What does elevated cholinesterase mean?

May 12, 2023 Source: Cainiu Health
Dr. Jiang Weimin
Introduction
Elevated cholinesterase levels may be caused by physiological factors, or possibly by pathological conditions such as hyperthyroidism or alcoholic liver disease, and treatment should be based on the underlying cause. Besides the above reasons, it could also be due to cirrhosis; therefore, it is important to promptly visit a hospital for a comprehensive examination, identify the cause, and then implement targeted treatment measures.

Under normal circumstances, elevated cholinesterase levels may be caused by physiological factors, but they can also result from pathological conditions such as hyperthyroidism or alcoholic liver disease. Treatment should be based on the underlying cause. Specific details are as follows:

I. Physiological Factors

If a person is excessively obese with high body fat content, this can affect the excretion of cholinesterase, leading to its accumulation in the body and resulting in elevated levels. It is recommended to increase physical activity, such as jogging or brisk walking, which helps accelerate metabolism and promote the elimination of cholinesterase.

II. Pathological Factors

1. Hyperthyroidism

Patients with hyperthyroidism may experience palpitations and hand tremors. In severe cases, the condition leads to systemic overactivity, disrupting normal bodily functions and causing increased cholinesterase levels. Treatment includes medications such as prednisone acetate tablets, methimazole tablets, and propylthiouracil tablets, taken according to medical advice.

2. Alcoholic Liver Disease

This condition increases the burden on liver function, leading to cholinesterase accumulation and elevated levels. Alcohol consumption must be stopped, and patients should follow medical guidance to take liver-protective medications such as hepaprotective tablets, silymarin capsules, and compound glycyrrhizin tablets.

Besides the above causes, elevated cholinesterase may also result from chronic hepatitis, fatty liver, cirrhosis, and other factors. It is important to visit a hospital promptly for a comprehensive evaluation, identify the exact cause, and receive targeted treatment accordingly.


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