Conversation: The conversation between human and AI assistant.
[|Human|] I am a 42 year old male. Last year at my physical I had borderline elevated liver enzymes . Over the last 4 days I have had right sided abdominal pain that was brief and went away. It continued so I went to see the dr. He did full assessment and nothing was enlarged or seemed abnormal during physical exam. He did my blood work. Tonight he called and said my liver enzymes were off the chart.( no number given). I have no other symptoms.
[|AI|]  Hi and welcome to ChatDoctorIt sounds to me like billiard colic. Ultrasound should be done to detect is there any stone in gallbladder. If you have pain after meal, especially fats and alcohol then it would confirm my opinion. Also elevated enzymes are found in gallbladder disorders. Physical examination can find enlarged liver or spleen, but gallbladder can't be eliminated without imaging tests. Till you do this you can try with dietary changes. Avoid fats smoking, alcohol and see is there improvement. Wish you good health.