Upper GI symptoms
Reflux and swallowing specialist
Reflux, heartburn and swallowing problems are common, but persistent or progressive symptoms need careful assessment.
The goal is to distinguish straightforward reflux from conditions that need investigation, such as oesophagitis, strictures, Barrett’s oesophagus, eosinophilic oesophagitis or other structural problems.
Symptoms
Heartburn, regurgitation, chest discomfort, food sticking or painful swallowing.
Assessment
History, medication review, gastroscopy when appropriate and follow-up planning.
Treatment
Lifestyle measures, medication optimisation and endoscopic treatment where needed.
When this service helps
Reasons to consider this service
These are common reasons patients are referred or request review. The final recommendation depends on your symptoms, history and previous results.
- Reflux or heartburn that persists despite treatment.
- Difficulty swallowing, food sticking or pain when swallowing.
- Vomiting, unexplained weight loss, black stools or anaemia.
- Known or suspected Barrett’s oesophagus.
- Recurrent food bolus obstruction or suspected oesophageal narrowing.
What to expect
A clear pathway from referral to follow-up
Symptom review
The pattern of reflux or swallowing symptoms is clarified.
Risk check
Alarm symptoms and medication history are reviewed.
Gastroscopy
If needed, the oesophagus and stomach are examined and biopsies can be taken.
Treatment plan
Medication, surveillance or further testing is arranged depending on findings.
Specialist approach
Care that is structured and explained
Many patients have been on reflux medication for years without a clear explanation of what is being treated. A careful review can clarify whether symptoms are reflux-related, whether gastroscopy is needed and how treatment should be adjusted.
Where a procedure is recommended, the reason, preparation, expected findings and follow-up plan should be understandable before you proceed.
Ready to arrange an appointment?
Please send a referral or appointment request. My rooms can discuss pricing, insurance details and the most appropriate next step.