Conversation: The conversation between human and AI assistant.
[|Human|] a few days ago I was nauseated with pain in my upper abdomen.Over the next few days my urine has turned a bright orange and my skin is itching horribly.I haven t done or eaten anything unusual nor gone anywhere different.I was told many years ago that I had gallstones but haven t ever had a problem with them,since I do avoid fried foods.I drink a lot of water but was vomiting yesterday but not today.Skin is still itchy.
[|AI|]  Hi. Thanks for your query. Your history is self-explanatory. All the symptoms go in favor of obstructive jaundice. The reason is apparent. The small gallstones might have reversed and got impacted into the bile ducts causing all the problems. I would advise in such a case the following:Urgent ultrasonography, if this is obstruction = to go for ERCP for confirmation of diagnosis and therapeutic too as we can remove the stones. Removal of the gall bladder once everything is settled. I would advise further tests like::Blood -Routine- BT CT PT, liver function tests and kidney function test. Urine: routine, microscopy m bile salts and pigments. Urine: routine and for bile salts and pigments. Stool-- routine and for sterobilinogen. The surgery and medical management will depend upon the reports.