My daughter has been having sharp lower right pelvic pain.  She went to the ER and had a CT scan that came back normal.  Urinalysis shows small amount of bacteria.  Bloodwork shows an AST of 1209 u/l and ALT of 363 u/l.  All other liver tests look ok.  What could this be?
hi, it sounds like she has a urinary infection- this responds to usually three days of antibiotics. since that requires a prescription, I would recommend seeing a primary care doctor for that. although the ct scan is negative, other possibilities should be considered including an ectopic pregnancy or "pelvic inflammatory disease". both can be diagnosed with a special pelvic ultrasound. I would recommend seeing a primary care doctor or gynecologist to order and evaluate it. the increase in AST and ALT is more worrisome. there are several possibilities, most likely being alcohol induced liver inflammation. other causes include viral hepatitis. if it's alcohol, then the treatment is watching closely for signs of withdrawal and abstinence from alcohol. to rule out viral infections, we need to do blood tests. an ultrasound of the abdomen is also recommended to look for abnormalities in the liver. I would say with all of these symptoms, you should make an appointment with a primary care doctor to investigate the underlying conditions at the earliest.