Causes of elevated transaminases found on physical examination

The physical examination found that ALT is elevated, Lao Zhang was very nervous. After not closing his eyes for the night, he went to the famous Beida Hospital early in the morning. After registering with the Infectious Diseases Department, Lao Zhang sat on a bench and watched the people around him with different colors. Finally, it was Lao Zhang’s turn, and the doctor told him that about 10% of the people undergoing medical checkups were found to have elevated ALTs, and that fatty liver, abnormal glucose-lipid metabolism, and hepatitis B were the three most common causes. Among those with elevated ALTs, about 60% to 70% had hyperlipidemia, 50% had an elevated BMI, 45% drank alcohol, and about 40% met the diagnostic criteria for fatty liver. Males, 30-49 years old are the high prevalence group, which may be related to alcohol consumption and high-fat diet leading to BMI and fatty liver in this population. Combined with the fact that Zhang was moderately obese (MBI of 31, waist circumference of 91 cm), accompanied by blood triglycerides and cholesterol are significantly elevated, but no self-conscious discomfort, there is no evidence of hepatitis B and C viral infections, considering that fatty liver caused by the possibility of a greater, so we recommend that Zhang again for an ultrasound of the abdomen, and at the same time, take blood to do the relevant items of the test. Half an hour later, Lao Zhang brought back the examination report initially confirmed the doctor’s judgment: the liver volume increased, the echo in the liver in front of the enhancement, the back attenuation, for moderate fatty liver. The doctor also told Lao Zhang: improve the nutritional structure, increase physical activity, reduce body weight, is the fundamental way to treat fatty liver. Lao Zhang thought: he is a working person, in addition to socializing at noon, basically eat very little, every day on the dinner is considered a “meal”, happy to drink a little wine. What should be added to the dinner? Lao Zhang asked the doctor to know, eat the learning is really big! First of all, is the meal seven minutes full! At noon to eat well, dinner to eat less! After dinner, human activity is small, low energy consumption, if the intake of calories, will cause energy storage, into fat, over time not only the formation of fatty liver, but also high blood lipids, diabetes, hypertension, metabolic syndrome and so on. Secondly, each meal takes into account the intake of starch, fat and protein. Nuts contain a lot of unsaturated fatty acids and low cholesterol content, which helps soften blood vessels. Again, always move after meals. In addition to these principles above, remember: eat fruit before meals, and focus on vegetables and fruits for dinner. When he came out of Peking University Hospital, Zhang made up his mind to eat “good” meals, move his legs, and eliminate the abnormal indicators!