First of all, the cause of excessive transaminase must be identified. The following conditions may lead to high transaminase:

1. Diseases of the liver itself, especially various types of viral hepatitis, cirrhosis, Liver abscess, liver tuberculosis, liver cancer, fatty liver, etc. can all cause varying degrees of elevated transaminases. Heart disease, acute myocardial infarction, myocarditis, and heart failure can cause high transaminases.

When bile duct diseases such as cholecystitis and cholelithiasis occur acutely, in addition to being accompanied by fever, abdominal pain, nausea, vomiting, jaundice, etc., they can also cause high blood bilirubin and transaminases.

2. A variety of drugs and chemical agents can cause high transaminases, but they can return to normal after stopping the drug. Heavy or long-term drinking can also cause elevated transaminases.

After identifying the cause, if it is a disease, treat it. If it is caused by drinking, you need to stop drinking.