Does results of alt, ast results can be changed during actual dyreia, vomit, abd pain session, diag non alcoholic steato hepatitis and metabolic synd. ?

One triggers other.: Liver function tests are elevated in usual given this diagnosis. With a flare, it is usually the case they are higher, and if the pancreas is involved as well (shown by lipase elevation), this will cause pain & vomiting & may require admission. With alcohol detox and treatment, this may improve over time. It should be stabilized medically and then treated for the alcohol issue.

Wait and repeat: Yes because some infectious disease can start as gastroenteritis for example mayority of hepatitis a started with nausea vomit abdominal pain and may or may not be acompanied with diarrhea, since bacterias and viruses that cause gastroenteritis may be transmited as fecal oral way , meaning for contamined food , hepatitis. A. May also be in that contamined food too. Repeat liver test 1 or 2 months.