Conversation: The conversation between human and AI assistant.
[|Human|] Hello Sir, My mother aged 62 years was operated for Gall bladder surgery on August 25th and then she was detected with liver cirrhosis also.  After biopsy report it was known that she had gall bladder cancer.  After 2 months she was adviced for a PET-CT Scan in which it was detected that the cancer has spread to other parts of the abdomen like liver, pancreas etc.,  She was adviced for 3 cycles of Chemothereapy with medicine Gemcitabine and Dacotin and tomorrow she will be completing the course.  Whenever she was given chemo she suffers sever loose motions due to infection and she will be given lomotil and cifran CT for 5 days.  The problem is her blood test report for SGOT & SGPT reading shows 114 and 73 respectively which was done yesterday.  What could be the reason and any remedy to bring them to normal range?
[|AI|]  Hi. Sorry to read this history. As the PET CT Scan shows spread of tumor to other parts, this will be a stage 4 and needs Chemotherapy. Cirrhosis and cancer have increased the values of GOT SEPT. It is more important to look for treatment of cancer and go ahead with a detailed discussion and possible outcome. Measure the cause and effect, Pron and cons with your treating Medical Oncologist (the Specialist who treats cancer with Medicines only) before taking further steps.