Fatty liver, abnormal liver function, liver cyst... liver problems found in physical examination

After the physical examination, the report indicates that there are some abnormalities in the liver. What exactly do these results mean? Serious? What should we do?

After asking the doctors at the clove clinic, the health headlines sorted out their views and suggestions.

Come and have a look~

The liver is located at the upper right of the abdomen, under the right lung, and hidden in the ribs. Under normal circumstances, it is not palpable. The liver is an important digestive gland of the human body, helping to metabolize sugar, fat, protein, etc., as well as detoxifying and other functions.

During general physical examination, the following liver abnormalities are common.

Fatty liver

It is not uncommon to have fatty liver in your 30s.

Fatty liver is the deposition of fat in liver cells, making the liver become greasy and tough.

It is common in fat friends - fatty liver caused by high blood sugar and blood lipids; As well as alcoholic fatty liver caused by alcohol promoting the deposition of fat in liver cells. In addition, some drugs and hepatitis can also lead to fatty liver.

What to do?

For mild simple fatty liver, the best treatment is to control diet, abstain from alcohol and exercise.

In addition to improving living habits, patients with moderate and severe fatty liver also need to consult a doctor to see if it is necessary to use some lipid-lowering drugs to correct the disorder of glucose and lipid metabolism in the body.

Mild abnormality of liver function

The liver function checklist will show the levels of several enzymes (alanine transaminase, alanine transaminase, alkaline phosphatase, glutamyltransferase and lactate dehydrogenase).

The lower limit of transaminase index is zero, so transaminase will not be low, only transaminase is high.

Under normal circumstances, transaminase is limited to the liver cells. When the liver cells are damaged, transaminase will pass through the cells and enter the blood, leading to an increase in transaminase during blood testing, which is called abnormal liver function.

However, on the one hand, not all liver function abnormalities will cause the increase of transaminase; On the other hand, transaminase is not only found in the liver, but also in the heart, muscle and other parts.

Moreover, liver enzymes are easily affected by many factors. Severe exercise, overwork, drinking, greasy diet, irregular work and rest, even anger and other factors can cause transient liver enzyme elevation.

What to do?

In case of abnormal sharp rise, it is necessary to consult whether further inspection is needed. However, in the absence of relevant symptoms and medical history, a simple slight increase of some transaminase is meaningless. If there is no abnormal feeling, special re-examination is not necessary.

High bilirubin

The abnormal bilirubin is only slightly high.

The increase of bilirubin can be manifested as jaundice, and the jaundice caused by any reason means that the human body is likely to have some pathological changes, so bilirubin is the indicator that doctors pay more attention to when diagnosing.

What to do?

After finding this problem in the physical examination, inform the doctor that further examination is needed.

Hepatic hemangioma

Many people are very sensitive to the word "tumor". In fact, hepatic hemangioma is a congenital malformation originating from blood vessels and is a benign disease.

Cavernous hemangioma of the liver usually has no symptoms of discomfort and is often found during physical examination. After a few hemangiomas grow, the corresponding organs will be compressed and the corresponding organs will be uncomfortable. For example, pressing the stomach will cause the upper abdominal fullness, dull pain, nausea and vomiting and other discomfort after meals.

What to do?

If there are no clinical symptoms, special treatment is not necessary, and there is no need to worry too much. Color Doppler ultrasound can be reviewed every six months to one year.

Liver calcification

There is no need to worry about the isolated calcification without other intrahepatic ultrasound findings.

What to do?

No special treatment.

Hepatic cyst

A liver cyst, popularly speaking, is a quasi-circular sac in the liver containing fluid.

Hepatic cyst is a benign liver disease.

If the liver cyst has no impact on health, there is no need to worry about it. When the cyst is especially large, it may compress the adjacent organs and cause discomfort.

What to do?

Generally, liver cysts found do not need to be treated. If the cyst is too large, it can be treated by sclerosing injection or surgical resection. If the examination result is polycystic liver disease, you need to go to the hepatobiliary surgery for further consultation to see if it needs treatment.