### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
13 years ago sgot 900 sgpt 1200,32 wk pregnant twins. delivered baby boy & Girl. Also had severe pre-eclampsia.   I know when there elevated because I iched. No one believes me when I tell them, even though they had the  test results to prove it. Then the doctor told me they had never seen someone like me. 32wk pregnant and sgot & sgpt thru the roof. As  of 4/06 they tested at 43. Since then enzyme levels go up and down. I can tell by how ichy I am. Ultra sound show mild kidney damage but nothing else. Should I have it re-evaluated?

### output:

Hi welcome to the Chat Doctor Your liver enzymes were elevated during pregnancy time to more than 900 that suggestive towards hepatocellular injury... Pregnancy induced hypertension history that is pre-eclampsia history was positive... So PIN can lead elevated liver enzymes by hepatocytes injury and in its severe form it is called HELP syn Chat Doctor. . Just now as per the latest report mentioned it is 43 that is not elevated level If your liver enzymes value raised to more than two folds rise than proper evaluation necessary. Itching is also present so bile calculi injury or obstructive cause evaluated through GGT, ALP testing, serum bilirubin and USG abdomen. If in repeat follow-up test liver enzymes higher than investigate with serum bag testing, anti HCV testing, repeat USG, HIDE scan(if needed) for further evaluation Take care Hope your concern solved Consult physician for examination with keeping all this in mind