<s>[INST] Hi my cousin is suffering for jaundice from 3 weeks in the starting his bilirubin level was 4.5 but now it increases to 9 and doctor told that it is related to gallbladder and swelling in gallbladder can to tell please what precautions we should take and any  lever experts or hospital in delhi [/INST] HIYour cousin needs an immediate operation to remove the gallbladder and to check for any gallstones lodged in the common bile duct so he needs to be seen by a general surgeon </s>