<s>[INST] Dear Doctor I had severe pain in upper abdomen twice in a month and was hospitalized for it.I had my gall bladder removed in 2004 and b duct channelized after one month.My present SGOT 73,SGPT 217,ALKALINE PHOSPHATE 160 AND GAMMA GT 309U/L.I have lost weight around 7-8 kg from last 6 months.I have done CT SCAN Liver mildly enlarged,spleen mildly enlarged,pancreas normal,ultrasonography shows mild spleen enlarged.The dr is saying to do MRCP.PLEASE ADVICE. [/INST] Hi. Since your Liver function tests are increased you need to undergo MRCP- this will help us more towards a proper diagnosis, and it is possible that you may need ERCP to have an additions diagnosis and therapeutic too in the for of Sphincterotomy and stenting if need be arisen. You also have to continue hepato-protective medicines, Folic acid, multivitamins, have diet as advised by your dietitian to suit liver pathology. Also get kidney functions done. This should help you a lot. Take bed rest till you are fully recovered. No outside food should be taken. </s>