Abnormal Liver Function Tests
Abnormal Liver Function Tests Explained
Abnormal liver function tests indicate that a liver problem has
developed. Such problems are usually indicated by the presence of elevated liver enzymes.
Liver function tests assess the overall health and the anatomical integrity of the liver. A liver function test is routinely called an "LFT," and includes measurements of
various liver enzymes, including bilirubin, albumin, cholesterol and total protein. To learn more about these
measurements, click on liver function test
results.
Types of liver function tests
1) The first category of liver function tests measures detoxification and excretory functions.
The serum bilirubin test is typical of this group.
Bilirubin is a substance in bile which is produced by the breakdown of red blood cells.
Bilirubin is orange-colored. When bilirubin levels are above normal, a condition called jaundice results.
Excess bilirubin often results from the increased destruction of red blood cells, or hemolysis.
A high bilirubin level might also occur because the liver can't remove bilirubin in a timely manner.
2) Another type of liver function test detects damage to the liver structure by measuring liver
enzyme levels in the liver. Elevated liver enzymes tell your physician that there is an obstruction to bile flow,
or there's damage to the liver cells.
3) A liver function test also includes tests that are based on bio-synthetic functions. These
type of liver function tests typically include the serum globulin test and the serum albumin test.
Three types of globulins (globulins contain most of the antibodies of the blood) are measured by
the serum globulin test. They are known as alpha, beta and gamma. The liver synthesizes the alpha and beta
globulins, and the cells of the immune system synthesize the gamma globulin.
When the liver isn't functioning properly, the alpha and the beta globulins are decreased and
the gamma globulin levels are increased.
Serum albumin is the main protein in blood plasma. A drop in the normal serum albumin level
could be a clue of chronic liver disease. However, other conditions like kidney problems and malnutrition could
also be the result of a decrease in serum albumin.
4) The last category of liver function tests includes ultrasonography and biopsy.
Ultrasonography helps in the diagnosis of obstructive jaundice. It is also used when gallstone disease might be
present. Ultrasonography is also helpful in detecting lesions in the liver. It can furthermore be used with a
Doppler test to assess the condition of the blood vessels.
A biopsy can also be helpful in determining problems with liver function. A biopsy, of course,
is done through the skin in cases where the cause of liver disease is undetermined. Biopsy can also be extremely
helpful in diagnosing enlarged liver, suspected cancers, and enlarged spleen.
Abnormal liver function tests indicate that the liver is dealing with some kind of problem, like
fatty liver, cirrhosis, or hepatitis. Further testing and diagnosis are in order.
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