Hi. Your raised Serum ALT cannot be caused by 1 or two doses of viagra
. You need to quit drinking and loose weight if you are overweight
. You liver
is definatley inflammed as suggestive by raised ALT but if you avoid alcohol and take the medications prescribed you should be fine. As far as the gas is concerned you can take proton pump
inhbitiors for 2-3 months which would help you. I would be happy to review the reports for you can can send them over.
Hope this helps
Dr. Om Lakhani