• Published on: Sep 15, 2021
  • 5 minute read
  • By: Dr Rakesh Rai

Everything About Liver Function Tests- Purpose & Significance

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Everything About Liver Function Tests- Purpose & Significance

Liver function tests are medical laboratory tests that measure the number of various substances in the blood that are released into your blood by liver cells or made by your liver. These substances are often called "liver enzymes" because they are enzymes that are produced exclusively by the liver to help regulate metabolism for processing chemicals, nutrients, and drugs.

A high level of any one of these may suggest an abnormal situation involving your liver. The most common symptoms associated with a problem involving your liver include nausea, vomiting, yellowing skin color (jaundice), fever, and abdominal discomfort such as pain on gentle pressing around about halfway down on the right side of the abdomen.

A liver function test is a blood test that evaluates an individual's liver function or sees if there may be a problem in this organ. Liver functions including leukocyte count, alkaline phosphatase, ALT/AST enzymes, and bilirubin levels are measured with results interpreted by physicians who then advise treatment options to relieve pain or reduce the risk of liver disease. If the level of these agents is elevated then the physician will typically recommend further diagnostics such as antibody testing for hepatitis B and C infections, ultrasounds, and biopsies.

Liver function tests are a series of blood tests used to evaluate liver function. Tests may include the following:

  • Inclusion of serum albumin or total proteins as variables in the SMA12 test
  • Albumin fractional catabolic rate (ACR) and erythrocyte sedimentation rate (ESR) measurements, which can be used as a surrogate marker for changes in hepatocellular activity
  • Visible change is indicative that hepatocytes have been damaged or destroyed, an indicator that liver disease is present.
  • Fractional synthetic rate of albumin synthesis calculated from measurements of serum creatinine and urinary urea nitrogen providing information about hepatocyte intracellular mass status with decreased album

The most common of these are aminotransferases ALT and AST. These enzymes are released into the bloodstream in excessive amounts by the cells that line the bile ducts that carry bile from the liver - where it gets made - to where it gets used up in digestion ??i.e., all over your body, not just in your liver but also near your kidneys) when there's any sort of problem with those cells or with damage done to them because of some other hurtful event.

In the context of a medical lab test, a liver function test is anyone that has to do with the liver. Serum bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase are common ones. A veterinarian could use ultrasound as well as biochemistry analysis. These tests show how well your liver is performing its duty to remove toxins from your body and to make bile for those toxins.  Liver function tests are conducted to assess the liver's ability to convert inactive substances in your blood to active ones.

Alanine aminotransferase (ALT/SGPT): tests what process - amino acid, carbohydrate, or fat - your liver is having trouble breaking down to store sugar for later use indigestion. This test will only show what type of enzyme the liver has difficulty processing at this time, so if this is normal but an alkaline phosphatase test comes back abnormal, this means there may be a different illness affecting the liver.

The test can measure certain chemicals that are released because of metabolism and excreted from the body in urine, such as albumin.

The most common indicators measured by blood-based liver function tests include GGT, ALP, total bilirubin / conjugated/unconjugated bilirubin, ALT and ASAT.

A group of enzymes found in healthy livers called GOT (gamma-glutamyl transpeptidase) and GPT (gamma-glutamyltransferase) can also be measured to determine damage to liver cells.

Liver Function Tests (LFTs) are a group of tests that measure the levels and function of various substances in the blood leave before digestion and within the liver. These include enzymes and proteins made by the liver; cholesterol, copper, iron, calcium, sodium, potassium; bilirubin level; albumin levels. The LFTs can be used to help diagnose many diseases such as viral hepatitis or alcoholic liver disease.

A history would normally prompt additional testing such as abdominal imaging for gallstones or metabolic abnormalities like cirrhosis caused by alcohol consumption. Kidney function should be tested because high-protein diets may cause kidney problems too. A genetic test might be warranted if there is a family history of inheritance. Liver function tests are a group of blood tests that doctors might use to evaluate the liver's ability to gather and store glycogen (sugar) and protein, produce bile, filter the blood, and produce cholesterol.

Drugs can accumulate in liver cells, leading to changes in levels of enzymes. Enzymes that are elevated may indicate an inflammatory or viral process as well as the use of certain medications such as steroids which need some time to clear from the body after discontinuation. The test isn't specific for any disease but can show if there is a liver problem even before symptoms occur, including cirrhosis and early hepatitis B and C infections. When first conducted, rapid elevations or decreases might be indications of acute injury or pre-clinically chronic injury respectively.

