Liver and / or Gallbladder issues are varied and commonly present in patients that visit our practice for a consultation. The conditions include gallstones, irritation of the gallbladder lining (cholecystitis), cysts of the liver or gallbladder, hepatitis from infections (hepatitis B or C) or autoimmune conditions, such as autoimmune hepatitis, primary biliary cirrhosis, or primary sclerosing cholangitis. Still other conditions include cirrhosis from alcohol or prior untreated hepatitis, liver or gallbladder growths, fatty liver, and evaluation of abnormal liver enzymes.


Symptoms of liver and gallbladder disease are varied but may include abdominal pain usually (Right upper quadrant), diarrhea, jaundice, weight loss, fatigue, itching of skin, or yellowing of the eyes. Certain liver or gallbladder conditions do not cause symptoms and are simply picked up on lab tests or imaging incidentally.

Diagnostic Labs

Diagnosis usually is made on the basis of labs and imaging. Labs can include testing for liver enzyme elevations in the blood, viral hepatitis (Hepatitis B, C) and autoimmune hepatitis markers in the blood as well as proteins effectively produced by the liver such as albumin and prothrombin time (INR).

Other Tests

Ultrasound of the liver, CT scans, MRI examinations of the liver or gallbladder can be helpful in diagnosis and treatment planning. Functional exams such as HIDA scans at times are required.


Treatment depends on the condition. For example, symptomatic gallstones can be addressed by removal of the gallbladder (cholecystectomy). Hepatitis B and C are successfully treated with medications. There have been remarkable strides in treatment of hepatitis C to the point that today, most (>95%) can be cured of the virus. Autoimmune liver disease can be treated successfully with medications. Fatty liver is best treated with diet and exercise although new medications are on the horizon. At your consultation, our providers will outline the most effective, personalized treatment plan to address your liver and / or gallbladder issues.

Patient Education

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Ira Gross

Dr. Guss to all his staff has been excellent. Anytime I call with a question or concern it was answered right away. I wholeheartedly recommend Dr. Guss. The only was the wait for my initial appointment but taking all other factors into account this is a great place

Dawn E

Dr Beri is patient, kind and loving. His staff is equally as knowledgeable. He saved my life as 3 well known Gastros misdiagnosed me. I am very glad he is not under the Allied Digestive Health LLC to which 42 drs in Monmouth County read each others notes and do not thoroughly individualize treatment. Thank god for Dr Beri. So grateful to my co worker for sending me to him.

Ruby Burton

Dr Beri is so sweet and caring and genuinely cares about his patients. He listens to the things you are feeling and does not dismiss any feelings. His front desk girls are always so welcoming when you come in and the medical assistants are sweet and lovely to talk to. They make it a great experience when you are not feeling well.