Conversation: The conversation between human and AI assistant.
[|Human|] liver ultrasound normal but ast 215 and alt 108.. had my gallbladder out a couple year ago. I went on a hike and my right quad was hurting and my left knee has arthritis so i popped a couple of Tylenol in the morning before i went to the doc did not know i was going to take blood test could this cause the ast and alt to elevate ?
[|AI|]  Hello, The medication intake especially paracetamol in excess amount is a well-known cause to elevate liver enzymes.  So I suggest you stop the medication just now and repeat Sept after few days. If came to normal level than it is suggestive that cause can be medication.  If still elevated after few days than investigating with ultrasonography abdomen and viral hepatitis profile testing.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.