Hi, My problem has been for 4 years now. It started with vomit in morning after getting up and pukish feeling lasting up for whole day. I diagnosed for the reasons and went through tests as guided by a physician (SGPT,SGOT count was reported high) last year(2012) but nothing particular came out and my doctor advised that this might be due to anxiety/depression. I was advised to take Trika Plus 0.5 by one of our family doctor for sometime, which i took for 6 months. Last year i referred to one of renowned psychiatrist in town as i was not getting permanent relief, he then advised me to take Clonotril 0.25 (Clonazepam) , Prothiaden and Rexipra 10mg (Escitalopram). I am on above said 3 drugs for last 1.5 years and during this time my pukish feeling was fine but i turned out too lazy ,sleepy, inactive and also sometimes suicidal thoughts crossed my mind. Now from 4 months back,I reduced the dose of medicines slowly, but now when i m further trying to reduce Rexipra i am unable to do that and also my symptoms are returning back i.e. pukish feeling round the clock and vomit sometimes. Now i feel that i am still there where i started and i am unable to decide that whether this problem is really due to anxiety/depression or do i have some kind of infection in my liver as recently( 7th Oct 2013 ) i went for a physical checkup and my report indicated : Lymphocytes 40.4 h (20 -40) Bun/Creatinine ratio 7.3 L (10 -24 ) Total protein 8.3 H (6 -8 ) SGOT (AST ) 46 H (0 -42) SGPT (ALT) 77 H ( 0 - 42) ANION GAP 16 H (5 - 15) CHOLESTEROL 211 H (LESS 200 ) LDL-CHOL (CACULATED ) 130 H ( LESS THAN 100MG/DL ) NON HD CHOL 150 H Please let me know whether i should keep my treatment running from psychological point of view or do i need to get my checkup through a gastroenterologist?