<s>[INST] I have reported with very high SGOT level with my recent liver enzyme test (115), and my ESR level is also increased up 55 mm, what does this indicate, and how should I control this condition? ( I'm a 52 yrs old High blood pressure patient taking medicines over 15 yrs.) [/INST] Hi thanks for asking question....Whenever there is inflammation or infection or cancer in body ESR can be high....You have elevated liver enzyme also.So hepatitis like condition has to be ruled out.USG done if show finding of hepatitis or abscess or any tumour.You can have drug induce hepatitis also.You have not mentioned drug you are using for hypertension...Take low fat diet.Fruits more.One tsp licorice with honey taken.If you have heart problems or celiac disease or muscular problem then also it can elevated.If needed viral marker also can be done as further work up.Dr.Parth Goswami </s>