Conversation: The conversation between human and AI assistant.
[|Human|] I have a fatty liver and I have known this for years and no one has ever said anything. I was in the ER 2 days ago for right upper abdominal pain and my ALT was 178 and my AST was 148...the doctor couldn t tell me what was wrong and didn t address it but im really worried. I will be following up in a couple days but I don t know what to do!
[|AI|]  HelloIncreased ALT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to fatty liver in your case. Fatty liver may be the reason for liver enlargement(hepatomegaly). You may need few more investigations like routine hologram, random blood sugar, viral markers, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You may need more medicines after evaluation. You should avoid saturated fat. Go for brisk walk regularly. Get well soon. Take Care Chat Doctor.