Elevated transaminases
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
 
| Elevated transaminases | |
|---|---|
| Synonyms | Elevated liver enzymes, transaminitis | 
| Pronounce | N/A | 
| Specialty | N/A | 
| Symptoms | Often asymptomatic, fatigue, nausea, jaundice | 
| Complications | Liver disease, cirrhosis, liver failure | 
| Onset | Variable | 
| Duration | Depends on underlying cause | 
| Types | N/A | 
| Causes | Hepatitis, non-alcoholic fatty liver disease, alcoholic liver disease, medications, autoimmune hepatitis, hemochromatosis, Wilson's disease | 
| Risks | Obesity, diabetes, alcohol consumption, viral infections | 
| Diagnosis | Blood test for alanine transaminase (ALT) and aspartate transaminase (AST) | 
| Differential diagnosis | Viral hepatitis, alcoholic hepatitis, non-alcoholic steatohepatitis, autoimmune hepatitis | 
| Prevention | Healthy lifestyle, avoiding excessive alcohol, managing weight | 
| Treatment | Addressing underlying cause, lifestyle changes, medication | 
| Medication | N/A | 
| Prognosis | N/A | 
| Frequency | Common | 
| Deaths | N/A | 
Elevated transaminases refers to the condition where the levels of transaminases, a type of enzyme, are higher than normal in the body. This condition is often indicative of liver damage or inflammation, as transaminases are typically found in the liver. 
Causes
Elevated transaminases can be caused by a variety of conditions, including hepatitis, alcoholic liver disease, nonalcoholic fatty liver disease, cirrhosis, and liver cancer. Other potential causes include heart failure, celiac disease, and mononucleosis. Certain medications, such as statins, can also cause elevated transaminases.
Symptoms
In many cases, elevated transaminases do not cause any symptoms. However, if the elevation is due to liver disease, symptoms may include jaundice, fatigue, abdominal pain, nausea, and vomiting.
Diagnosis
Elevated transaminases are typically discovered during routine blood tests. If elevated levels are found, further testing may be done to determine the cause. This can include additional blood tests, imaging studies, or a liver biopsy.
Treatment
Treatment for elevated transaminases depends on the underlying cause. This may involve lifestyle changes, such as diet and exercise, medication, or in some cases, surgery.
See also
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Contributors: Prab R. Tumpati, MD