<s>[INST] Hi..I took a bilirubin test 3 months back..It was around 4.8 and i took medication for a month and it came down to 0.3...Again, last week, took a bilirubin test and it increased to 4.5....I don t reason for relapse jaundice...Checked for hepatitis b and it s negative as well..What could be the reason for relapse jaundice and how should I ensure that this will not come again... I, m currently under medication. [/INST] jaundice is not always due to hepatitis sometimes obstructions in bile flow can also cause jaundice take an abdominal CT to confirm about billiary obstructions if that is not the case there is a high chance your will recover completely and probably it will never repeat  after 2nd instance it is very  rare </s>