My wife just had the Dr, call with blood results and mentioned that her ALT was at 390 and she didn't get the AST#. She has been experiencing pressure/pain under the right rib cage with a sharp pain between the spine and shoulder blade on the right side of the back. When I massage, I can feel a lump like a tight muscle or something, but nothing makes it relax. She is a healthy 37 YO 5'10" and a little overweight just from having 8 children. This is all becoming very concerning for me... Should we be worried? She is scheduled for an ultrasound in the morning, but reading through all of this information, I am afraid we are both going to need psychological help after this. She does not drink, smoke, do drugs, eats a very healthy minimal card, no sugar diet.