<s>[INST] Ive been feeling fatigued and have had abdominal pain on my right side below rib cage in to my back. Went to doc and had bloods done and was told liver function count was high. Told to go for further blood tests ina few weeks.However, itch is getting worse as is the pain. Been having mixed bowel movements, from one extreme to the next.Im currently taking Citalopram for anxiety and depression but been on them for over 3 months now, and symptoms only been present last 4 weeks. [/INST] Hi. Fatigue, deranged liver function tests and itching is suggestive that you are suffering from moderate Hepatitis. First get the following tests: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Liver functions tests to be repeated. Tests to know the type of Hepatitis. Urine-routine, microscopy,Ultrasonography of abdomen. The best treatment is Strict bed rest, Hepatoprotective medicines, multivitamins, folic acid, and specific treatment as per the reports. Mixed bowel movements can be due to disturbed deranged Hepatic Functions. You have to consult a Gastroenterologist to get the dosage of your Citalopram adjusted and add on medicines as per the symptoms like itching. </s>