stomach-pain

Stomach pain

Symptoms

Stomach pain

Abdominal pain or stomach ache is a prevalent symptom of various medical conditions. If the pain persists or you experience any other changes in digestion, it is advisable to seek medical advice.

Our team of gastroenterologists, who specialise in stomach-related problems, offer reliable medical guidance and expert private care. You can schedule an appointment with us to receive a diagnosis, treatment or advice on your condition.

Related Symptoms

Causes of stomach pain

Below are some common causes of stomach aches and the related symptoms each cause may lead to:

  • Trapped wind: Trapped wind can cause a stomach ache characterised by feeling bloated and passing wind often.
  • Indigestion: Indigestion can cause a bloated feeling. You might feel full or sick after eating and have heartburn or acid reflux.
  • Constipation: If you haven’t had a recent bowel movement, this might be a sign of constipation which can lead to stomach pain.
  • Food poisoning: If you experience a stomach ache with diarrhoea, vomiting and watery stool, you may have food poisoning.
  • Other possible causes of stomach pain include irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or a urinary tract infection.

If you are experiencing stomach pain that persists or you notice any other changes to your digestion, seek medical advice from one of our gastroenterologists. They offer trusted medical advice and expert private care, and can provide a diagnosis or treatment. Book an appointment today to get started.

When to see a doctor

Most stomach aches resolve on their own, but sometimes it is necessary to consult a doctor to discuss your symptoms.

You should see a doctor if:

  • Your stomach pain rapidly worsens
  • Pain or bloating recurs or persists
  • You have difficulty swallowing food
  • You experience unexplained weight loss
  • You are urinating more than usual or experiencing painful urination
  • You notice blood in your stool
  • You frequently experience diarrhoea

If you are concerned about your stomach pain, please schedule an appointment with one of our gastroenterologists. You may require a colonoscopy or gastroscopy to diagnose your symptoms.

In rare cases, bowel cancer may be the cause of stomach pain. If we suspect this to be the case, we will recommend bowel cancer screening.

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nausea-and-vomiting-scaled

Nausea and vomiting

Symptoms

Nausea and vomiting

Nausea is an unpleasant sensation of unease and discomfort in the stomach, which is often accompanied by vomiting, the forceful expulsion of stomach contents through the mouth.

Although most people experience these symptoms at some point in their lives, they are typically short-lived and not a cause for concern. However, if you experience frequent or persistent nausea and vomiting, dehydration, or other accompanying symptoms, we recommend seeking advice from one of our specialists.

Related Symptoms

Causes

Nausea and vomiting are relatively common and there are many causes, including as a symptom of certain conditions :

Vomiting can also be a sign of a more serious illness, such as:

Treatment

At-home remedies include :

If the above mentioned remedies are not effective in treating your nausea and vomiting, we suggest seeking advice from one of our specialists.

For some pregnant women experiencing morning sickness, eating crackers before getting out of bed or a high protein snack before going to bed may alleviate their symptoms.

In cases of nausea and vomiting associated with cancer treatment, alternative drugs may be used for treatment. Additionally, prescription and non-prescription drugs are available to control vomiting associated with motion sickness and certain types of dizziness.

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Hoarseness of voice

Symptoms

Hoarseness of voice

Hoarseness and a persistent sore throat are common symptoms that could indicate an underlying condition, such as acid reflux, allergies, tonsillitis, or upper respiratory infections. Other factors can also affect the larynx (voice box). If you experience persistent symptoms, particularly accompanied by difficulty swallowing or breathing, seeking medical advice from one of our specialists is recommended.

Related Symptoms

Hoarseness of voice symptoms

nfrequent hoarseness or a sore throat is typically not a cause for concern. However, if these symptoms persist for more than three weeks, we recommend seeking advice from one of our specialists. Your condition may be referred to as dysphonia.

Symptoms of a hoarse voice can include:

The presence of hoarseness and soreness in the throat can indicate a range of both benign and more serious underlying issues. We invite you to continue reading to explore some of the common causes of dysphonia.

What causes hoarseness of voice?

A hoarse voice can be caused by simple factors, such as:

However, at times, a hoarse voice may be indicative of an underlying condition or disease, which could include

Some of these are more common than others, so it’s important to speak with a specialist to get a thorough examination and diagnosis.

Diagnosis

The diagnostic approach to hoarseness of voice is tailored to the individual’s symptoms and presentation.

During the consultation, our specialists will conduct a comprehensive assessment, which includes a thorough examination of the throat, both externally and internally, to identify any abnormalities. We will also inquire about the duration of the symptoms and the presence of any other related symptoms. Keeping a symptom tracker may be helpful if the symptoms are recurring over a prolonged period.

