hi. noted history of elevated bilirubins. it is possible that you have an obstruction (a stone or a lesion) somewhere along your hepaticopancreaticobiliary tree. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. other diagnostics (such as ERCP/MRCP, liver function tests, complete blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. low fat low salt diet is also recommended. hope this helps. good day!! ~dr.kaye