Question: I am a 51 y/o female. When I was in my early 30's I had elevated liver enzymes which was caused by a new birth control pill I was on for one month. I went through a series of repeat blood work back then until the enzymes went into the normal range. Last year I had blood work done and my liver enzymes were elevated once again. The doctor did a hepatitis panel on me and it was negative. At that time the Dr. wanted me to get a ct scan but I did not have insurance and I knew I would have to make payments on the blood work. So, he told me he wanted me to have more blood work, which I did and the enzymes were getting lower.
Now, I'm trying to decide if I should go to the ER. I'm not in severe pain, but I feel tenderness and swelling in my upper right quadrant. I have been having nausea at night, but no vomiting. I eat tums and that seems to always help. I suffer from feeling bloated though, even when I haven't eaten anything.
I am a non-drinker and I don't smoke, but I am over weight. I also have a history of many, many UTI's, and I have the symptoms of one now.
Your advice and/or opinion will be appreciated. Thank you.

I don't remember the values, but they were 4 times the normal limits.
I don't consume alcohol
I only take Aspirin for pain or fever
The palms of my hands itch terribly! More the left hand than the right and more severely in the mornings. ( I am right handed)
No yellowish discoloration of eyes or urine
My stools are brown

Thank you, Dr.