<s>[INST] sir, i am 30 years old. today i got my liver function test report . my alt is 87 and ast 38. alkaline phosphates 65, total bilrubin 0.8. i am suffering from stomach gas, severe constipation , stool color is pale yellow. i have to take laxatives to empty my stomach. Also i am having GERD . kindly suggest me what should i do.. is this a liver problem or IBS thanks [/INST] Hi umarsaeed1983mIt seems that you have 2 separate issues. The liver enzyme elevation is nonspecific, however you should have further evaluation by a liver doctor (gastroenterologist or hepatologist); you should make sure you don't have any sort of viral hepatitis (such as hepatitis A, B or C), fatty liver (currently the most common cause), autoimmune liver disease, etc. Your gastrointestinal symptoms are something probably unrelated, and yes you could have IBS-constipation, however before committing to that diagnosis a gastroenterologist would probably modify your diet, test your for bacterial overgrowth. I highly suggest you visit a gastroenterologist (stomach / liver doctor). </s>