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

### input:
sir , i am umamaheswara rao. last year i got my total checked. every thing was normal. in the findings of the scanning. they wrote that BULKY LIVER, doctor did not suggest any thing. i used to go for walking 30 minutes daily with 140 steps per minute. i am neither a smoker nor an alchoholic. for the last 4 months i find my stomach is looking heavy. blood tests were done. belrubin is 1.4, SGOT SGPT are 54,48 more than normal. doctors telling that, jaundice is just entering. sir , is there any relation with bulky liver. my appetite is good. my i am taking live 52, and b complex tablets.

### output:

Hi, Thanks for your question. After going through your question, I can understand your concern. Bulky liver may be the feature of jaundice, though other conditions may also be associated with bulky liver, even normal obese person may have bulky liver. There might be following causes in your case for bulky liver and marginally elevated Liver enzymes (GOT, SEPT):- NASH (Non-Alcoholic SEATO Hepatitis): It is usually presents in obese person due to insulin resistance.- Or Developing Jaundice.- It just an incidental finding. I would like to advise you-1) Follow your daily walking.2) Keep your weight under control.3) Avoid fatty, spicy food. Avoid high calorie food if you are obese.4) Can use Live 52 & B complexes as currently using. Watch for symptoms like yellowish discoloration of eyes & skin (urine will be yellow due to B complex use), increase in abdominal pain, nausea, vomiting if these symptoms appear repeat Liver function test immediately and consult your doctor for further evaluation.Otherwise, repeat LFT after 2 to 3 weeks. If there is deterioration of Lots there is need for further evaluation. Hope this helps you, if so do vote as helpful.