<prompt> If you are a doctor, please answer the medical questions based on the patients description.i have liver cirosis 4 time chemoembolisation done many time done lft test every thing under control but last week i had some problem dark urine no proper sleep body ache ect on 2nd Nov done lft everything shoot up. S.bilirubin total 9.5. S.bilirubin Direct 6.9. S.bilirubin indirect 2.60. S.G.O.T 140.SGPT 140. S.Alkaline Phosphatase-275.0 Total Protein 7.0 Albumin-2.3.Globulin- 4.70. AG Ratio-0.49  <response>: Hello and welcome to Chat Doctor, The liver function test report suggests deranged liver functions. There is elevation of total, direct and indirect bilirubin. The liver enzymes-S GOT and SGPT are also raised. The rise in above-mentioned parameters suggest damage to liver cells hepatocytes. The damage to hepatocytes can issue due to a number of causes e.g. infection, Chat Doctor. An increase in alkaline phosphatase suggests some pathological process in the extra-hepatic biliary tract. A previous history of liver cirrhosis indicates a previous insult to the liver. Consult your treating doctor for liver biopsy, diagnosis of the current pathology in the liver and further management. Thanks and take care 