Conversation: The conversation between human and AI assistant.
[|Human|] I am 43 years old and have classic gallbladder pains and symptoms, HOWEVER, I had and ultra sound and Ct scan and they are negative.My blood alt and ast and lipase are elevated.I have pain in my upper right abdomen and need to know what my next step is. can you help or suggest what I should do?
[|AI|]  HI. The enzymes are elevated, means there can be a problem with the head of the pancreas. This is as per your symptoms. You need an MRI for the area to get a proper diagnosis, and also an ERCP (endoscopy)... Get a proper diagnosis under the care of a Gastroenterologist. Till then stop fatty foods. Take plenty of oral fluids if tolerated. If not possible to take orally, you may need an admission and further management.