at the same time give nutritional support, such as supplementation of B vitamins, vitamin C, vitamin K and folic acid and so on.
Pharmacological treatment can mainly take glucocorticoids, mainly for severe alcoholic hepatitis, to improve the survival rate. In addition, liver-protecting drugs such as polyene phosphatidylcholine and glutathione are also beneficial to the recovery of the disease.
ALT is high AST is normal, there may be other reasons, it is recommended to consult a doctor in time to identify the cause and treat the cause.