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

### input:
hii, i had my large fibroid surgery on 20th oct but it is now postponed due to high sgot and sgpt levels on 18th oct. i had been prepapring for dis surgery since last 5 months, i ve also taken 3 doses of zoladex 3.6 mg. how do i reduce dese levels so that my surgery can happen in next week?? i am a 27 yr old unmarried female.

### output:

Hello Miss. Ankita, I have gone through your problem. You have mentioned that your GOT and SGPT levels are high. You didn't mention any of your complaints like fever, abdominal pain or vomiting.  GOT and SGPT are liver enzymes present in the liver cells (Hepatocytes). When there is destruction of the liver cells, these enzymes are released into the blood circulation. These high levels can be seen when we get a Liver function test done to the patient. Now you need to know the reasons for liver cell destruction. Some common causes are1. Viral hepatitis2. Cirrhosis of liver3. Alcoholic hepatitis Usually in viral hepatitis the liver enzymes will come back to normal after few days of conservative treatment. But in Alcoholic hepatitis and cirrhosis of liver there will be continuing liver cell damage and so these enzymes may be persistently elevated. You need to consult your physician or Gastroenterologist and get his advice. You need further evaluation with an Ultrasound scan of the abdomen to look for the status of Liver and gall bladder. It's always safe to avoid surgery till the liver enzymes revert to normal levels. Wish you good luck.