Published on: 2025-07-01 | Written by: دكتور خالد محمد احمد استشارى الباطنة والضغط والسكر و الجهاز الهضمى
Elevated liver enzymes are often an early indicator of an underlying health issue, whether in the liver itself or other organs related to its function. Sometimes, these abnormalities are discovered incidentally during routine blood tests.
Dr. Khaled Mohamed Ahmed, Consultant in Internal Medicine, explains that interpreting liver enzyme results requires a thorough understanding of the patient’s medical history and associated symptoms to reach an accurate diagnosis.
Liver enzymes are proteins that help the liver carry out its essential functions. The most common ones include:
ALT (Alanine Transaminase)
AST (Aspartate Transaminase)
ALP (Alkaline Phosphatase)
GGT (Gamma-Glutamyl Transferase)
According to Dr. Khaled Mohamed Ahmed, elevated enzyme levels typically indicate inflammation or damage to liver cells.
Dr. Khaled Mohamed Ahmed highlights the most frequent causes:
Fatty liver disease (non-alcoholic steatohepatitis – NASH)
Viral hepatitis (types B and C)
Medication side effects, including painkillers or antibiotics
Alcohol consumption or use of harmful herbal supplements
Diabetes and high cholesterol
Autoimmune or chronic inflammatory diseases
Not necessarily. Dr. Khaled Mohamed Ahmed notes that while some cases are temporary and benign, ignoring elevated liver enzymes can allow underlying conditions to worsen.
In some instances, levels return to normal once the root cause—such as a medication—is addressed or dietary habits are improved.
To determine the exact cause, the doctor may recommend:
A full review of the patient’s medical and family history
A physical examination
Additional blood tests (full liver function panel, hepatitis screening)
Ultrasound or other imaging
In some cases, a CT scan or liver biopsy
Dr. Khaled Mohamed Ahmed stresses the importance of regular follow-ups, especially if liver enzyme levels remain elevated or rise significantly.
Yes—and the treatment depends on the underlying cause. General advice from Dr. Khaled Mohamed Ahmed includes:
Reducing intake of fats and sugars
Avoiding alcohol completely
Losing excess weight
Avoiding over-the-counter medications that burden the liver
Treating the primary condition (e.g., viral hepatitis)
Elevated liver enzymes should never be ignored—they are often early warning signs of hidden liver dysfunction.
Dr. Khaled Mohamed Ahmed emphasizes that early diagnosis and ongoing monitoring are key to preventing long-term complications and maintaining liver health.