Do I Need Liver Function Tests? Symptoms and Next Steps

Liver issues

Hello, doctor.
I would like to ask about my situation.
Previously, I bought weight loss pills after seeing them on TV, but my weight did not decrease at that time.
However, my weight has since dropped from 56 kg to 48 kg.
Last year, I spent almost the entire year dealing with colds; whenever there was an outbreak of influenza, I would definitely catch it, and I have been unable to fully recover.
I also have some symptoms such as easy fatigue, lack of immunity, and excessive sleepiness.
Someone suggested that I might need to go to the hospital for a blood test to check my liver function, as there may be an issue with it.
I would like to ask the doctor if my symptoms truly warrant a blood test for liver function.
Also, I live in Erlin Township, Changhua County, and I am unsure which hospital offers this type of testing.

Ya Zi, 20~29 year old female. Ask Date: 2003/04/01

Dr. Xu Ruihong reply Gastroenterology and Hepatology

Unexplained weight loss is not necessarily a liver issue, but it is important to consult a physician for a thorough examination.
Since you live in Changhua, you should be more familiar with the trustworthy hospitals in your area than I am.

Reply Date: 2003/04/01

More Info

Based on your symptoms and history, it is indeed advisable to consider liver function tests. Your weight loss, recurrent illnesses, fatigue, and low energy levels could potentially indicate underlying health issues, including liver dysfunction.

Understanding Liver Function Tests
Liver function tests (LFTs) are a group of blood tests that provide information about the state of your liver. These tests measure the levels of various enzymes, proteins, and substances produced or processed by the liver. The most common markers include:
- Alanine Aminotransferase (ALT): Elevated levels can indicate liver inflammation or damage.

- Aspartate Aminotransferase (AST): Similar to ALT, high levels can suggest liver issues but can also be elevated due to other conditions.

- Alkaline Phosphatase (ALP): This enzyme can indicate bile duct obstruction or liver disease.

- Bilirubin: Elevated levels can indicate liver dysfunction or bile duct obstruction.

- Albumin and Total Protein: These tests measure the liver's ability to produce proteins.

Symptoms Indicating the Need for Testing
Your symptoms of persistent fatigue, frequent infections, and significant weight loss are concerning. While these symptoms can arise from various conditions, they may also suggest liver problems, especially considering your history of using weight loss medications. Some weight loss drugs can have hepatotoxic effects, leading to liver damage or dysfunction.

Next Steps
1. Consult a Healthcare Provider: Given your symptoms, it is crucial to consult with a healthcare provider who can evaluate your condition comprehensively. They may recommend a physical examination and a detailed medical history review.

2. Liver Function Tests: If your healthcare provider deems it necessary, they will order LFTs to assess your liver health. This will help determine if there are any abnormalities that need further investigation.

3. Additional Tests: Depending on the results of your LFTs, your doctor may recommend additional tests such as imaging studies (like an ultrasound) or more specific blood tests to check for viral hepatitis or autoimmune liver diseases.

4. Lifestyle Modifications: Regardless of the test results, adopting a healthier lifestyle can benefit your overall health. This includes a balanced diet, regular exercise, adequate hydration, and avoiding alcohol and unnecessary medications.

Finding a Testing Facility
In terms of where to get these tests done, you can visit local hospitals or clinics in Changhua County, particularly in Erlin Township. Major hospitals in the area, such as Changhua Christian Hospital or other regional medical centers, typically offer comprehensive laboratory services, including liver function tests. You may want to call ahead to confirm that they provide the specific tests you need.

Conclusion
In summary, your symptoms warrant further investigation, and liver function tests are a reasonable next step. Early detection of liver issues can lead to better management and outcomes. Please prioritize scheduling an appointment with a healthcare provider to discuss your symptoms and the need for testing. Your health is paramount, and taking proactive steps can help you regain your well-being.

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