Considering the specific liver enzyme readings and the presence of severe abdominal pain that persists for a year, it’s important to maintain a cautious approach. In Siddha and Ayurveda, conditions affecting liver function and exhibiting pain can indicate an imbalance, often related to aggravated Pitta dosha affecting the liver and digestive system. However, this also may be an underlying medical issue that requires immediate conventional diagnostics and treatments.
Before proceeding with any therapy like Panchakarma, it is essential to consult with a healthcare professional such as a gastroenterologist to rule out any critical liver or digestive tract issues. Ayurvedic interventions should complement this, not substitute immediate medical investigation, given the potential seriousness of liver enzyme abnormalities and persistent pain.
Once any urgent medical issues are addressed, a Panchakarma treatment may be beneficial to balance doshas, especially if the Pitta is high. Panchakarma involves a series of purification techniques designed to cleanse the body of toxins or ama. For liver-related imbalance, treatments like Virechana (therapeutic purgation), under strict supervision, could help alleviate doshas and promote liver health.
Additionally, focus on dietary adjustments to ease the digestive load: include cooling, light, and easy-to-digest foods like green leafy vegetables, and avoid overly spicy, fried, or oily foods that could aggravate Pitta. Incorporating herbs like Amla or Guduchi can support liver function. Regular but gentle exercises like yoga and maintaining hydration are also beneficial.
It’s critical these steps are pursued based on a full integrative medical assessment to ensure synchronized care.



