What are the causes of prealbumin being 600 mg/L?

Under normal circumstances, the reference range of prealbumin for adults is 280–360 mg/L. A level exceeding 600 mg/L is higher than normal and considered elevated. This may be caused by factors such as intense physical exercise, improper diet, acute enteritis, viral hepatitis, or glomerulonephritis. Patients should seek timely medical evaluation at a正规 hospital and receive appropriate treatment based on the underlying cause. The specific analysis is as follows:

1. Intense Physical Exercise

Prolonged or strenuous exercise may lead to the release of muscle metabolites and tissue damage, triggering inflammatory responses and increased protein synthesis, which can result in elevated prealbumin levels. This is a normal physiological phenomenon and usually does not require specific treatment.

2. Improper Diet

If a person consumes excessive amounts of high-protein foods before testing, transient elevation in prealbumin levels may occur. This condition typically does not require special intervention and will gradually return to normal after dietary adjustments.

3. Acute Enteritis

This condition is usually caused by bacterial or viral infections. Inflammatory stimulation can lead to increased prealbumin levels. Some patients may also experience symptoms such as abdominal pain, diarrhea, and fever. Treatment should follow medical advice and may include antibiotics such as amoxicillin capsules, azithromycin tablets, or cefixime dispersible tablets. Maintaining good dietary hygiene and avoiding contaminated food is recommended.

4. Viral Hepatitis

This disease is generally caused by viral infection, which may interfere with the liver's ability to synthesize proteins, leading to elevated prealbumin levels. Symptoms may include fever, chills, and nausea. Antiviral medications prescribed by a physician—such as lamivudine tablets, entecavir tablets, or tenofovir alafenamide fumarate tablets—may be used for treatment.

5. Glomerulonephritis

This condition may be associated with infections or immune system disorders. Patients may present with hematuria, edema, fever, fatigue, and, in severe cases, elevated prealbumin levels. Medications such as enalapril maleate tablets, benazepril hydrochloride tablets, or compound captopril tablets may be prescribed. For severe cases, kidney transplantation may be considered under a doctor’s guidance.

In daily life, patients should maintain adequate warmth to avoid cold exposure, ensure sufficient rest, and avoid excessive fatigue.