Conversation: The conversation between human and AI assistant.
[|Human|] I have had an issue with back pain since 2015. At that time I had mildly elevate liver enzymes and fatty liver. Had an ultrasound which showed possible stone at the neck of the gallbladder and a dilated common bile duct. My Physican suggested loosing weight to possibly decreasing the enzymes. I am a very busy person and almost 9 months later I returned to see him. During that time I have intentionally lost 30 pounds with low carb diet. I have been having consistent right upper back pain which will on occasion come to the front of my chest. With a stabbing sensation. Last week I repeated my labs and my ALT was 165 Ast was 65. Really concerned with this pain. Saw NP and she wanted me to return in 4 weeks to repeat labs. My alkaline phospatate was 65. I do have a history of drinking beer. Do u feel this could be my gallbladder. My biggest concern is that I am having all this pain and she wants to wait.
[|AI|]  Hello, I can understand your concern. I agree with you that this may be a gall bladder issue but I strongly believe that there may be other abdominal causes as well that can cause these symptoms and derangement, especially causes related to the liver. You need to consult a good hepatologist and get a CT contrast abdomen or an MRI abdomen for deciding the further line of treatment. Hope this was useful. Thank you