I am in my late second trimester of my second pregnancy. I had pre-eclampsia and HELLP with my first, thankfully with a happy outcome (healthy baby girl of 2 years now!). I am experiencing symptoms exactly like my first time, which includes general malaise, dizziness, and upper right quadrant pain (occasional vomiting returning as well). I know this is atypical, but both times, I have had weeks of somewhat mild URQ pain with my liver enzymes remaining normal. Last time, the liver enzymes went up very quickly just before I delivered, despite having had the pain for months. My liver enzymes are currently still normal, and I am going on about 4 weeks of this relatively mild pain. BP is slightly up for me, but not to problematic levels yet. Has anyone else had such a slow onset, including URP pain without corresponding immediate rise in the liver enzymes? Thanks for your input.