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

### input:
Hi Im 29 m.For last 1 year, im suffering from fatigue ,tiredness and weightloss, bloating ,tiredness,stomach fullness.So i went to General Physican and he advised me to do complete health checkup.Results of thyroid,Sugar,Electrolytes,Iron are in normal range.But there were some abnormalities in indirect billubirin, BUN and he referred me to Liver specialist. LFT Details: Biliburubin Total 1.27 mg/dl Biliburbin -Direct : 0.25 mg/dl Bilibubin - Indirect : 1.02 mg/dl ( is this high?) SGOT : 23.3 U/I SGPT : 15.4 Alkaline Phosphatase : 108.2 U/I GGT : 11.1 U/I Protein-total 7.63 gm/dl Albumin -Serum : 4.45 gm/dl Serum/Albumin Ratio : 1.4 Hemogram: RBC : 4.6 * 10^6/uL hemoglobin : 13.4 g/dl hematocrit :38% RDW CV 14.8 fl Platet count : 236 * 10^3/ul Erythoryte sedimentatin rate : 20 mm/hr Kidney test: Creatine:serum 0/7 mg% BUN : 7.8 mg/dl BUN/SR.creatine ratio : 11.14 Uric acid: 4.5 Calcium : 9.4 mg/dl

### output:

Hello, sundar230,I did go over all your blood work. Your liver enzymes are normal Randall your other blood work, like calcium, protein levels, hemoglobin, kidney tests are all normal. The serum bilirubin, the indirect fraction is very minimally elevated. Usually, Direct bilirubin is the main fraction. We see this sometime in fasting state and a very rare genetic disorder called Gilbert's Syn Chat Doctor. Usually this is benign. Some people have jaundice, especially during stress, cold or flu, fasting, lack of sleep kind of symptoms. You mention weight loss, fatigue, and fullness of the stomach. Stress can certainly do this, but, I recommend that you get an upper Miseries, X-rays to make sure there is nothing going on in the stomach. If anything looks abnormal on x-rays, then you need endoscopy. You can discuss this with your doctor. I wish you well.