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

### input:
Dear Dr s, I am aged 36 years, recently i went for a medical check up In which My sgpt is 66 & blood pressure upper 170 and lower 110. All the check ups i.e. ultrasound, x-ray shown nothing. Pls examine on the basis of above and suggest me. Thanking you

### output:

Hello, Most probable reason for Sept elevation is obesity and fatty liver. As fat accumulates in the abdomen, it also accumulates in liver leading to liver damage and elevation of enzymes. Also, you should reconfirm the elevation.  Do you Chat Doctor?  Also, you should get one viral marker test done like Bag, Anti HCV, in order to rule viral hepatitis. To confirm the diagnosis, we need ultrasound of liver. Treatment for this is dietary changes like low fat, oily and sugar diet and regular exercise and weight loss.  For BP, it can be age related change occurring early or secondary to some disease. You being a young hypertensive you'll first evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines.  Furthermore, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it like telmisartan or amlodipine. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.