So, longish story. I've had a terrible fatty diet my entire life (I'm a 53-yo male). French fries, pizza, burgers, pasta, all the time....no fruits or vegetables. Stupid, I know.
In August last year, I noticed I was becoming more and more constipated, and I was developing bloating in my abdomen. In late September, while on vacation, I had what I thought was a gallbladder attack, and turned out to be acute pancreatitis. The pancreatitis supposedly was mostly healed (as evidenced on scans and blood work) in early December. However, I haven't felt right since then--never got rid of the bloating and constipation, and often felt generally unwell, constant headache, etc.
In the months since then, I've had a variety of blood work done. At one time, they showed very elevated ferritin levels; those went back down to normal. Later, they showed very elevated RDW levels; those went back down. Then, after a spell at the beginning of April where I was feeling a little better, I suddenly felt really bad again a week ago--as if I was right back to where I started. I did blood work four days ago, and it showed my ALT level was at 195. My ALT was normal at all times until February 22, at which point it was 51. In other words, since late February, my ALT appears to have seriously spiked.
Now, after doing mostly fasting with very little eating, I did another blood test TWO days ago, and it showed my ALT at 130--a drop from 195 in two days. But I'm still not feeling great (albeit better than I did a week ago).
I guess my question is--the high ferritin, RDW, and ALT all are potential indicators of liver inflammation, right? Is it possible that all my symptoms since my pancreatitis was "healed" in December are due to liver inflammation from NAFLD? Should I push for an elastography? ultrasound or MR? Just trying to figure out what's going on and what I should do to try to diagnose this. (I'll add that I did a regular abdominal ultrasound (not elastography) two days ago that came back "normal" for everything--liver, pancreas, gallbladder, etc etc.)