What causes severe pain in the upper quadrant after eating?
Patient: My mother is 67 y/o and having right upper quadrant pain, had gallbladder removed 10 years ago and a history of bile duct stones. After she eats, pain worsens. LFT's were drawn yesterday and Alk Phos was 111, ALT was 318, AST 261, Total bili 1.6, Direct Bili was 1.0. Her eyes and skin have a slightly yellow tint. Would another bile duct stone cause this elevation in LFT's and should she go to the ER, her GI specialist is out of town? Doctor: This surely shows that she still has some problem with bile duct with obstruction due to stones. Its better to grt in touch with a gastroenterologist and he may do an ERCP to remove such stones. If nit done problem mey increase in severety.