Additionally, a blood test may be conducted to assess overall health and identify signs of any infection. If acid reflux is suspected, we may perform an endoscopy with wireless 96-hour pH capsule to diagnose or exclude reflux conditions, such as LPR or GORD. In some cases, a biopsy to identify abnormal cells may also be taken.

Scans, such as CT or MRI, may also be recommended depending on the severity of the symptoms and initial findings.

Lastly, we may refer you to an ENT specialist for a more comprehensive examination of the throat and voice box (larynx).

Treatment

After identifying the underlying cause of your symptoms, we will devise a treatment plan accordingly. If your symptoms are due to overuse or misuse of your voice, we may suggest trying at-home remedies as an initial step.

At-home remedies include :

If the at-home remedies fail to alleviate your symptoms, we advise booking a consultation with one of our specialists.

For those who experience regular acid reflux, we recommend speaking to one of our specialists to determine the root cause of your problem. This can help us identify a more effective treatment approach than your current one.

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Cough and throat clearing

Symptoms

Cough and throat clearing

Whilst occasional coughing or throat clearing is natural, persistent and excessive coughing may warrant further examination. If you are experiencing frequent coughing, soreness in the throat, or hoarseness without displaying symptoms commonly associated with the common cold or influenza, it is plausible that stomach acid may be irritating your vocal cords, airways, or throat. It is recommended to seek professional evaluation from one of our specialists.

Please continue reading to comprehend the various origins of persistent coughing and throat clearing.

Related Symptoms

Causes of chronic cough and throat clearing

Persistent coughing and throat clearing may arise from complications in your digestive tract. Nonetheless, other conditions such as asthma could also instigate your symptoms. Please peruse the ensuing list to discern the potential causes correlated with your digestive system.

Acid Reflux

Rising stomach acid causes acid reflux. You may feel sharp discomfort in your chest or throat, or you may have ‘silent’ reflux (LPR) – which causes no chest symptoms.

Barrett’s Oesophagus

Compromised oesophageal lining can culminate in Barrett’s oesophagus, generally resulting from acid reflux.

Acid reflux is a principal symptom of Barrett’s oesophagus and may provoke inflammation in the throat, eventually leading to persistent coughing and throat clearing.

Signs of Barrett’s encompass the following :

GORD/ GERD

Gastro-oesophageal reflux disease (GORD) ensues from regular acid reflux, which is attributed to a weakened or relaxed sphincter. Individuals with increased vulnerability to GORD include those who are pregnant, overweight, or possess a hiatus hernia.

GORD exhibits similar indications to acid reflux, albeit with greater severity. Symptoms may include distension, eructation, halitosis, and oesophagitis. Heartburn, which is typically experienced more frequently than with acid reflux, is a prevalent manifestation amongst individuals diagnosed with GORD, often transpiring several times a week.

EoE

Eosinophilic oesophagitis (EoE), also referred to as oesophageal asthma, is an infrequent ailment causing chronic inflammation in the lining of the oesophagus, with the possibility of developing oesophageal strictures.

EoE could provoke symptoms like dysphagia, thoracic discomfort, and a sensation of food impeding your chest or progressing sluggishly down your oesophagus.

Swallowing Problems

Dysphagia, characterised by difficulties in swallowing, could cause irritation in your oesophagus, leading to persistent coughing or throat clearing. One possible cause of dysphagia is achalasia.

Dysphagia indications include regurgitation, mastication complications, and salivation.

Functional Cough and Throat Clearing

It is a condition that involves heightened sensitivity of the neural receptors in the throat, leading to an incessant urge to clear the throat. Though harmless, an accurate diagnosis and treatment could be acquired by consulting with an expert in the field.

Other causes include:

Diagnosis

Upon initial consultation, we will meticulously inquire about the symptoms you are experiencing, their frequency, and the presence of any known triggers to establish the cause of your chronic cough and throat clearing. Subsequently, we will carry out several tests, the selection of which will depend on the underlying condition we suspect.

Some of the tests we may conduct are as follows:

To obtain a clearer view of your upper gastrointestinal (GI) tract and identify the cause of your symptoms, we may recommend an endoscopy.

If we suspect that your symptoms may be caused by a nasal allergy, we might advise you to undergo allergy testing.

Following the diagnosis of the underlying cause of your symptoms, we will suggest appropriate treatment options.

Treatment

The recommended treatment for your cough and throat clearing will vary depending on the underlying cause. If a digestive issue is not suspected, we may refer you to another specialist such as an ear, nose, and throat (ENT) or respiratory doctor to rule out any potential lung conditions.

Home remedies for a cough and throat clearing include:

If the simple at-home remedies fail to alleviate your symptoms, we recommend scheduling an appointment with one of our specialists. Based on the severity of your condition, we may prescribe medications or recommend non-surgical or surgical procedures, such as Stretta therapy or endoscopic dilatation. Our recommendations will depend on the underlying cause of your symptoms.

