Your SGOT (110) and SGPT (72) levels are elevated, most likely due to daily alcohol intake. The most important treatment is to stop or significantly reduce alcohol, as liver enzymes may not improve if drinking continues. Doctors may advise liver-supportive medicines such as Liv.52 DS or Ursodeoxycholic Acid depending on your condition. Avoid oily foods, smoking, painkillers, and gym supplements, and maintain a healthy diet and exercise routine. You should also get an ultrasound abdomen and repeat liver function tests after 4?6 weeks. Consult a physician before starting any regular medicine.

Constipation along with fatty liver, enlarged pancreas or prostate, tiredness, poor sleep, joint pain, and early ejaculation may happen because of a combination of metabolic problems, digestion issues, hormonal imbalance, stress, inflammation, reduced physical activity, or long-term lifestyle factors. Poor sleep and chronic constipation can further worsen fatigue, mood, body pain, and sexual performance over time. Management usually works best when all contributing factors are addressed together instead of treating each symptom separately. Fibre-rich foods, adequate water intake, regular walking, weight control, and reducing alcohol, smoking, oily foods, and excess sugar may help improve constipation and fatty liver. Better sleep habits and stress reduction may also support energy levels and sexual health. Doctors may sometimes recommend liver tests, prostate evaluation, blood sugar testing, vitamin deficiency assessment, or hormone-related investigations, depending on symptoms. Persistent abdominal pain, yellowing of the eyes, blood in stool, difficulty urinating, major weight loss, or worsening weakness should be evaluated carefully because these symptoms may need more detailed medical assessment.

An 18 mm gallbladder stone is quite large and unlikely to dissolve with medication alone. Some medicines may help with small stones, but they are usually not effective for bigger ones like this. Avoid fatty foods and monitor your symptoms to prevent attacks. Do not try any treatment on your own and consult a doctor to discuss the safest management options.

An SGOT level of 96 indicates mild liver irritation, which is very common with fatty liver and highly manageable. Please don't worry. While there is no single 'cure-all' pill, certain medications can help. Your doctor may prescribe antioxidants like Vitamin E or medications like Ursodeoxycholic acid to help lower enzyme levels. If insulin resistance is a factor, medications like Pioglitazone might be considered. However, the most effective treatment is lifestyle modification, including gradual weight loss, a low-fat diet, and regular exercise are key to reversing fatty liver. Please consult your physician before starting any new medication to ensure it is safe for you.