<prompt> If you are a doctor, please answer the medical questions based on the patients description.i just had blood tests done and my alt and ast are high. I have been really swollen in my whole stomach area, I mean I look like I m pregnant ready to pop. I have gained 21 ibs in 4 months. My left side kinda where my stomach and ovaries are hurt right now. I know it s alot of symptoms but I m really worried. What could this mean?  <response>: Hello, Welcome to Chat Doctor. Thank you for your query. AST ALT is usually elevated due to liver function impairment. Obesity is one of the cause. I think you are obese enough. Control maintain balanced diet. Regular exercise will help you to decrease weight. Some pathological cause should be considered also. Thyroid disorder Cushing SY Chat Doctor. If there are associated features of liver disease like jaundice, ankle abdominal swelling etc. then you have to check other parameter. Cause should be identified. Consult an internal medicine specialist. I hope I have been some help of your query. Please write if you have any doubt. Take care 