Dr. Hanif warmly welcomes you!
Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.
Referring to your pain, it may be of
gallbladder,
kidney, stomach, liver or simply a
muscular pain. More of a physical examination and if needed some diagnostic tests may be carried out to see for the cause.
ESR is elevated in chronic inflammatory processes and chronic diseases anywhere in the body. It is a kind of non specific regarding its origin.
AST levels may rise due to the liver tissue damage. It may be caused by
cirrhosis and
fatty liver syndrome etc. Reason may be either Alcohol or
viral hepatitis. Damage to the liver parenchyma leads to the raised AST and ALT. Some medications also lead to raised liver enzymes.
Investigations and treatment is decided after physical examination and diagnostic tests.
Diagnostic testing:
HBSAg
Anti.HCV
Ultrasound abdomen.
Precautions:
Don't consume alcohol and cigarette.
Hope I answered all of your questions. Please don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for your help. Have a blessed time ahead.
Regards!
DR. MUHAMMAD HANIF
USA