Dr Charlies Gut Clinic
Each year thousands of people have problems with their gut. A lot can go wrong with over 20 meters of tubing. The gut is not easily accessible and problems can be hard to diagnose.
Symptoms can range from pain to bloating to general malaise.
Signs can include looseness, frequency, constipation, excessive wind or blood.
Some diagnoses are made relatively easily but other can take decades.
Disease we know something about include:
The inflammatory bowel condition such as Crohn’s Disease, Ulcerative colitis and Diverticulitis.
The malabsorption syndromes such as Coeliac disease and tropical sprue.
Diseases of bowel wall infiltration such as tumours and amyloidosis.
Rare genetic disorders such as Familial Mediterranean Fever.
20% of the population are estimated to be in a category that probably hides many different diseases but which we call Irritable Bowel Syndrome (IBS).
Many people suffer a bacterial infection of the stomach called Helicobacter pylori but many of these go undiagnosed and untreated.
Bugs and parasites can affect the gut.
Harmful bacteria can colonise the gut and cause signs and symptoms there or elsewhere (the urinary tract or the prostate in men).
Then there is a category of people whom medical science does not really give the answers to although they have clear signs and symptoms of something wrong. Many of these people attend and some find relief from alternative practitioners.
Gut investigations are often complex, unpleasant and uncoordinated leading to delays in diagnosis and treatment.
Blood tests are expensive and if the wrong tests are done the correct answers are not provided.
Many have spent thousands of pounds trying to find answers and relief from their gut symptoms or signs.
The aim of Dr Charlie Easmon’s Gut clinic is to bring sensible diagnostic tools, expertise and treatment together. We will never be the answer to everybody’s gut problems but we provide a valuable private resource for those who can afford our services.
How we do this:
1) Review of your total gut history to date, ideally with access to all relevant investigations and reports. It helps us if you complete the GUT medical questionnaire in advance of your appointment or upload a video diary.
2) A physical examination
3) Appropriate blood tests
4) We give you sample pots to take away and to send back to our highly specialised laboratory (I believe Genova Diagnostics to be the best in its field for gut investigations).
5) Where necessary we arrange direct gut investigations whether it be a camera pill (www.insideuview.com), virtual colonography or the old-fashioned top ‘n’ tail endoscopies.
6) We review your results and outline some ‘working diagnoses’ against which we can test treatments
7) We advise on food, drink and lifestyles changes that may provide symptomatic relief
8) Where necessary we recommend the use of Symprove – for gut recolonisation with healthier bacteria.
9) Where necessary we provide treatment regimes for Helicobacter, parasites or whatever else we may have identified. In some cases we may not have found a bug but we may still suggest an empirical treatment to see if it works!
10) We keep you updated on the latest applicable science of the gut.
What it costs & payment options:
If you have good credit or partner Pay4Later now has a system that allows you to spread payments over a suitable tome for you.
1) Initial consultation, examination and review of all your past history (1 hour face to face with Dr Charlie Easmon)
2) Diagnostic investigation options
Genova Test 1 (DIG 15 IB Status) £335
IBStatus™ offers a concise look at the overall health of the gastrointestinal (GI) tract. It is a non-invasive evaluation that uses biotechnology to evaluate digestion, inflammation, and gut flora. With IBStatus™, you can quickly identify causes of chronic GI complaints while delivering timely targeted clinical management including whether or not a patient should have a more invasive procedure like a colonoscopy. IBStatus™ can help identify the cause and guide treatment.
https://www.gdx.net/product/ibstatus-gastrointestinal-test-stool accessed 30/9/15
Genova Test 2 (DIG 11 H.pylori Stool Antigen HpSA) £125
Genova Test 3 (IMM15 Coeliac Profile – Gluten Sensitivity) £175
Celiac & Gluten Sensitivity
The Celiac & Gluten Sensitivity test tests a patient´s blood for total IgA as well as IgA specific antibodies for possible celiac disease or gluten sensitivity. Celiac disease, also known as celiac sprue or gluten sensitivity enteropathy, is a chronic autoimmune disease which has a genetic component and may affect several family members. Celiac is a lifelong condition with no cure however, it is manageable once diagnosed.
