<s>[INST] sir i have gilbert syndrome due to this i feel very tired even sometimes fatigue.i also have high level of billirubin above 2.sometime i got headache and also mild stomach pain. plz suggest me as doctor saying it has no treatment but i am not able to concentrate on any work. [/INST] Hello, It is unlikely to be related to Gilbert syndrome. As first-line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s>