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This retention produces common symptomsbloating, fullness after small meals, and early satietythat manifest subjectively as nausea or queasiness

Initial blood tests typically include: Full liver function tests (LFTs): ALT, AST, ALP, GGT, albumin, and total/direct bilirubin Full blood count (FBC): To assess for anaemia Haemolysis screen: Reticulocyte count, blood film, LDH, and haptoglobin (direct antiglobulin test [DAT] if immune haemolysis is suspected) Coagulation screen (PT/INR): To evaluate synthetic liver function Renal function and electrolytes Nutritional markers: Vitamin B12, folate, ferritin, iron studies, vitamin D Viral hepatitis serology (hepatitis A, B, C, and E) when a hepatitic or cholestatic pattern is present or unexplained Autoimmune liver screen (ANA, SMA, AMA, IgG) if viral causes are excluded and liver enzyme abnormalities persist Imaging investigations: Abdominal ultrasound is the first-line imaging modality for suspected biliary pathology, in line with NICE CKS guidance on gallstones

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Treatment of low blood sugar (Hypoglycemia)