Improving ALT numbers... enough to avoid procedure?

[HighALT63]

Had my gallbladder out 4 years ago and now they think there is a renigade gallstone in my bile ducts.
Been vomiting a lot (but not in the last 2 days) and have had two blood tests.  2 days ago ALT was 623, today its 454 - does this show improvement like the stone has passed.  Would like to avoid unnecessary treatment if possible.    

[Paderla Anitha, DNB]

Hello and hope you are doing well.

The common causes for vomiting are gastroenteritis (infection), gastritis, peptic ulcer disease, systemic infections, appendicitis, intracranial hypertension, hepatitis, eating disorders, inner ear disorders, and certain medications. Angina or chest pain due to inadequate supply of blood to the heart muscle can produce atypical symptoms of vomiting. This is diagnosed with an EKG or treadmill test. Lung infections like pneumonia and bronchitis can irritate the diaphragm and cause vomiting. Pancreatitis is another entity diagnosed by blood tests and ultrasound. Renal stones can cause vomiting and pain. The stones may be too small to be picked up by an ultrasound. Inflammatory bowel diseases can also be the culprits. Discuss these options with your doctor when you happen to meet him.

Hope this helped and do keep us posted.

[patient915]

What procedure did you have?

[HighALT63]

Had the procedure... found no stone.  No we proceed

[HighALT63]

I was waiting all day for a call back... finally heard from her

[patient915]

Welcome to the gastroenterology community!  I would recommend that you talk to your gastroenterologist about this.