To start your journey, we ask for your details so you can access a secure patient portal to view and manage your care.

Our initial assessment allows our clinical team to understand your symptoms, medical history, and concerns in detail. This information is to help Prof. Epstein understand your health, and focus your consultation in your next steps. Or to find out if you can procced directly to diagnostics test. 

At this stage, a consultation is optional. For many patients, proceeding directly to diagnostic testing allows for a faster and more efficient diagnosis. However, if you would prefer to discuss your symptoms and options with with, a consultation is always available.

Capsule endoscopy includes two different test options, selected based on your symptoms. When recommended, this tests examines the physical structure (“hardware”) of your digestive tract, allowing us to assess part or the entire gastrointestinal system in a minimally invasive way.

This test helps assess vagus nerve activity, the "software",  which plays an important role in communication between the brain and the gut. By analysing heart rate patterns, we can gain insight into how well this connection is functioning and whether nervous system regulation may be contributing to your symptoms..

We offer two different breath tests: SIBO and FODMAP testing. These tests assess how your digestive system processes and ferments certain carbohydrates. The results help us identify whether there are imbalances, such as bacterial overgrowth or carbohydrate intolerance, that may be contributing to your symptoms.

Once your diagnostic tests are complete, a follow-up consultation with Professor Epstein will be arranged to review your results in detail. During this appointment, he will explain the findings, discuss what they mean for your symptoms, and outline any recommended next steps or treatment options.

Following any recommended treatment, you are welcome to arrange a further consultation with Professor Epstein to review your progress and discuss any improvement in your symptoms. You may also arrange a consultation at any time should you wish to revisit your condition, discuss new concerns, or seek further guidance.