Conversation: The conversation between human and AI assistant.
[|Human|] I went to the ER last night because of abdominal pain with distention and vomitting. They gave me pain meds and reglan and sent me on my way to f/u with GI. They did not say anything about it but my AST was elevated at 60 and I had an MRI a month ago that showed a hepatic hemangioma . I also have a connective tissue disease with gastroparesis and take methotrexate . Bottom line, am I being paranoid to not believe him that all my labs were okay. ? Or would it be best to call my primary or rheum. I am just wondering why my AST is elevated but maybe that s normal enough .
[|AI|]  Hello dear increased AST suggests that there is liver cellular injury. It may be due to hematoma (a swelling arising from blood vessels of the liver). If the haemangioma is small and ASYMPTOMATIC you need not worry except fallow up if it complicates. If it is big and causing symptoms need surgical removal. Hence you are advice to consult a HEPATOBILIARY surgeon. Hope this answer is helpful to you take care