Conversation: The conversation between human and AI assistant.
[|Human|] I received a message from my son, 45, in Atlanta. He reported that his AST=53 and the ALT = 58. He also has reported a lump under his left arm. I suggested that he stop taking all his various supplements and drink lots of water for the next two weeks before repeating labs. I recommended that he see a hepatologist for the elevated AST and ALT but don t know who to recommend for the swollen probably lymph node. I am a PhD in the biological sciences, worked for Baxter Healthcare, and am a 16+year bilateral lung transplant recipient and 2+ year kidney transplant recipient so I have learned a lot about lungs, kidney and pancreas.
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. He has only mild increase in AST and alt level.  It could be due to some viral infection, alcohol, Chat Doctor.  He should repeat his liver function test after a week.  He may have some enlarged lymph node.  It may be due to reactive hyperplasia, tuberculosis or lymphoma.  He should go for fine needle aspiration cytology of that lump.  It will give perfect idea regarding cause.  Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.