### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Sudden increase in ALT 1400 and AST 830 (no viral/autoimmune Hepatitis)Non smoker, non drinker, non drug user (prescription or street)5 new allergies within 4 monthsGallbladder removed (abnormal HIDA Scan)ConstipationFlank Pain (left constant, right occasional)Recurrent Kidney infections (Staph A.)Encephalopathy Ammonia levels 114Meningeal thickening (LP normal)Severe HeadachesJoint pain NauseaMemory, concentration and thought processing issues, particularly things in sequence or order of importance

### output:

Welcome to Chat Doctor. I understand your concern. Liver enzymes may be raised because of various causes. In your case some may be more possible but in every case it requires evaluation of the cause. Most common causes of such liver derangement are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Chat Doctor. Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep a control over it. If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDE scan. A lot many times, the liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this you need to reduce your weight, reduce fat in diet. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Hope this helps and provides answers to your question. I wish you good health