Conversation: The conversation between human and AI assistant.
[|Human|] Im a 47 year old female, 5ft 5 in. 145 lbs.  I had a blood test with elevated liver enzymes 150 AST and 350 ALT, 1 week later I had another blood test that showed AST at  350 and ALT at 750.  My phosphates level was also at a 150 on the second blood test.  Doctor had me get a sonogram of my gall bladder, liver and spleen but all showed fine.  I have a few swollen glands but have had a respiratory infection with cough so the doctor thought that was most likley from my repiratory infection.  Worried about why my liver enzymes are rising rapidly.  Im not an alcohol drinker. I have had swollen hands and achy joints for quite some time but doctors never had any answers - dont know if that is related to this. Any suggestions?
[|AI|]  Hi thanks for asking question. Noted you have elevated liver enzymes with normal USG ... If you have hypertension induce or by other reason heart failure then also liver enzymes elevated with swelling....ECG can be useful. Autoimmune conditions also can affect liver. Hemochromatosis, Wilson disease also are another causes that can elevate liver enzymes. If liver because suspected biopsy can be helpful. Here myositis like muscular problem and celiac disease like malabsorption syn Chat Doctor. .... Take care...