I've recently had blood work done due to itchy skin and nausea. My alt and ast were critical. Was in the hospital for 2 days and sent me home thinking it was from the black cohosh I took. Levels went done slightly after fluids. They are going back up and have a liver biopsy scheduled this week. Can't eat hardly at all get pain in my back and today my left ankle/foot is swollen, is very tight and comfortable. I have an appt tomorrow with liver specialist but wondering if it's ok to wait or is the swelling should be looked at tonight?? I also have polycystic kidney and liver.