<s>[INST] I have been unwell with tightness around chest, pain beneath ribs, had 2 fainting episodes. On anti biotics for Pleurisy. Since last night have a stiff jaw and trouble swallowing, and breathing zeems shallow. ECG in December and 7 day heart trace were normal. Liver enzymes raised but lft normal. Have a neurology appt next month. Very afraid. Could it be anxiety? Please help. Alone with my 3 year old and scared of passing out. Inside of mouth totally numb. Thank you. [/INST] Hellraiser liver enzymes like raised SGPT, GGT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few investigations like routine hologram, random blood sugar, lipid profile, viral markers. You may need ursodeoxycholic acid tablet. It helps in regeneration of liver cells. You may need few more medicines after full investigations. Get well soon. Take Care Chat Doctor.  </s>