In order to manage your investigations and care, we require some personal and health details. Please start your enquiry by completing our Gut-Health Check Questionnaire. This information is usually gathered at a first consultation and allows us an early assessment of your symptoms, which in turn can help us plan your investigations.

We have a Cloud platform, which will provide you with secure access to your medical records. Our data handling protocol is detailed in our Privacy Policy.

Most patients prefer to start their journey by arranging a Zoom teleconsultation. In some situations, such as bowel cancer screening, we can guide you to an investigation first and follow it with a report and teleconsultation. This may be a faster and more efficient option. The questionnaire includes a section where you can indicate your preference. 

Some patients may benefit from minimally invasive capsule endoscopy to scan the gut’s “hardware”, the structure and lining of the digestive tract. Small bowel capsule endoscopy explores the stomach and small intestine, while colon capsule endoscopy is designed to examine the large bowel for polyps and other large bowel abnormalities.

The vagus nerve is the main communication pathway between the gut and the brain, helping to regulate digestion, sensitivity, rhythm, and the body’s response to stress. Heart rate variability (HRV) provides a useful biomarker of vagus nerve health by measuring the natural beat-to-beat variation in the heart. Reduced HRV may indicate impaired brain–gut regulation and can help explain many “functional” digestive disorders where symptoms are real, but no structural abnormality is found.

Breath testing measures hydrogen and methane gases in expired breath after a test sugar is taken. These gases are produced when gut bacteria ferment sugars, so abnormal patterns can suggest microbiome imbalance with excessive fermentation as a cause of symptoms such as bloating, pain, wind, or altered bowel habit. When this fermentation occurs too early, in the small intestine rather than the colon, it may indicate small intestinal bacterial overgrowth, known as SIBO.

Your follow-up teleconsultation brings together the findings from each step of your gut health-check journey. This review helps us interpret the results, consider the most likely diagnosis, and recommend the next steps in your management plan.