<s>[INST] I recently went to the ER without insurance and was found to have had gastritis and symptoms of anxiety . I ve since received a letter in the mail indicating that I need a follow up due to lab work demonstrating elevated liver enzymes and calcium . There were red cells found in the urinalysis . My question is, what do you recommend I do to have these tests done and what possible problems might I be facing given these test results? I don t want to ignore my health but the bill I have from that ER visit is nearly $5,000 and I haven t a penny to spare. Thank you [/INST] Hello, Thanks for the query to Chat Doctor. Forum. If the level of serum A S T (S G O T) & A L T (S G P T) very high, i.e. > 50 I U then it is a cause of concern. If level is still very high get in ultrasound of liver for any evaluation of diagnosis. If urine contains 2-5 red cells in H P F, need not worry at all. If full field with blood or red cells then get in ultrasound of kidney and ureter. Now question is what to do? In my opinion wait & watch, if you feel any discomfort then consult a doctor. Good luck.  </s>