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Chest-Pain

Chest pain and discomfort

Symptoms

Chest pain and discomfort

Chest pain and discomfort can frequently be attributed to digestive issues, rather than cardiac problems. Non-cardiac chest pain is the medical term for chest pain that does not originate from the heart. Conditions such as acid reflux can generate a sharp, agonizing sensation in the chest. If you experience symptoms such as shortness of breath or chest tightness, it is important to seek emergency medical assistance.

Our gastroenterologist possesses the expertise necessary to identify whether your chest pain or discomfort is due to digestive issues.

Related Symptoms

Is your chest pain an emergency?

Seek immediate medical advice for the following symptoms:

These are signs of a heart attack and require immediate assistance. If you experience these symptoms, call 999 or go to the nearest emergency room.

Chest pain symptoms caused by digestive problems

While it isn’t always clear what is causing your chest pain and discomfort, some key signs would indicate your pain is due to a digestive problem rather than a heart problem. 

Signs include:

If you experience the following digestive symptoms alongside your chest pain, it suggests your pain is due to a digestive problem. Though, you should discuss your symptoms with a doctor to rule out other causes of your chest pain first.

Symptoms that could indicate digestive problems include :

Causes of non-cardiac chest pain and discomfort :

Acid reflux, heartburn and indigestion

Acid reflux often causes a burning sensation in your chest, known as heartburn. You may also experience an unpleasant taste in your mouth. Individuals with indigestion (dyspepsia) will often feel uncomfortably full after eating and may feel sick (nausea) and bloated.

Gastro-oesophageal reflux disease

Gastro-oesophageal reflux disease (GORD) refers to excessive acid reflux. Acid and bile flow up from the stomach via the food pipe (oesophagus) due to a relaxed or weak sphincter. Left untreated, this can lead to Barrett’s oesophagus, which has similar symptoms to acid reflux. GORD is the most common reason for non-cardiac chest pain.

Irritable bowel syndrome (IBS)

IBS usually causes abdominal pain, though it may also cause pain in your chest, back, and jaw. For people with IBS, trapped gas often causes chest pain.

Functional dyspepsia

Functional dyspepsia is a medical condition characterized by persistent symptoms of indigestion without a clear underlying cause. Symptoms of functional dyspepsia may include a burning sensation in the lower chest, bloating, nausea, and belching.

 

Swallowing disorders

Swallowing disorders are medical conditions that affect the food pipe or oesophagus, resulting in difficulty swallowing. Pain along the oesophagus, which can be felt in the chest and other areas, may also be experienced. Such conditions may include achalasia or oesophageal spasm.

 

Additional digestive conditions that can cause non-cardiac chest pain

Below we list other conditions that cause chest pain and discomfort and where you are likely to feel that pain.

When to speak to a gastroenterologist :

After a cardiac condition has been excluded by your physician, alternative causes may be explored. If additional gastrointestinal symptoms, such as those aforementioned, are present, it would be prudent to consult with a gastroenterologist.

Our team of gastroenterologists will request a comprehensive account of your symptoms, their duration, and degree of severity. Moreover, we will delve into your medical history and that of your immediate family to deduce the most plausible causes.

Diagnosing non-cardiac chest pain

Primarily, it is imperative to establish the underlying cause of the discomfort before determining an appropriate treatment course. We can administer a variety of examinations to diagnose the source of the pain, such as an endoscopic investigation to scrutinize your oesophagus and upper gastrointestinal (GI) system.

Furthermore, other evaluations that may be conducted include:

Treatment

For a multitude of conditions that elicit thoracic pain and discomfort, we generally initiate lifestyle modifications to gauge the impact on your symptoms.

If there is an improvement in your symptoms, we may opt for monitoring your condition. Conversely, if no alteration or exacerbation is observed, pharmaceutical intervention may be prescribed. In cases of acute symptoms, alternative treatments may be recommended, contingent on the underlying cause of the condition.

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blood in your poo

Blood in your Stool

Symptoms

Blood in your stool

Noticing blood in your stool can be a cause for concern. While there are various minor factors that can contribute to this, it can also indicate the presence of a gastrointestinal (GI) ailment. It’s important to note that in some rare instances, it may be indicative of cancer.

This article will help you understand :

If you notice any blood in your stool, it’s recommended to consult with your doctor. In cases where there are no accompanying symptoms, it may not necessarily be an urgent matter, but it’s still advisable to seek medical attention for further investigation.

Related Symptoms

When to seek urgent care

Although the presence of blood in your stool usually doesn’t necessitate immediate medical attention, there are some situations where seeking urgent care is warranted.

Signs to seek urgent care:

What does blood in your poo look like?

The presence of blood in your stool indicates bleeding in some part of your digestive system. This condition is commonly known as rectal bleeding, which refers to bleeding from the rectum or anus.

