I’m looking for advice on what testing should be done next. I just had an episode that started with severe right upper quadrant pain. I do not have a gallbladder and I don’t drink any alcohol. I’ve had this pain before but always subsided within an hour. This time it was over 12 hours till I was able to get relief at hospital. My alt was over 1600 and ast over 1100 and high ferritin level. Within one week they were back to normal with no medical intervention other then pain control. I still have pain but not as bad. I’ve had all sorts of testing done. So far mild fatty liver and positive Ana. I do have an autoimmune disease already. I’m waiting for a fibroscan to be done. Things that were mentioned were either lupus or autoimmune hepatitis. My doctors don’t have any clue other than something acute that happened to my liver. I am stressed out having no answers. Anyone have a similar situation and any testing that could be done to figure out my issue. I’m concerned if I continue to have these episodes it will do damage to my liver.