Consultations

I provide expert consultations for the diagnosis and management of a wide range of gastrointestinal (GI) conditions. My subspecialty expertise is in liver disorders, and I have a strong interest in gut-brain axis disorders, including irritable bowel syndrome (IBS) and functional dyspepsia. My approach is patient-centred, offering evidence-based treatments tailored to your individual needs. Whether you require ongoing management, diagnostic evaluation, or procedural care, my goal is to provide clear guidance and compassionate support throughout your healthcare journey.

Signs and Symptoms of Digestive Diseases

The signs and symptoms listed below can indicate the presence of a gastrointestinal or liver disease. I am an expert in the investigation and management of such problems.

Gastrointestinal-related symptoms or signs:

• Diarrhoea and constipation

• Abdominal pain or discomfort

• Abdominal bloating

• Faecal urgency, incontinence and sense of incomplete emptying

• Difficult swallowing (dysphagia) or painful swallowing (odynophagia)

• Gastrointestinal bleeding

  • Vomiting blood or coffee-ground material (haematemesis)

  • Black, tarry stools (melaena)

  • Rectal bleeding

• Iron deficiency and/or anaemia, positive bowel cancer screening test (faecal occult blood test) or abnormal imaging of the digestive tract

• Family history of bowel cancer or polyposis syndrome

Liver-related symptoms or signs:

• Abnormal imaging of the liver (i.e. liver lesion, fatty liver, signs of chronic liver disease or cirrhosis etc.)

• Abnormal blood tests (i.e. liver enzymes or the markers of liver function)

• Abdominal pain

• Jaundice (yellowing of the skin and eyes) and associated symptoms such as itch, dark urine and pale stools

• Other signs of liver failure such as abdominal swelling due to fluid accumulation (ascites), confusion (hepatic encephalopathy) and acute gastrointestinal bleeding (variceal haemorrhage)

Pancreas and biliary related symptoms or signs:

• Abnormal imaging of the pancreas or biliary tree

• Jaundice (yellowing of the skin and eyes) and associated symptoms such as itch, dark urine and pale stools

• Abnormal liver function tests, pancreas enzymes, markers of pancreatic function (faecal elastase) or tumour-markers (CA19.9)

• Diarrhoea, unintentional weight loss or steatorrhea (fatty, greasy stools)

• Unexplained diabetes (can be a sign of pancreatic disease)

Conditions I treat

Gastrointestinal disorders

• Disorders of the oesophagus

  • Gastroesophageal reflux disease (GORD)

  • Barrett’s oesophagus

  • Oesophageal motility disorders (e.g., achalasia, oesophageal spasm)

  • Eosinophilic oesophagitis (EoE)

  • Oesophageal strictures

  • Oesophageal cancer

  • Functional oesophageal disorders

• Disorders of the stomach and duodenum

  • Helicobacter pylori infection

  • Peptic ulcer disease

  • Gastritis and duodenitis

  • Gastric cancer

  • Atrophic gastritis, gastric intestinal metaplasia

  • Autoimmune atrophic gastritis

  • Gastric antral vascular ectasia (GAVE)

  • Gastroparesis

  • Functional dyspepsia

• Disorders of the small bowel

  • Coeliac disease

  • Small intestinal bacterial overgrowth (SIBO)

  • Non-coeliac gluten sensitivity and lactose intolerance

  • Other enteropathies and malabsorption syndromes

• Disorders of the colon

  • Inflammatory bowel disease (Crohn’s disease and Ulcerative colitis)

  • Diverticular disease

  • Colon polyps and colorectal cancer

  • Chronic constipation

  • Irritable bowel syndrome and other disorders of the gut brain interaction (DGBI)

  • Defecation disorders

  • Microscopic colitis

  • Immune check point inhibitor (ICI) enterocolitis

  • Infectious colitis

• Gastrointestinal bleeding and anaemia

  • Upper and lower GI bleeding

  • Iron deficiency +/- anaemia

  • Occult GI bleeding

Hepatobiliary disorders

• Fatty liver disease (metabolic associated fatty liver disease, MAFLD)

• Alcohol-related liver disease

• Viral hepatitis

• Cirrhosis and its complications

• Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma

• Drug induced liver injury (DILI)

• Autoimmune hepatitis (AIH), primary biliary cirrhosis (PBC) and primary sclerosing cholangitis (PSC)

• Immune check point inhibitor (ICI) hepatitis and cholangitis

• Inherited liver diseases i.e. Wilson’s disease, Alpha-1 Antitrypsin Disease and Haemochromatosis

• Gallstone diseases

• IgG4 disease

• Biliary strictures and cholangiocarcinoma

Pancreatic disorders

• Acute and chronic pancreatitis

• Autoimmune pancreatitis

• Exocrine pancreatic insufficiency

• Pancreatic cystic lesions

• Pancreatic cancer