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

### input:
Hi! My mother age is 81 and weight is 36. she is hepatitis B patient and now she got ascetic tap every 15 days ( almost 7-8 liters). Small Stone in her gall Bladder. now she dont take any food if she try to take any liquid or solid food,she vomits. her recent reports areBLOOD Test:creatinine 5.2 mg/dlurea 131 mg/dlserum albumin 1.8 g/dlTotal Blood Count:WBC 13.7 /cummHaemoglobin 8 gm/dlHCT(PCV)  25.72 %MCH 25.42 pgRDW (SD) 47.5 flNeutrophiles 77%lymphocytes 22%Monocytes   01%Liver ProfileTotal Bilirubin 2 mg/dlDirect Bilirubin 0.9 mg/dlSGPT /ALT  12 U/Lalkaline phosphate 102 IU/L

### output:

Hi thanks for asking question... Here your mother having hepatitis b infection with ascites. So here you might have chronic liver disease in form of cirrhosis.... Although Sept not elevated but alkaline phosphatase elevated...LFT profile done with estimation of PT and serum albumin also .... Diuretic can be started for ascites. You have to consult doctor as intubation might be done as she can't take food orally. For cirrhosis liver transplantation is option, but its utility in older age has to be discussed with doc... If cirrhosis induce portal hypertension also present then beta blocker given... Tapped ascetic fluid send to laboratory for examination to determine whether it is bacterial, malignant or translate fluid. Take care. Chat Doctor. 