ALT/SGPT, AST/SGOT, bilirubin, alkaline phosphatase, platelets and albumin describe different parts of liver health. Their pattern and trend are read alongside symptoms, medicines, alcohol exposure, metabolic risk, viral risk and imaging.
Clinical focus · WEST DELHI
Complete liver and hepatobiliary care
For fatty liver, abnormal tests, cirrhosis, jaundice and conditions involving the gallbladder or bile ducts, the priority is to identify cause, severity and risk.
30+ yearsSpecialist perspectiveMedical + proceduralOne connected pathwayTwo clinicsMoti Nagar · Paschim Vihar
Cause · severity · obstruction · scarring · next step
Conceptual educational visualisation — not diagnostic imagery01 / BEGIN WITH THE PATTERN
Does this sound familiar?
Fatty liver, abnormal blood tests, jaundice, cirrhosis or a possible bile-duct problem
A mildly abnormal result may still deserve follow-up. A large change may be urgent without revealing the cause. Neither tells the whole story alone.
You do not need to identify the diagnosis yourself. Bring the pattern, previous treatment and what still feels unexplained.
02 / A DEFINED DUCT QUESTION
EVIDENCE BEFORE ADVANCED ACCESSERCP and direct bile-duct visualisation are considered for a purpose—not as routine tests.
The pathway begins with symptoms, blood tests or imaging that identify a specific bile-duct or pancreatic-duct question.
Results are interpreted alongside symptoms, medicines, metabolic risk and imaging.
AI-assisted editorial visual using abstract, de-identified documents03 / WHAT MATTERS NOW
Understand what changes treatment, monitoring or the need for further investigation.
Cause, severity, warning signs and the value of further investigation must be considered together.
The assessment must answer three questions
What is causing the abnormality? Is there inflammation, obstruction or scarring? What needs treatment or monitoring now? Ultrasound, non-invasive fibrosis scores, elastography and targeted investigations are tools for answering those questions—not a checklist for every patient.
- Metabolic fatty liver disease and fibrosis risk
- Viral, medicine-related or alcohol-related liver injury
- Jaundice and abnormal bile-duct test patterns
- Cirrhosis monitoring and complication risk
- Gallbladder, biliary and hepatobiliary concerns
Liver and biliary symptoms that should not wait
New jaundice, confusion, marked drowsiness, vomiting blood, black stools, rapidly increasing abdominal swelling, fever with severe right-sided pain or fainting require urgent medical assessment.
Dr Monika JainEXPERIENCE WITH RANGE
Experience connects the symptom, the evidence and the next clinical decision.
Dr Monika Jain brings more than three decades across medical gastroenterology, hepatology, diagnostic and therapeutic endoscopy, clinical leadership and specialist teaching. For clinical focus, that range helps keep investigation and treatment connected to a defined purpose.
Meet Dr Jain and review her professional journey ↗FREQUENTLY ASKED
Questions patients ask before the next step.
Clear general guidance, with the limits made visible.
01What do abnormal ALT and AST levels mean?
They can suggest liver-cell injury but do not identify the cause or degree of scarring alone. The complete pattern, trend and clinical context are required.
02When is jaundice urgent?
New jaundice—especially with fever, severe pain, confusion, marked drowsiness, vomiting blood or black stools—requires prompt medical assessment.
03Does a normal ultrasound exclude liver disease?
No. Ultrasound answers particular structural questions but does not exclude every cause of liver injury or quantify fibrosis reliably.
04How are bile-duct problems investigated?
The blood-test pattern, ultrasound and cross-sectional imaging usually guide whether specialist imaging, EUS, ERCP or another step is appropriate.
05What should I bring to a hepatology consultation?
Bring serial liver tests, ultrasound or scan reports, FibroScan if available, medicines and supplements, metabolic history and previous hepatitis testing.
06Which clinic should I choose?
Choose Moti Nagar or Paschim Vihar according to convenience. The clinic team should confirm Dr Jain’s schedule and the correct next step.
MOTI NAGAR · PASCHIM VIHAR
Consult Dr Monika Jain in West Delhi.
Choose the more convenient location for Clinical focus, review the real address and let the clinic team confirm Dr Jain’s availability before you travel.
Sreejee GastroLiver and Speciality Clinics
1st floor, No 29, Shivaji Marg, Block C, Moti Nagar, Delhi 110015
Dr Monika Jain Clinic, Paschim Vihar
Ekta Apartment, A2B/155A, Chaudhary Balbir Singh Marg, A 2 Block, Paschim Vihar, Delhi 110063
THE NEXT LOGICAL QUESTION
Follow the decision—not a disconnected list of pages.
Fatty liver, abnormal blood tests, jaundice, cirrhosis or a possible bile-duct problem
EDITORIAL RECORDPublished and updated 28 July 2026Prepared by the Dr Monika Jain Editorial Team · Medical reviewer is named only after approval
Medical sources used for this page
These sources support the general educational information. They do not replace individual interpretation.
NIDDK — Liver disease information↗NIDDK — Cirrhosis↗AASLD — MASLD assessment and management↗