Conversation: The conversation between human and AI assistant.
[|Human|] I went to urgent care today because of pain underneath my ribs. I took a blood test and my bilrubin level is 2+. Doctor said there is no infection yet but sign of an obstruction. Any thoughts on what kind or does is sound like something more serious that an obstruction? Could the pain be caused by the obstruction?
[|AI|]  Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain below the rib cage. Well there can be many reasons for symptoms you mention in query gallstones, inflammation of the muscles of the rib cage, damaged liver, inflammation of the pancreas or reflux of acid, trauma or appendicitis. I would suggest you to consult gastroenterologist for proper examination. Doctor may order ultrasound, endoscopy or physical examination. Doctor may also order liver function test and treat it accordingly. Doctor may also refer you to orthopedic surgeon for muscle bone problems. For now take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,