The liver may be the body's most important gland. It synthesizes nutrients from fat, carbohydrates, and protein into a form that can be absorbed by the blood to supply the cells, brain, and other tissues with a continuous supply of fuel. The liver also acts as a storage center for high-density energy reserves in times of food shortage or famine.

In response to viruses or bacteria which enter from our gut through their ingestion of contaminated water or insects’ excretions for example), substances called antibodies are manufactured in great numbers by specialized cells in an inflammatory reaction known as acute hepatitis. LFT helps measure the liver's endurance, by testing erythrocyte count, serum albumin level, bilirubin level and prothrombin time.

It's normal for your erythrocyte count to drop over time as you age. This is due mainly to the production of fewer red blood cells in your bone marrow. It may provide an indication of what is happening inside the liver with regard to the regeneration of new cells. An elevated or persistently high level can indicate cirrhosis or cancer. If it's persistently high, then requires radiologic imaging for diagnosis.

The liver function tests are blood tests that tell the physician how well the liver is working. The enzymes GGT, ALT, AST, and ALP are primarily tested to examine what should be healthy activities through three phases of hepatic metabolism. Since these enzymes exist primarily in the liver, they do not normally show up in any other tissue or fluid other than the bloodstream. If there is a disease that affects the cells within the liver, then inflammatory processes will ensue. This will lead to excessive production of oxygen-free radicals to facilitate cell death and release toxins into circulation which can affect all body systems including altering enzyme quantities, so they bump up against their normal reference ranges for evaluation.

The purpose of liver function tests is to diagnose and monitor a person's condition, based on levels of certain enzymes in the blood.

A high level of transaminases might be due to a variety of diseases or conditions, including hepatitis, cirrhosis, biliary obstruction from gallstones, or pancreatitis. Liver disease disrupting the production and release of albumin will also produce abnormally low-level albumin which can be detected with this test. A qualitative determination can be made if large amounts of Clotting Factor VIII are released into the bloodstream - Hepaetous Patina (HP) - leading to severe bleeding episodes independent from coagulation defects where plasma clotting normally should take place.

Liver function tests measure the level of different substances produced or used by the liver, such as albumin. The liver conditions may include fatty liver (hepatic steatosis), alcoholic hepatitis, cirrhosis, and many disorders affecting other parts of the body which ultimately damage the working capacity of your liver. Liver function tests are not meant to detect acute hepatitis or mild cases of elevated enzyme levels that commonly resolve on their own. Normal results suggest that there is no abnormality with your kidneys. Abnormal livers often show high amounts of creatinine kinase (CK) and alanine aminotransferase (ALT).

The liver is the body's only organ able to break down toxic compounds, so its function must be checked. The example you gave -- SGPT, or aspartate aminotransferase -- measures the level of a major liver enzyme. High levels could indicate damage from drugs also used for weight loss, such as acetaminophen/paracetamol (Tylenol) or metformin (Glucophage). Too-low levels of hepatocyte enzymes mean that the liver's not functioning properly and may develop complications like hepatitis and cirrhosis.

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Patients

Monthly Field Day with Patients & Staff: Building Trust, Engagement, and Wellbeing

Healthcare is built on relationships. While diagnosis, treatment and technology are critical, the human connection between patients and healthcare staff remains central to healing and recovery. A Monthly Field Day with Patients & Staff is a thoughtful initiative designed to strengthen these relationships by creating opportunities for interaction outside routine clinical environments.

In today’s healthcare systems, patient engagement and staff wellbeing are recognised as essential components of quality care. Monthly field days provide a structured yet informal platform to support both.

 

What Is a Monthly Field Day with Patients & Staff?

A Monthly Field Day is a planned engagement event where patients and healthcare staff come together to participate in non-clinical activities. These events focus on:

  • interaction
     

  • wellbeing
     

  • communication
     

  • community-building
     

They are not medical appointments but shared experiences that promote trust and understanding.

