Conversation: The conversation between human and AI assistant.
[|Human|] Thanks for fielding my question doc, Healthy, atheltic male - 46 years old, poor diet drinks alcohol on a regular basis. ( 3 to 5 beers a night) Been feeling lathargic after i eat lately. Went to doc did blood tests ALS was 22 normal ALT was 70 high and GGT was 697 very high I show no signs of jaundice and only mild fatigue after eating. I do get gurgling noises in my upper abdomin after i eat. My dad had his gall bladderremover when he was 60 ( gall stones). What do you think doc? Thanks in advance Pat
[|AI|]  Hello! Thank you for the query. Elevated GGT is most probably caused by bile ducts blockage. Usually this is caused by gallstones, but can be also present with liver diseases and pancreas diseases. You can have no jaundice symptoms visible (especially for you), however still there might be increased bilirubin blood level. Especially if your urine is dark and stool is whitish. It is advisable for you to have abdominal ultrasound to see if bile ducts are dilated. If no findings, abdominal CT for pancreas diagnostics should be performed. You should also have checked blood level of bilirubin, amylase, AP and urinalysis. Hope this will help. Regards.