Do people who drink alcohol long-term always have normal transaminase levels?

Generally, people who drink alcohol over a long period tend to have abnormal levels of transaminase. The detailed explanation is as follows:

Transaminase is mainly present in various cells, most abundantly in liver cells and secondarily in myocardial cells. Long-term alcohol consumption increases the burden on the liver, leading to liver cell damage and consequently elevated transaminase levels. Therefore, transaminase levels in individuals who drink chronically are typically abnormal. Such patients may also experience symptoms such as liver area pain, abdominal distension, and fatigue. If these symptoms occur, it is important to stop drinking alcohol immediately, ensure adequate rest, avoid staying up late, and refrain from consuming spicy or irritating foods to prevent further worsening of the condition. When necessary, patients may take medications such as compound glycyrrhizin tablets or silybin capsules under medical supervision.

If patients experience discomfort, they should seek timely medical attention at a hospital for targeted treatment to avoid delaying their recovery.