<s>[INST] A person I know has jaundice, blood in urine, and her ALT level was at 430 when she was admitted to the hospital. After being in the hospital for a week, her levels are still in the 200 s. She has had both kidney and gall stones in the past. The doctors are wanting to remove her gallbladder now. She was passing out and also has diverticulitus and crohn s disease. What could this mean for her. She is in her mid-60 s. She also has diarrhea and can t keep much down for food. [/INST] Hello, In most cases this is sign of uroinfection or kidneys stones. This is mainly self limiting and doesnt require any specific treatment and you should just be patient and have fluids to promote urination. Less likely it may indicate possible bleeding in urethra, bladder or kidneys from popped vessel or some other cause. If this continues you should do urine analysis, urinoculture and kidneys ultrasound to rule these main causes out. You should drink raspberry tea and plenty of water till you do tests. Also, avoid sexual intercourse and have keep good hygiene. You should reduce salt in your diet as well since this could lead to increased risk of urinary stone formation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon </s>