question: Hello Dr. Could you please comment on my wife s LFT that is as below: S. Total Bilirubin ----- 0.5 mg/dl S. Direct Bilirubin ------ 0.2 mg/dl S. Indirect Bilirubin --------- 0.3 mg/dl Gamma GT ------- 146 SGPT ( ALT ) -------- 198 IU/L Alkaline Phosphatase -------- 331 IU/L This is the most recent report. Similar test done a few days ago had a worse Alkaline status. She is reporting nausea, pain in around liver and stomach area with vertigo incidents occasionally. Her stool D/R shows 2-4 hpf, acidic in chemical reaction with occasional Macrophages reported. Full abdominal ultrasound does not show any stones but sonologist recommended a re-visit because there was swelling around gall bladder and liver. Thank YOU.