<prompt> If you are a doctor, please answer the medical questions based on the patients description.hello doctor...one of my friend is having pain in her liver and she scaned her liver in t scanning it shows that her liver size is increased and its very painful to her at times and that pain is even spreading also... can u suggest me what to do???  <response>: Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than two times the upper normal limit, is considered abnormal in some countries, ALT or AST values of more than 100 are considered abnormal. Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis HAD, HBV, HCV are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice :- abstinence from Alcohol - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption oily food- NO red meat-green vegetables should be ingested daily-use lemon juice lemonade once in a day-reduce weight if overweightobese-recheck liver enzymes after 6 to 8 weeks andor ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. 