General Gastroenterology
A large part of gastroenterology is working through symptoms that do not initially have a clear diagnosis. The goal is to investigate thoughtfully, avoid unnecessary testing and develop a practical treatment plan.
Symptoms and conditions assessed
This includes abdominal pain, diarrhoea, constipation, bloating, altered bowel habit, gastrointestinal bleeding, iron-deficiency anaemia, coeliac disease, peptic ulcer disease, unexplained weight loss and other digestive symptoms.
A structured assessment
The first step is a careful history. Tests are then selected according to the clinical question and may include blood or stool tests, imaging, gastroscopy, colonoscopy, capsule endoscopy or other specialised investigations.
Persistent diarrhoea
The causes are varied and include infection, inflammation, medication effects, malabsorption and functional bowel disorders. Investigation is guided by duration, associated symptoms and warning features.
Constipation and altered bowel habit
Many cases can be managed conservatively, but a new or persistent change in bowel habit—particularly when accompanied by bleeding, anaemia, weight loss or a relevant family history—may require further investigation.
Small-bowel assessment
Video capsule endoscopy can be useful in selected patients when the small bowel needs to be examined beyond the reach of routine gastroscopy and colonoscopy. The recorded study is then carefully reviewed and interpreted.
A patient-centred approach
Digestive symptoms can be difficult to describe and can significantly affect everyday life. The consultation is designed to give patients time to explain what they are experiencing, followed by a clear discussion of what may be happening and what the next steps should be.
Need a gastroenterology assessment?
If you would like to arrange a consultation, you can request an appointment with the practice.
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