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

### input:
my mother is 55 yrs old. she is suffering from potts spine . she is on a medical treatment since jan 2013. She is under the medical treatment. After taking medicine for 1 months her LFT Test is to be done and the report shows her SGPT is 182. Doctor is saying her liver is inlarge. She is taking the AKT-4 medicine. She has fewer at everytime like 99,99.2 or 100. she is also feeling some dullness. she says that she is not able to eat the food. Her Diet is- 1 cup tea & 2 threptin biscuts in the mornig in breakfast 1 glass of milk and one fruit. In lunch 1 roti aur 3-4 spoons rice.In evening 1 cup of tea & 2 threaptin biscuts and in night 1roti & 1 glass of milk. Is the diet she is taking is sufficient or not? Write now her diabaties is also tested than the result shown that her fasting is 116 & pp is pp is 159. Is she is suffering from sugar? Her Cholestrol is 215 & there is stone in gallblader 7-12 size. Please tell me what to do?

### output:

HelloWelcome to Chat Doctor Dear patients' son, as your mom is suffering from Potts spine, her low grade temperature is because of that only, though she has been taking AKT4 for last one month and generally fever stops with in one or two weeks after starting AKT4 but sometimes it may take 2 to 3 months for the temperature to subside, so you need not worry about that, her LFT report showing SGPT of 182 is a bit high and if it is more than 3 times the baseline SGPT value which is there in previous LFT then it may Warren to hold AKT 4, if previous LFT is not available, then you continue with AKT4 and get your LFT repeated after 1 week, if that shows SGPT of more than 540 i.e. more than 3 times the current value then AKT4 will need to be held till hepatitis subsided and then ATT can be reinstituted again, this will be done by the doctor who is treating her for POTTS spine. About her enlarged liver, it may be due to fatty liver which is common in diabetic patients, but may even be due to Chat Doctor. You consult you doctor who will access her LFT reports and will see if she is not developing 