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Concerned about symptoms?
Most patients are seen within one to two weeks at Cobalt Hospital.
Secretary
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Liver Function Test
Fatty Liver Disease
Jaundice
Second Opinion Gastroenterology
What is liver disease?
A broad term covering many conditions affecting the liver. Early diagnosis gives the best chance of protecting long-term liver health.
Liver disease symptoms can be easy to miss until blood tests reveal a problem. Liver disease covers many conditions that damage the liver, including fatty liver disease, hepatitis, and cirrhosis. Most cause few or no symptoms until fairly advanced.
An abnormal liver blood test can be worrying without explanation. Dr Kejariwal helps patients from Newcastle, Durham, North Tyneside, Gateshead and Sunderland understand what their results mean and why.
Causes and risk factors
Common causes include excessive alcohol use and fatty liver disease linked to obesity and diabetes. Viral hepatitis and autoimmune conditions are also causes (NHS, 2026). Many types develop silently over years before causing symptoms.
Symptoms
- Fatigue
- Loss of appetite and unexplained weight loss
- Yellowing of the skin or eyes (jaundice)
- Itchy skin
- Swelling in the legs, ankles or abdomen, in more advanced cases
When to seek help: Get prompt assessment for jaundice, persistent nausea, or swelling in the abdomen or legs.
How is liver disease diagnosed?
Diagnosis usually starts with a liver function test. Ultrasound, fibroscan or specific blood tests follow to identify the cause and stage.
What are the treatment options?
Treatment depends entirely on the specific type and stage found. It may include lifestyle changes, medication, or specialist referral for more advanced disease. Dr Kejariwal explains your results clearly and builds a tailored plan.
Living with liver disease in 2026
Most liver conditions cause few or no symptoms in early stages. This is why abnormal blood tests are often the first sign something is wrong. Some types, like early fatty liver disease, can improve significantly with lifestyle change.
Self-care and prevention
Limit alcohol intake and maintain a healthy weight. Avoid unnecessary medications or herbal supplements that can strain the liver. Vaccination against hepatitis A and B is recommended for those at higher risk.
What happens at your appointment?
You meet Dr Kejariwal at Cobalt Hospital for a full consultation. He reviews your symptoms, history, and any past tests. He explains what he thinks is happening in plain English. Together you agree a clear next step, whether that means more tests, starting treatment, or simple monitoring. A written summary goes to you and your GP after every visit. Most patients are seen within one to two weeks, and urgent concerns are prioritised.
When to see a specialist
See a specialist for abnormal liver blood tests, jaundice, or any symptom above, particularly with risk factors such as alcohol use or obesity.
Frequently asked questions about liver disease
Does liver disease always cause symptoms?
No. Most liver conditions cause few or no symptoms early on, which is why abnormal blood tests are often the first sign.
Can liver disease be reversed?
Some types, like early fatty liver disease, can improve significantly with lifestyle change. More advanced scarring is usually permanent.
Does liver disease run in families?
Some types, such as haemochromatosis and certain autoimmune conditions, have a genetic link. Mention any family history to your doctor.
What blood tests are used to check for liver disease?
A liver function test is usually the first step, checking liver enzymes and proteins, with further tests based on the suspected cause.