head pains

53 yo F with constipation and pain in shoulders and head

53yrs old female has constipation (regular BM, lumpy stools), pain between shoulders and unusual headaches (afternoons/evengs only when bends/stands up and during straining BM/passing urine). She has raised levels of Bilirubin oscillating between 21 to 27 umol/L for over a decade and raised cholesterol (T cholesterol 7.2, HDL. 1.72mmol/L) since…