Pain in lower ribs. Elevated SGOT, SGPT, CRP. Need to go to ER?
Patient: I have pain under my lower ribs where my liver is located. I do not have a gallbladder or appendiz anymore. My SGOT and Sgpt were elevated including elecvated CRP. My doctor wants me to wait a week and repeat labs. I personally think I need a CT or US sooner than later. I worked just as a unit secretary in an ER for many years. Would you go into the ER or would you wait? Doctor: HelloThanks for writing to HCMYou didn't mentioned your age.There may be various reasons for pain.You need proper clinical evaluation and investigations.Pain may be due to compromised liver function. You didn't mentioned about bilirubin level and alcohol history.Any way, you need routine hemogram,LFT,RBS,Lipid profile,RFT,urine RE/ME,viral markers, ultrasound of abdomen  and ECG and CT Scan  may be done if needed.Stop taking alcohol if you are alcoholic.Musculoskeletal causes of pain should also be ruled out.Get well soon.Take CareDr.Indu Bhushan