[21M] Experiencing GI discomfort with elevated liver enzymes

What might be happening

Based on your symptoms of burping, bloating after eating, and elevated AST and ALT levels, here are a few possibilities:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like burping and bloating.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.

• Gallstones: These are hardened deposits in the gallbladder that can cause pain and bloating. Elevated liver enzymes, like AST and ALT, can sometimes be seen with gallstones if there is associated inflammation or blockage of the bile ducts.

  • Treatment can range from watchful waiting to surgical removal of the gallbladder, depending on the severity and frequency of symptoms.

• Non-alcoholic Fatty Liver Disease (NAFLD): This is a condition where fat builds up in the liver, which can cause elevated liver enzymes. It's more common in people who are overweight or obese. It can cause discomfort and bloating.

  • Treatment involves lifestyle changes, such as losing weight and exercising more.

What you can do

You should consult with a healthcare provider for a proper diagnosis and treatment. In the meantime, here are some things you can do to help manage your symptoms:

1. Avoid foods and drinks that trigger your symptoms. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Try to eat smaller meals more frequently throughout the day, rather than three large meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. If you're overweight or obese, try to lose weight. Even a moderate amount of weight loss can help reduce symptoms.

What you should look out for

You should seek immediate medical attention if you experience:

• Jaundice (yellowing of the skin and eyes)
• Severe abdominal pain
• Blood in your stool or black, tarry stools
• Blood in your vomit or vomit that looks like coffee grounds
• Unexplained weight loss

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.