Hospitalised for Extreme Abdominal Pain.

Your reports and symptoms suggest a transient inflammatory or hepatocellular reaction, likely secondary to acute gastritis, viral infection, or drug-induced hepatic stress, rather than a structural liver or gastric disease. Interpretation of findings: • Liver enzymes: AST (115 U/L), ALT (79 U/L), and GGT (108 U/L) are mildly to moderately elevated → indicating a hepatocellular or mixed pattern of liver irritation. Bilirubin, albumin, and alkaline phosphatase are normal → liver function is preserved. • Inflammatory markers: CRP (9 mg/L) and neutrophilia (82%) with relative lymphopenia indicate an acute inflammatory or infective response. ESR (42 mm/hr) further supports the same. • Pancreatic enzymes (amylase/lipase) are normal → pancreatitis is excluded. • USG and endoscopy being normal rule out structural or ulcerative lesions. This overall pattern fits with a reactive or viral hepatitis picture, or sometimes post-infectious gastritis with transient hepatic inflammation, rather than a chronic or serious pathology.

1. A thorough clinical examination to localize the exact site and character of abdominal pain (upper, mid, right, or diffuse) can help narrow the diagnosis — for example, differentiating between hepatobiliary, gastric, or colonic causes. 2. Repeat LFT in 2–3 weeks — transient enzyme elevation often resolves once inflammation subsides. 3. Avoid hepatotoxic medications or supplements, including unnecessary paracetamol, herbal, or over-the-counter tonics. 4. Maintain a light, non-spicy diet and adequate hydration. 5. If LFT remains abnormal, further evaluation with: • Viral hepatitis panel (HAV, HBV, HCV, EBV) • Autoimmune markers (ANA, ASMA) • Repeat abdominal ultrasound focusing on liver texture.

Liver enzyme elevations of this degree are common after viral or inflammatory illnesses and typically resolve with rest, hydration, and avoidance of hepatotoxic agents. A focused clinical re-examination often reveals subtle findings that guide further targeted tests and prevent unnecessary worry.