High ALT and AST Liver Enzymes

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I'm a healthy 24 year old female. For three years now I have been having periods of on and off ALT and AST elevated Liver enzymes. It spikes to about 519 ALT and 179 AST and then a few weeks later on my follow-up its back to normal. This still continues.

I've had a CT scan (with contrast), everything was normal (this was done three years ago). I recently got tested for all the different Hepatitis strains, all negative.

I've noticed that during these episodes I have pain in my intestines which feels like gas,constipation, nauseous, but could also be my liver hurting as well. I'm usually dehydrated during these episodes because im bad at drinking water I've noticed, and I've been under ALOT of stress. (Stress also caused me to have gastritis, but I feel now that this may or may not be stress related due to the gastritis stopped)

Now, I've ALWAYS been constipated my whole life, even as a child so I thought nothing of it. I was diagnosed with Hypothyroidism about 7 years ago, but that has since been showing normal with medication and regulated. I've talked to a GI specialist, but she didn't really help.I'm really concerned, but my primary doctors (I've had two within these past three years) said that this could just be normal for me now and to not worry about it. I'd like other thoughts about what could be the problem. I am going to see another GI specialist in about another month, but I'd like to know other ideas. Thanks

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    I had high ALT levels. I had episodes of running a fever, shivering and feeling very unwell. My feet would go icy cold and my armpits would hurt. I had gallbladder cancer 5 years ago and feared it was back as I had similar symptoms. 2 GPs told me my symptoms did not 'match' any illness. nothing showed up on blood tests or CTs. I used to go to bed during these episodes and take paracetamol to reduce my temperature. Last autumn i had another episode but couldn't get my temperature to come down. GP arranged blood test. When results came back, he rang and told me to go immediately to hospital. Turned out i had an infected liver cyst, which they drained and I've been fine since.

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