What is Celiac Disease? Celiac disease is a digestive condition triggered by consumption of the protein gluten, which is found in bread, pasta, cookies, pizza crust, and many other foods containing wheat, barley, or rye.When a person with Celiac Disease eats food containing gluten, an immune reaction occurs in the small intestine, resulting in damage to the surface of the small intestine and an inability to absorb certain nutrients from food.
Conditions, diseases, and symptoms related to Celiac Disease:
• Abdominal cramps, gas, and bloating
• Crohn´s Disease
• Foul-smelling or grayish stools that may be fatty or oily
• Gastric ulcers
• General weakness
• Intermittent diarrhea
• Irritable Bowel Syndrome (IBS)
• Parasitic infections
• Skin disorders
• Stunted growth (in children)
• Weight loss
• Lupus erythematosus
• Type 1 diabetes
• Rheumatoid arthritis
• Autoimmune thyroid disease
• Microscopic colitis
Test Type: Blood Test
https://www.gdx.net/product/celiac-gluten-sensitivity-test-blood accessed 30/9/15
Genova Test 4 (DIG02 CDSA/PTM £445
The Comprehensive Digestive Stool Analysis / Parasitology (CDSA/P) is a stool test which offers a comprehensive look at the overall health of the gastrointestinal (GI) tract. The CDSA/P is the original non-invasive evaluation of gastrointestinal function that includes analyses of digestion, absorption, bacterial balance, and yeast. Additionally, the CDSA/P gastrointestinal stool analysis tests for parasites. This gastrointestinal stool analysis profile is recommended for patients with diffuse and non-specific GI-related symptoms such as IBS, indigestion, dysbiosis, constipation, and diarrhea.
Digestive Complaints are Among the Most Common Reasons that Individuals Seek Medical Care Evidence suggests that both local and systemic health issues may begin as imbalances in GI function.This diagnostic CDSA/P stool analysis provides immediate, actionable clinical information for the estimated 50% of all patients seen by primary care practitioners who have GI complaints including IBS.
Consequences of Imbalanced Gastrointestinal Health:
• Irritable Bowel Syndrome (IBS) can be the result of maldigestion, malabsorption, dysbiosis, and/or inflammation
• Maldigestion can result in GI symptoms such as gas, bloating, abdominal pain, constipation or diarrhea
• Chronic maldigestion can lead to bacterial/fungal overgrowth and alterations in gut permeability. Toxins and large molecules that escape the intestinal barrier can enter the general circulation, inflame the liver, burden the body’s detoxification system, and increase the risk for food allergies, joint disease, and imbalances in overall health.
• Malabsorption can lead to deficiencies of nutrients, proteins, carbohydrates, and fats. This can result in long term health complications such as anemia, malnutrition, impaired metabolism and other diseases, such as osteoporosis.
• Chronic dysbiosis can lower the levels of beneficial short chain fatty acids and alter bacterial metabolic activity, thereby increasing the risk of carcinogenesis, hormonal imbalance, and GI inflammation
Altered GI immune function and exposure to bacterial pathogens can lead to diarrhea, mucosal inflammation, intestinal permeability, toxin production, and auto-immune disorders
https://www.gdx.net/product/comprehensive-digestive-stool-analysis-2-with-parasitology-cdsap accessed 30/9/15
3) Camera Pill if required £1500 (www.insideuview.com)
4) Virtual Colonography if required
5) Endoscopy if required
6) Flexibile Sigmoidoscopy if required
7) Colonoscopy if required
8) Symprove 8 week course £
9) Helicobacter prescription £ (medication cost is around £ paid to the pharmacy)
10) Gut parasite prescription £ (medication cost is around £ paid to the pharmacy)
11) Overview by a Gastro-Enterology consultant £