What this consultation covers
Jaundice in children characterised by yellowing of the skin and whites of the eyes can have many underlying causes, ranging from normal newborn physiology to more serious liver, biliary, or metabolic conditions that require prompt investigation.
During this specialist consultation, Dr Hegarty reviews the child’s clinical history in full, interprets relevant blood tests and imaging, and outlines the most appropriate next steps whether reassurance, further investigation, or referral for specialist intervention.
- Detailed clinical review
- Investigation planning
- Family explanation
- Follow-up guidance
When should jaundice be assessed by a specialist?
Most newborn jaundice resolves within two weeks of birth and does not require specialist review. However, jaundice that persists beyond 14 days in a full-term infant, or any jaundice presenting with pale stools and dark urine, should be evaluated urgently. Prolonged or conjugated jaundice may indicate biliary atresia, neonatal hepatitis, or a metabolic liver disorder all of which benefit significantly from early diagnosis.
Older children presenting with new-onset jaundice also warrant specialist assessment to rule out viral hepatitis, haemolytic conditions, autoimmune liver disease, or bile duct abnormalities.
Frequently Asked Questions
When should I seek a specialist assessment for my child's jaundice?
Any infant with jaundice lasting more than 14 days, or any child with jaundice accompanied by pale stools, dark urine, or poor weight gain, should be seen by a paediatric liver specialist promptly. Do not wait for a routine GP referral if these signs are present.
Do I need a GP referral to book this consultation?
No referral is required for a private consultation with Dr Hegarty. Families may self-refer directly. A copy of any recent blood results or imaging, if available, is helpful but not essential prior to the appointment.
What investigations might Dr Hegarty request?
Depending on the clinical picture, Dr Hegarty may request liver function tests, conjugated and unconjugated bilirubin levels, a full blood count, ultrasound imaging of the liver and biliary system, and in some cases a liver biopsy or metabolic screen. All investigations are tailored to the individual child.
How does the consultation process work?
The initial consultation at King’s College Hospital, London, involves a thorough history and examination, review of existing results, and a clear explanation of findings and next steps for both the family and the referring clinician. A written report is provided following the appointment.
