Introduction
When it comes to our health, it’s often tempting to dismiss niggling digestive issues as “something I ate” or just stress. However, your gut is often called your “second brain” for a reason, and persistent symptoms are its way of signalling for help. Knowing when to move from self-care to specialist care is key to preventing minor issues from becoming major conditions. This guide will walk you through the specific signs that indicate it’s time to book a consultation with a gastroenterologist.
A gastroenterologist is a specialist in the digestive system, encompassing your oesophagus, stomach, intestines, liver, and pancreas. While your GP is an excellent first port of call, a specialist can offer targeted diagnostics and treatment. Early intervention can:
If you experience any of the following symptoms persistently (for more than a few weeks) or with severe intensity, it’s time to seek a specialist opinion.
Occasional heartburn is common, but if you’re experiencing it two or more times a week, it could be Gastro-oesophageal Reflux Disease (GORD). Untreated, GORD can lead to esophagitis, strictures, and a pre-cancerous condition called Barrett’s oesophagus.
While bloating can be diet-related, constant or severe abdominal pain, cramping, or a feeling of fullness that interferes with your daily life warrants investigation. This could signal anything from food intolerances (like coeliac disease) to IBD (Crohn’s Disease or Ulcerative Colitis) or issues with the pancreas.
This is one of the most critical signs. Pay close attention if you experience:
This is a symptom you should never ignore. Blood can appear as:
The sensation that food is getting stuck in your throat or chest should be investigated promptly. This can be caused by a narrowing of the oesophagus, inflammation, or, in rarer cases, a tumour.
Losing a significant amount of weight without trying is always a red flag. When coupled with digestive symptoms, it can indicate that your body isn’t absorbing nutrients properly due to conditions like coeliac disease, IBD, or chronic pancreatitis.
Anaemia occurs when you have a low red blood cell count. If blood tests reveal you are iron-deficient without an obvious cause (like heavy periods), it may point to chronic, hidden blood loss in your gastrointestinal tract.
If you have a first-degree relative (parent, sibling, child) who has had bowel cancer or other significant digestive conditions like IBD, your own risk is higher. Discussing this with a gastroenterologist can help you create a proactive screening plan.
Your body has a powerful way of communicating. While this list may seem alarming, remember that many digestive conditions are highly treatable, and a gastroenterologist is your best ally in finding the cause and the right solution. Prioritising your digestive health is an investment in your overall well-being. Don’t ignore the signs, seek expert advice and gain the clarity you deserve.
They are the same thing. "GI" is the common abbreviation for gastroenterology.
The consultant will review your medical history and symptoms in detail. They may perform a physical examination and discuss the next steps, which could include blood tests, stool tests, or procedures like an endoscopy or colonoscopy.
Procedures like endoscopy and colonoscopy are typically performed under sedation, meaning you are comfortable and unlikely to remember the procedure. Most people report little to no discomfort.
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