Gastroenterology

A gastroenterology consultation is a crucial step in the diagnosis, prevention and treatment of conditions affecting the digestive system. This complex system includes the oesophagus, stomach, small and large intestines, colon, liver, pancreas and bile ducts: organs that are essential to the body’s general well-being. A thorough examination enables the early identification of any disorders, allowing for targeted intervention and a significant improvement in the patient’s quality of life.

At our centre, gastroenterology consultations are carried out by highly qualified specialists, who adopt a professional, attentive and patient-centred approach. The aim is to provide a comprehensive and accurate assessment, supported by the latest diagnostic technologies.

When is it advisable to see a gastroenterologist?

A consultation with a gastroenterologist is recommended whenever persistent or recurring symptoms affecting the digestive system occur.

Some signs that should not be overlooked include:

Frequent abdominal pain or discomfort
Heartburn or gastro-oesophageal reflux
Digestive difficulties, bloating and flatulence
Changes in bowel habits: constipation, diarrhoea or prolonged irregularity
Blood in the stools
Nausea, vomiting or difficulty swallowing
Unexplained weight loss
Fatigue or anaemia of unknown cause

Furthermore, the examination is strongly recommended for anyone with a history of digestive disorders, such as inflammatory bowel disease (IBD), colorectal cancer or gastric ulcers. It is also useful for monitoring conditions that have already been diagnosed, such as gastritis, coeliac disease, Crohn’s disease, ulcerative colitis, irritable bowel syndrome and liver disease.

What to expect during your specialist appointment

A gastroenterology consultation consists of several stages, all aimed at obtaining as comprehensive a clinical picture as possible.

The specialist gathers information on the patient’s medical history, reported symptoms, lifestyle and any family history of gastrointestinal diseases. This first step is essential for identifying possible risk factors and guiding the diagnostic process.

2. Clinical assessment

The gastroenterologist carries out a physical examination of the abdomen and assesses the main clinical parameters. Through palpation, auscultation and percussion, it is possible to detect any abnormalities, discomfort or signs indicative of functional disturbances.

3. Guidance on further investigations

Depending on the symptoms and clinical findings, the specialist may request further diagnostic tests, including:

Specific blood tests
Abdominal ultrasound scan
Gastroscopy
Colonoscopy
Lactose, fructose or urea breath test for Helicobacter pylori
CT scan or MRI scan of the abdomen

These tests make it possible to pinpoint the cause of the condition and put an appropriate treatment plan in place.

4. Prescription of treatment and treatment plan

At the end of the consultation, the doctor provides a clear overview of the patient’s clinical condition, recommends a personalised treatment plan and offers practical advice on diet and lifestyle, which are often crucial in the management of gastrointestinal conditions.

The main conditions treated

A gastroenterologist specialises in the diagnosis and treatment of a wide range of disorders and diseases, including:

Gastritis and gastric ulcer
Gastro-oesophageal reflux disease (GERD)
Oesophagitis
Colitis, diverticulitis and diverticulosis
Irritable bowel syndrome (IBS)
Coeliac disease
Food intolerances
Crohn’s disease and ulcerative colitis
Hepatitis and liver diseases
Hepatic steatosis (fatty liver)
Pancreatitis
Cancers of the digestive system

Early diagnosis is crucial: many of these conditions, if detected early, can be managed effectively with medication, lifestyle changes or targeted treatments.