<s>[INST] hi my baby is 8 days old and he has Serum Indirect Belirubin = 185 Serum Total Bilirubin = 197 He born prematurely (early) with 3 kg weight Moreover, he remains very tired and sleeps almost for 22 hours a day and hasn t pooped for last 5 days ... what should I do? [/INST] Hi, Welcome to the ChatDoctorSince raised indirect bilirubin level is almost because of some pathological cause, it could be liver disease, obstruction in lower intestine, cystic fibrosis TCAS he has raised indirect bilirubin level and constipation both, first he has to be ruled out for cystic fibrosis and bile duct obstruction and congenital biliary tree sclerosis. My opinion would be got some routine blood tests done, and ultrasonography and x-ray of abdomen done to rule out any intestinal obstruction and discuss further with general surgeon. Chat Doctor.  </s>