 

Why Field Days Matter in Healthcare

Healthcare Is Emotionally Demanding

Patients often experience anxiety, fear and uncertainty. Staff face long hours, emotional stress and high responsibility. Field days offer a space for:

  • relaxed interaction
     

  • emotional connection
     

  • mutual understanding
     

This humanises care delivery.

 

Strengthening Patient–Staff Trust

Trust grows through:

  • open communication
     

  • shared experiences
     

  • consistent engagement
     

Field days reduce perceived barriers between patients and healthcare teams.

 

Benefits for Patients

Improved Comfort and Confidence

Patients feel more at ease when they know the people involved in their care beyond clinical roles.

 

Better Engagement in Care

Engaged patients are more likely to:

  • ask questions
     

  • follow care plans
     

  • attend follow-ups
     

This leads to improved health outcomes.

 

Emotional and Social Wellbeing

Social interaction, light activity and positive experiences support mental and emotional health, especially for patients with chronic conditions.

 

Benefits for Healthcare Staff

Reduced Burnout

Regular non-clinical engagement helps:

  • reduce emotional fatigue
     

  • restore motivation
     

  • improve job satisfaction
     

 

Stronger Team Relationships

Shared activities strengthen teamwork and communication among staff members.

 

Renewed Sense of Purpose

Seeing patients outside stressful clinical settings reinforces the meaningful impact of healthcare work.

 

Organisational Benefits

Enhanced Patient-Centered Culture

Field days reinforce values of empathy, accessibility and respect.

 

Improved Patient Satisfaction

Trust and familiarity contribute to better patient experiences and feedback.

 

Better Communication and Feedback

Informal settings encourage honest dialogue, helping organisations understand patient needs and expectations.

 

Activities Commonly Included in Field Days

Wellness Activities

  • gentle exercises
     

  • stretching or yoga
     

  • breathing sessions
     

 

Educational Interactions

  • health awareness talks
     

  • preventive care discussions
     

  • lifestyle guidance
     

 

Recreational and Social Activities

  • group games
     

  • creative sessions
     

  • interactive challenges
     

These activities promote joy, connection and inclusion.

 

Inclusivity and Accessibility

Effective field days are:

  • inclusive of different age groups
     

  • adaptable for physical limitations
     

  • culturally sensitive
     

  • welcoming and non-competitive
     

Inclusivity ensures meaningful participation for all.

 

Why Monthly Frequency Works Best

Monthly scheduling:

  • maintains continuity
     

  • builds long-term trust
     

  • prevents disengagement
     

  • supports gradual relationship building
     

Consistency transforms engagement into culture.

 

Evidence Supporting Engagement Initiatives

Research shows that:

  • patient engagement improves health outcomes
     

  • staff wellbeing reduces errors and burnout
     

  • relationship-based care enhances satisfaction
     

Global health frameworks emphasise people-centred care models.

 

Measuring the Impact of Field Days

Impact can be evaluated through:

  • patient feedback
     

  • staff engagement surveys
     

  • participation rates
     

  • qualitative testimonials
     

Regular assessment helps refine the program.

 

Implementing a Successful Monthly Field Day

Key elements include:

  • leadership support
     

  • clear objectives
     

  • simple, inclusive activities
     

  • consistent scheduling
     

  • feedback-driven improvement
     

Success depends on commitment rather than scale.

 

Long-Term Impact on Healthcare Culture

Over time, Monthly Field Days contribute to:

  • stronger trust
     

  • improved communication
     

  • better morale
     

  • enhanced care experience
     

They reinforce the idea that healthcare is a partnership between people.

 

Conclusion

A Monthly Field Day with Patients & Staff is more than an engagement activity—it is a meaningful investment in trust, wellbeing and human connection. By creating shared experiences beyond clinical settings, healthcare organisations strengthen relationships that directly influence care quality and satisfaction. In an environment often driven by efficiency and outcomes, monthly field days remind us that compassion, communication and community remain at the heart of effective healthcare.

 

References

  • World Health Organization (WHO) – People-Centred Care and Patient Engagement

  • Indian Council of Medical Research (ICMR) – Patient Experience and Care Quality Studie

  •  Lancet – Patient–Provider Relationships and Health Outcomes

  • National Health Systems Resource Centre – Community Engagement in Healthcare

  • Indian Journal of Healthcare Management – Staff Wellbeing and Patient Satisfaction

  • Statista – Healthcare Engagement and Experience Trends

See all

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