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All You Need to Know About Liver Function Test(LFT): Understanding the Test and Its Importance

All You Need to Know About Liver Function Test(LFT): Understanding the Test and Its Importance

February 27, 2023
11 min read

Introduction:

The liver is an essential organ that plays a crucial role in filtering toxins, producing bile, metabolizing drugs and hormones, storing energy, and regulating blood sugar levels. However, several factors, including alcohol consumption, viral infections, and genetic disorders, can damage the liver, leading to various liver diseases and disorders. That's why a liver function test (LFT) is necessary to monitor the liver's health and function.

LFT is a blood test that measures several liver enzymes, proteins, and other substances to evaluate the liver's health and function. This test helps diagnose liver diseases, including hepatitis, cirrhosis, and fatty liver disease, and monitor the treatment's effectiveness. In this article, we will explore everything you need to know about LFT, its importance, procedure, and interpretation.

What is a Liver Function Test?

A liver function test is a blood test that measures the levels of several enzymes, proteins, and other substances that indicate how well the liver is functioning. The liver produces several enzymes and proteins that help metabolize and eliminate toxins, drugs, and hormones from the body. When the liver is damaged or not functioning correctly, these enzymes and proteins leak into the bloodstream, causing their levels to increase. An LFT measures the levels of these enzymes and proteins to evaluate the liver's health and function.

Why is a Liver Function Test Important?

A liver function test is essential to monitor the liver's health and function, especially if you have risk factors for liver diseases, such as alcohol consumption, viral hepatitis, and obesity. Early detection of liver diseases can help prevent further liver damage, improve treatment outcomes, and reduce the risk of liver failure and liver cancer.

LFT is also necessary to monitor the liver's response to medications that can damage the liver, such as chemotherapy drugs, statins, and antifungal agents. Your doctor may order an LFT before starting any medication that can affect the liver and periodically during the treatment.

How is a Liver Function Test Done?

A liver function test is a simple blood test that can be done at a laboratory or a healthcare provider's office. Here's what to expect during the LFT procedure:

  1. Fasting: You may need to fast for several hours before the test, as some LFT parameters, such as fasting blood sugar and triglycerides, require fasting.
  2. Blood sample collection: A healthcare provider will draw blood from a vein in your arm using a needle. The procedure usually takes a few minutes and may cause slight discomfort.
  3. Results: The blood sample will be sent to a laboratory for analysis, and the results will be available within a few days.

What Does a Liver Function Test Measure?

A liver function test measures several parameters, including:

  1. Alanine aminotransferase (ALT): This enzyme is found primarily in the liver and is released into the bloodstream when the liver is damaged. High levels of ALT indicate liver damage, such as hepatitis and cirrhosis.
  2. Aspartate aminotransferase (AST): This enzyme is found in the liver, heart, and other organs and is released into the bloodstream when the liver is damaged. High levels of AST indicate liver damage, but also heart or muscle damage.
  3. Alkaline phosphatase (ALP): This enzyme is found in the liver, bones, and other organs and is released into the bloodstream when the liver is damaged or when there is a problem with bone metabolism. High levels of ALP indicate liver diseases, such as hepatitis and cirrhosis, or bone disorders, such as Paget's disease and osteomalacia.
  4. Total protein: This measures the total amount of protein in the blood, including albumin and globulin. Low levels of total protein indicate liver disease, kidney disease, or malnutrition.
  5. Albumin: This protein is produced by the liver and is responsible for maintaining the blood's osmotic pressure. Low levels of albumin indicate liver disease or malnutrition.
  6. Bilirubin: This is a waste product produced by the liver during the breakdown of red blood cells. High levels of bilirubin indicate liver disease, such as hepatitis and cirrhosis, or other disorders, such as gallstones and hemolytic anemia.
  7. Prothrombin time (PT): This measures the time it takes for blood to clot. Liver diseases can affect the blood's ability to clot, leading to bleeding and bruising.

What Do Liver Function Test Results Mean?

Interpreting liver function test results can be complex, as several factors can affect the levels of liver enzymes and proteins. Your healthcare provider will evaluate your LFT results in the context of your medical history, symptoms, and physical examination. Here are some possible interpretations of LFT results:

  1. Elevated ALT and AST levels: This indicates liver cell damage, such as hepatitis and cirrhosis.
  2. Elevated ALP levels: This indicates liver disease, bone disorders, or bile duct obstruction.
  3. Low albumin levels: This indicates liver disease or malnutrition.
  4. Elevated bilirubin levels: This indicates liver disease, bile duct obstruction, or hemolytic anemia.
  5. Prolonged PT: This indicates liver disease or vitamin K deficiency.
  6. Your healthcare provider may order additional tests, such as imaging studies and liver biopsy, to confirm the diagnosis and assess the extent of liver damage.

Conclusion:

A liver function test is a vital test that helps detect liver diseases and disorders and monitor the liver's health and function. LFT is a simple blood test that measures several liver enzymes, proteins, and other substances to evaluate the liver's health and function. Interpreting LFT results can be complex, as several factors can affect the levels of liver enzymes and proteins. Your healthcare provider will evaluate your LFT results in the context of your medical history, symptoms, and physical examination. If you have risk factors for liver diseases or experience symptoms of liver disease, such as abdominal pain, jaundice, and fatigue, talk to your healthcare provider about the need for an LFT. Early detection of liver diseases can help

FAQs
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What is a liver function test?
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How often should I have an LFT?
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Why is an LFT done?
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What are the risks of an LFT?
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Does Liver Function Test require fasting ?
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What do abnormal liver function test results mean?
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How can I prevent liver disease?
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What does an elevated level of alanine aminotransferase (ALT) indicate?
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What does an elevated level of aspartate aminotransferase (AST) indicate?
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What does an elevated level of alkaline phosphatase (ALP) indicate?
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What does an elevated level of bilirubin indicate?
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Can an LFT diagnose liver cancer?
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Can an LFT detect hepatitis?
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Can an LFT detect liver cirrhosis?