This is Dr. David
yes, passing gall stones out of your gall bladder could definitely be causing your right upper quadrant abdominal pain and causing elevation of your liver enzyme levels.
passing gall stones can also cause temporary elevation of your CRP and ALT levels as well.
you are a bit young to have gall stones, but it can still happen.
there are medications which an help dissolve gall stones. like ursodiol which could help you to dissolve gall stones and help prevent future pain.
I would also ask your doctors for a HIDA scan to check for gall bladder function.
your gall bladder may not be functioning properly.
do you have other questions?
your over tests have been negative for hepatitis and other issues.
passing a large gall stone can sometimes bring up your liver enzymes temporarily.
your ALT is coming back down.
you might need more liver imaging like a liver MRI scan or liver ultrasound. but you said the liver ultrasound was basically negative.
gall stones can do this. cause intense pain for a short period of time and then back to normal.
have you had severe constipation? constipation and diverticulosis can do this as well.
HIDA scan can tell if your gall bladder is working properly or not.
you don't remove the gall bladder just for gall stones. these can be dissolved by medication like ursodiol
however, if you continue to have these pain episodes in the right upper quadrant and everything else has been tried, you have tired the ursodiol, you are not constipated, you have had a colonoscopy and liver MRI scan and nothing else explains these pains, then removing the gall bladder might help as a last resort for you.