What this consultation covers
Abnormal liver blood test results can be concerning, but they do not always indicate serious liver disease. Dr Robert Hegarty, a specialist hepatologist serving London and Southeast England, provides comprehensive investigation and assessment to identify the underlying cause of elevated liver enzymes or other liver function abnormalities, helping patients understand their results and develop an appropriate management plan.
The consultation covers both the diagnostic process and the wider patient journey. Whether the abnormal results are related to viral hepatitis, fatty liver disease, autoimmune conditions, medication effects, or inherited liver disorders, the assessment is designed to provide clarity and guide appropriate next steps for each individual patient.
- Detailed clinical review
- Targeted blood test analysis
- Imaging investigation
- Personalised management plan
Who may benefit from this investigation
Patients who have received blood test results showing elevated liver enzymes — such as ALT, AST, or alkaline phosphatase or abnormal bilirubin levels may benefit from specialist assessment. This investigation is also appropriate for those with persistently abnormal liver tests, unexplained fatigue, abdominal discomfort, or a family history of liver disease.
Dr Hegarty will advise whether specialist hepatology assessment is appropriate based on individual test results and clinical circumstances. Early investigation may support better long-term outcomes and help prevent the progression of any underlying liver condition that may be contributing to the abnormal results.
Frequently Asked Questions
Should I be worried about abnormal liver blood tests?
Abnormal liver blood tests require investigation but do not always indicate serious liver disease. Many causes are treatable or may resolve with lifestyle modifications. Specialist assessment will help determine the significance of the results and identify the most appropriate course of action.
How long does the investigation take?
The timeline varies depending on which tests are required. Initial consultation and basic additional blood tests can often be completed within a few weeks, though some specialised investigations, such as imaging or autoimmune screening, may take longer to arrange and interpret.
Will I need ongoing monitoring?
This depends on the cause of the abnormal results. Some patients require regular blood test monitoring over time, while others may need only occasional follow-up once the underlying cause has been identified and appropriately addressed through treatment or lifestyle modification.
Can abnormal liver tests return to normal?
Many causes of abnormal liver tests can be successfully treated or managed, allowing liver function to improve over time. Dr Hegarty will discuss the likely outlook for each patient’s particular situation following a thorough assessment and review of all relevant test results.