I have a 3 year old that has complained of severe abdominal pain on and off for the past year, She was seen in the local ED 2 weeks ago and we insisted on a CT which was unremarkable , He SGOT was elevated 47, she is only 27 lbs . she still has the same complaints and now increased temps greater than 102 . Very concerned. Has normal bowel movements , don t feel constipation is the issue , however she does appear to have some gastritis, what would cause her SGOT to be elevated.