Question: Hi. I have been experiencing dull discomfort and tenderness in my right upper quadrant for months now. It comes and goes. Some days/weeks better than others. I also have a chronic dry cough. I've had 3 sets of blood. All fine apart from elevated Alanine Transferase. Beginning of Feb it was 69, beginning of March 73 and 11th April it was 113. CRP slightly elevated but GP said nothing of significance. I had an ultra sound in March which was normal. What could be causing this discomfort and elevated results aswell as cough. GP has given lansoprezole and gaviscon as he thinks could possibly be GERD - this has helped the cough slightly but not completely so no also having chest X Ray. I am slightly overweight 5 ft 9, 13 stone , 38 year old male but I have just started personal training. I don't drink excessively - nothing during the week - maybe a few glasses of wine or cocktails at the weekend. I had a colonoscopy in November - that was clear. I am concerned by this abdominal ache /liver results - what would you advise as next steps? Are the blood results much higher than you would expect. Many Thanks.

Hi. Thanks for replying. As advised in my note I've already had an ultra sound and that was normal. My GP said if hepatitis then this would have shown in the scan and blood tests would be much worse. Please advise next steps. Thank you