<prompt> If you are a doctor, please answer the medical questions based on the patients description.my husband drinks on average 6-8 beer per night7 days a week, for over 15 years but has drank for more than 30. 6 mnths ago he was tested for high liver enzymes and now he is gagging and vomitting almost daily? should he be concerned? his stomach seems swollen.  <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. Alcohol ingestion and obesity are common causes of fatty liver disease especially in the West. Ultrasound abdomen and Fibrosis should be done immediately. 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 your husband good n sound health. Regards, Chat Doctor. 