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

### input:
I want to get advise on liver functions Im 43 years old. I had jaundice in 1986. I got herbal medicines that time to cure this disease. After that I had no trouble until now. I got blood tests including liver functions in 2011& 2012. But that time very thing was normal. This year also, I got my liver functions test but now after one year there is too much changes on liver functions. I have blood reports but there some test which are higher than the normal. The reports show the following: T-BIL : 24 (normal range 4-20), GGT 94 (5-50), ALT 1133 (5-40), AST 624 (10-40), LDH 393 (120-250), Iron 38 (5-30) TRF 3.8 (2-3.2). I want to know about the results, how this can be treated? I feel well and been working as normal, exept I dont feel hungry these days.

### output:

Hello and welcome to Chat Doctor, Your liver function tests are deranged. The levels of bilirubin, GOT, LDH, alkaline phosphatase and GGT are raised. The levels of bilirubin, GOT and LDH are raised in damage to liver parenchymal cells. The levels of alkaline phosphatase and GGT are raised in case of any disease process in the extra-hepatic biliary tree. Thus, the report of liver function suggests that a disease process is damaging the liver cells as well as causing deleterious effect on the extra-hepatic biliary tree. Are you alcoholic since alcohol is known to affect the biliary tree as well the liver cells? In case no risk factor is present for liver dysfunction, a liver biopsy may be required for exact diagnosis of liver dysfunction. Thanks and take care Chat Doctor. 