• 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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Silent Heart Attacks Are Rising Among Indians Under 40

Why Silent Heart Attacks Are Rising Among Indians Under 40

Introduction

Heart attacks have long been considered a condition affecting older adults. But over the past few years, a worrying trend has emerged in India—silent heart attacks among people under the age of 40 are on the rise. These are heart attacks that occur with little or no obvious symptoms, making them especially dangerous.

So why is this happening? What are the reasons behind this silent epidemic? In this blog, we’ll explore the growing concern of silent heart attacks in young Indians, their causes, signs to watch for, and how you can protect yourself and your loved ones.

 

What is a Silent Heart Attack?

A silent heart attack, medically known as a silent myocardial infarction, happens when the blood flow to a part of the heart is blocked, but the usual symptoms like chest pain or discomfort are missing. Many people mistake it for indigestion, fatigue, or anxiety, and don’t realize they’ve had a heart attack until much later.

By the time it's diagnosed, some damage has already been done to the heart. That’s what makes it more dangerous—you may not even know it happened until it’s too late.

 

Alarming Trend: Younger Indians at Risk

India is seeing more cases of heart attacks among people in their 20s and 30s. In the past, these were considered rare. But now, it’s becoming increasingly common, especially in urban areas.

Here are some facts that highlight this trend:

  • Nearly 1 in 5 heart attack patients in Indian hospitals are under 40.

  • Many are fit-looking, working professionals with no known heart problems.

  • In several cases, the first sign of heart disease is the heart attack itself—and sometimes, it’s silent.
     

So, what’s causing this shift?

 

Top 7 Reasons Why Silent Heart Attacks Are Rising Among Indians Under 40

1. Unhealthy Lifestyle

Fast-paced lives, late-night work schedules, poor diet, and lack of sleep have become the norm. Add junk food, sugar-loaded drinks, and smoking to the mix, and you’ve got a recipe for disaster.

2. High Stress Levels

Chronic stress increases blood pressure and leads to inflammation in the arteries. Young professionals facing pressure in jobs, studies, or family life are often silently harming their heart health.

3. Sedentary Habits

Many people, especially in IT and corporate jobs, spend long hours sitting without movement. Lack of exercise is directly linked to a higher risk of heart disease.

4. Diabetes & Hypertension at a Young Age

More Indians are developing type 2 diabetes and high blood pressure in their 20s and 30s, often without knowing it. These are major risk factors for heart attacks.

5. Smoking and Alcohol

Smoking, especially among men under 40, is still common in India. It narrows blood vessels and damages the heart. Regular alcohol use also increases risk when combined with poor lifestyle choices.

6. Family History of Heart Disease

If heart problems run in your family, your risk is automatically higher—even if you feel healthy. Many young people ignore this factor.

7. Lack of Regular Health Check-ups

Young adults often believe they are “too young” to get sick and avoid check-ups. Silent heart issues can go undetected for years without tests like ECG, cholesterol, or blood pressure checks.

 

Signs You May Be Having a Silent Heart Attack

Since silent heart attacks don’t cause obvious chest pain, you have to be more alert. Here are some subtle signs to watch for:

  • Mild discomfort in the chest, back, or jaw

  • Unexplained fatigue or tiredness

  • Dizziness or lightheadedness

  • Shortness of breath, even with small activity

  • Cold sweats

  • Nausea or feeling like you have indigestion
     

These symptoms may come and go, so many people ignore them. But if you feel “not quite right”, especially if you have risk factors, don’t ignore it—get checked immediately.

 

How to Protect Yourself

Preventing silent heart attacks starts with knowing your risks and taking proactive steps to stay healthy:

1. Get Regular Health Check-Ups

Annual heart screenings, cholesterol checks, and blood pressure monitoring can catch problems early—even if you feel fine.

2. Eat a Heart-Healthy Diet

Focus on fresh fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, excess salt, and sugary drinks.

3. Exercise 30 Minutes Daily

A brisk walk, yoga, swimming, or cycling can strengthen your heart and improve blood flow.

4. Quit Smoking

It’s one of the biggest risk factors for early heart disease. If you smoke, get help to quit today.

5. Manage Stress

Take time out daily to relax. Deep breathing, meditation, hobbies, or talking to someone can help reduce stress.

6. Limit Alcohol

Cut back on drinking, especially binge-drinking on weekends, which is common among young adults.

7. Know Your Family History

If heart disease runs in your family, be extra careful and talk to your doctor about your risks.

 

When to See a Doctor

If you feel even mild symptoms or just feel unusually tired or breathless without reason, it’s better to get a check-up. Don’t wait—heart issues in young people can be caught early with the right medical help.

You can book a cardiology consultation online and get lab tests done from the comfort of your home. Early detection can save your life.

 

Conclusion

The rising cases of silent heart attacks among Indians under 40 are a wake-up call. With fast lives, unhealthy habits, and silent symptoms, many young people are unknowingly at risk. But the good news is, heart disease is often preventable with simple lifestyle changes and timely check-ups.

If you’re under 40, don’t ignore your heart health. Take action today to protect yourself and your future.

Worried about your heart health? Book a cardiology check-up now and understand why silent heart attacks are rising among Indians under 40.

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