You might experience:

Symptoms associated with blood in your poo :

The colour of the blood in your poo signals where the blood is coming from in your digestive tract. It could be bright red, dark red, or black and tarry. The colour of your poo may also change due to harmless reasons, such as the food you ate. High quantities of beetroot, for example, may turn your poo red.

Bright red

If the blood in your poo is bright red, it has likely come from low in your colon or rectum. The rectum is the last part of your colon/large intestine.

During pregnancy or postpartum, it’s possible to develop hemorrhoids or an anal fissure due to elevated pressure on blood vessels in the lower abdomen. These conditions are typical during and following pregnancy.

Causes of bright red blood in your poo include :

Dark red/maroon

If the blood in your stool is dark red or maroon in color, it suggests that the bleeding is occurring further up in the colon or small intestine. There is also a possibility that it is originating from the stomach.

Causes of dark red blood in your poo include :

Black and tarry

Very dark red and black poo suggests the bleeding is coming from your upper digestive tract. This can range from your mouth and food pipe (oesophagus) to your stomach and upper small intestine (duodenum).

Generally, the darker the blood, the higher the source of the bleed. If you are bleeding from your stomach, your poo may appear plum or black and tarry. Your blood might also look sticky.

Iron tablets can cause black poo, as can eating a lot of dark foods. If you are taking iron tablets, speak to your doctor about the possible side effects.

Occult (hidden) blood

For some people, we can only identify the presence of blood in their poo using a stool test.  This is a test of your poo to look for microscopic traces of blood. If the blood is present but not visible, we call this occult. 

We may perform stool tests if you are experiencing symptoms of a GI condition. Such as a change in your bowel habits or abdominal pain.

Causes of occult blood include :

Polyps and Bowel Cancer

Blood in your poo is rarely caused by bowel cancer or polyps (abnormal growths). It’s still important to be aware of the signs.

Polyps and Bowel Cancer

Diagnosis

If we believe your symptoms are due to a GI condition, we may perform the following tests.

Whether we perform an endoscopy will depend on your symptoms.

Treatment

How we treat blood in the poo depends on what is causing it.

Possible Treatments :

If you are experiencing an anal fissure or haemorrhoids, we may recommend a high-fibre diet and other lifestyle changes. If we find signs of an infection, we may prescribe antibiotics.

Endoscopic treatment may be appropriate if the bleed does not stop. This could involve injecting medicine, cauterising the site of the bleed, or closing off a blood vessel.

If your colon has been damaged by diverticula, IBD, or cancer, we may recommend surgery to treat this.

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What is Acid reflux?

Symptoms

What is Acid Reflux

Acid reflux, also known as gastroesophageal reflux disease (GERD), is a condition in which stomach acid flows back into the esophagus, causing heartburn and other symptoms. The esophagus is the tube that connects the mouth to the stomach.

In a normal digestive system, a ring of muscle at the bottom of the esophagus called the lower esophageal sphincter (LES) opens to allow food and liquid to flow into the stomach, and then closes to prevent the contents of the stomach from flowing back into the esophagus. However, in people with acid reflux, the LES is weak or relaxed, allowing stomach acid to flow back into the esophagus.

Common symptoms of acid reflux :

If left untreated, acid reflux can cause damage to the esophagus and increase the risk of developing other health problems, such as esophageal cancer.

Treatment for acid reflux may include lifestyle changes, such as avoiding trigger foods and losing weight, as well as medications to reduce acid production and heal the esophagus. In severe cases, surgery may be recommended to tighten the LES and prevent acid reflux.

If you are experiencing symptoms of acid reflux, it is important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan.

HOW CAN I CURE ACID REFLUX WITHOUT MEDICATIONS ?

There are several lifestyle changes that can help to reduce the symptoms of acid reflux and avoid the need for medication:

It’s important to note that these lifestyle changes may not work for everyone, and some people may still require medication to manage their symptoms. It’s always best to consult with a healthcare provider to determine the best treatment plan for you.

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bloating

What diet is good for bloating

Gastroenterology

What diet is good for bloating

A healthy and balanced diet that includes plenty of fiber, fluids, and probiotics can help alleviate bloating. Here are some general guidelines for an anti-bloating diet:

It’s important to note that everyone is different, and what may cause bloating in one person may not cause it in another. Keeping a food diary can help you identify which foods may be causing your bloating. If you are experiencing persistent bloating, it’s always a good idea to consult a doctor for a proper diagnosis and treatment plan.

HOW DO YOU INVESTIGATE BLOATING

If you are experiencing persistent bloating, your doctor may perform several tests to help identify the underlying cause. Here are some of the tests that may be used:

It’s important to keep in mind that not all tests are necessary for every individual, and the specific tests recommended will depend on your symptoms and medical history. Your doctor will work with you to determine the best course of action for investigating your bloating.

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