<s>[INST] 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. [/INST] Hi.Thanks for your query.Your history is self -explanatory.All the symptoms go in favour of obstructive juandice.The reason is apparent. The small gallstones might have raversed and got impacted into the bile ducts causing all the problems.I would advise in such a case the following:Urgent ultrasonograph, 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 funstion 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. </s>