Been constipated for 2 weeks, used enema sat. had very small bm, have elevated liver enzymes and bilirubin in urine, ultrasound was normal. now what?

For constipation: take Senna. Senna is a very safe natural plant product with a wide dosage range. Start by taking 2 tablets at bedtime, if you do not have a comfortable bowel movement (BM) the next day, take 4 tablets the next night. You can continue to increase the dose by 2 tablets every night until it works. It is safe and effective to continue taking the dose that works every night.

Do this next: Are you on any meds? Get a thyroid check and porphyria screen. Drink plenty of water and read about fiber, consider a stool softener. Trust you have no toxic exposures (lead) or risk for Chagas. Colonoscopy may be in future. How much bilirubin in the urine? How high were the liver enzymes? Has the liver workup proceeded (hep B/ c / iron overload, Wilson's, antinuclear antibodies)?

What does the Dr say: You must have seen a Dr since you know about lab tests. Bilirubin in urine is never normal. You give vague, scant clues about an illness. You will not get useful answers this way. ASK YOUR DR WHAT IS WRONG WITH YOU!!! If your Dr does not know, she will refer you to another DR.