<s>[INST] sir my mother is a patient of peritoneal carcinoma for last about2.5 years but now she is suffering from jaundice her direct bilrubine is 9.6,total bilrubine is 16.30 ,SGPT 126,SGOT 85,total protein 7.5,Albumin4.5 ,Globulin3.0 and alkaline phosphate is 2364 and she is convalsing kind give me poinion what I have to do presently the treating doctor is giving 10%dextrose with polybion with udiliv 300 twice daily and today he has started hepamerz  thank you [/INST] Hi, dairy have gone through your question. I can understand your concern.  You should go for ultrasound abdomen.  You may have metastatic carcinoma in liver, or you may have obstruction in bile duct with liver damage. Furthermore, you should take high protein and low fat diet with Liv 52 tablets. Consult your doctor and take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>