Conversation: The conversation between human and AI assistant.
[|Human|] My son has been to his dr several times for chest pain then it moved to his side when he ran or walked, now he is having pain when he bends over or pushes on his stomache. We know something is wrong his blood work shows his liver function is high and liver enzymes are high and a few smudge cells and low red blood and high white blood cells. could all this be from his gall bladder?
[|AI|]  Hi welcome to the Chat Doctor Your child liver enzymes value high.... This value high when enzymes released in blood after hepatocytes injury I need to know Sept, got value for giving more comment For further investigation USG abdomen can be done here in your son If Sept, got more than two folds rise than detail further work up needed And as smudge cells present, we have been alert and let me know you total WBC count and total lymphocytes count for giving more comment on that.... Smudge cell are seen usually in chronic lymphocytes leukemia but I don't think we can directly jump onto leukemia... Inform total WBC and lymphocytes count... And repeat CBC after week Give him low fat diet Fruits and green leafy vegetables taken more Avoid alcohol if having habit Take care Consult physician for examination and further work up accordingly