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

### input:
Hi Doctor,I am 32 years male having SGPT 274 doing PhD from IIT Kanpur. I took ultrasound and that also confirmed the Fatty infiltration in Liver. I always feel heavy stomach and bad motions (two or three times i need to go for passing stool generally). I was diagnosed and being cured with Jaundice two times in past when i was 15 and 22 years old. Currently i am taking Livorb-B capsules, Ursoriv-300.I am underweight(170 cm height, 62 Kg weight) and not gaining weight as after normal diet.  And now my wife who was not having any stomach problems previously is having the problems related with stomach. one of pathologist suggested me to take Australian antigen test, Is it necessary? Kindly suggest me appropriately so that i can live life normally. Your valuable suggestions are appreciated. Thank You.Vikas

### output:

Hello, Vikas. Civil, You mention that you had jaundice two times. I am not sure if at that time you were tested for Hepatitis Type-B and Type-C. I am not mentioningType-A because, that virus does not go into chronic phase. The other two do. Your SGPT level is quite high, and your ultrasound shows fatty liver according to your report. I would like you get a complete set of liver tests, metabolic panel, thyroid blood tests. Get a screening for Type-B and C hepatitis. If this is positive, you need special treatment from a specialist. The medications that you are on may slow down the progression of liver damage but if it is hepatitis related, that is not a cure. Please discuss these with your doctor and get tested properly. I wish you the very best and good luck with your doctoral degree.