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

### input:
Hi, I just got my blood work back and my alt was up to165 (from 33) my ast was up to 63 (from 48). My last tests were 11-10- 2013. I am a 45 year old female and am concerned about the sharp increase. I do not drink very much but I do take several prescription medications. Also my alkaline phosphatase went up to 164 (from 90 in Nov 2013). The only other significant change is saw was my platelet dropped. They were 344 on 11-10-13 and now they are 194. They have never been below 300. I d appreciate any insight. Thanks, Pam

### output:

Welcome to Chat Doctor. Thank you for posting your question. I can understand your concern. I can understand that you are very anxious about your health. Raised liver enzymes with low platelet count can be due to many causes like Acute liver injury due to Hepatitis, gall stone disease(acute cholecystitis), pancreatitis - to name a few. It would have been great had I examine you on my own. You need to undergo a few tests to find out the exact cause. I would suggest you to - Avoid oily, fatty food- Chat Doctor. Stop alcohol-Have a BLAND DIET.- Get an abdominal ultrasound, Complete blood count, Liver function test, platelets, urea, creatinine, electrolytes done - This will help in the diagnosisVisit a gastroenterologist. He or she can examine you and correlate clinically. Do not worry. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.