chartwell-digestive

How much does a private colonoscopy cost uk?

Thu, 11 Aug 2022 13:48:39 GMT

Avoid An Overcrowded NHS Waiting List for Your Colonoscopy

Early detection of cancer is not only required, but it is also the reason why many people are surviving the disease. The key to early detection is keeping yourself informed with regards to your health and listening to your body as well. When we talk about bowel cancer, one of the most dangerous types of cancer, it can be seen that compared to other forms of cancer, it can be potentially cured if detected at very early stages. Screening for bowel cancer is mandatory in the UK and people from the age of 60 years can be screened once every 2-3 years through colonoscopy. It is always better to get screened early as you will have more chance of being cured by the doctors. With over 40% people having survived cancer, it also indicates how you could take chances when it comes to screening for cancers at an early stage.

What is Colonoscopy?

Colonoscopy is a process of examining the inside of your bowel. During a colonoscopy, it is a long flexible tube about the same thickness as your little finger. The colonoscope lights up the lining of your large bowel and has a sensor on the end to capture video images which are relayed back to a television screen in the endoscopy room. New Paragraph

During the investigation, the endoscopist may need to take some tissue samples, known as biopsies, from the lining of large bowel for further analysis. This is completely painless. Photographs may also be taken for your medical records.

Why do I need to have colonoscopy?

A change in your usual bowel habit to constipation or diarrhoea
Bleeding from the back passage
To find the cause of anaemia
To review a known bowel condition (e.g. inflammatory bowel disease, colonic polyps)
To assess or treat an abnormality seen on other tests such as barium enema or CT scan
A strong family history of bowel cancer
As part of the national bowel cancer screening program

Why private colonoscopy:

Private colonoscopy is the best way to detect it at an early stage. It is completely safe. However, there are some conditions that must be met before undergoing this test. The patient must be more than 50 years old and should have early symptoms of bowel cancer. With the help of private colonoscopy, they will get enough time to get treated and save their life. So make sure you pick the right service provider to avoid any mishap during the procedure.

Bowel cancer is the 4th killer in the UK
Around 42,900 cases every year
16,800 bowel cancer deaths in the UK every year
Immediate access with fast and convenient appointments

FREE Consultations

We can provide FREE consultations with a highly experienced Medical Practitioner for patients who require a Colonoscopy. To book your FEE consultation it is as easy as clicking the link HERE were you can chose a date and time that works best for your diary. During your consultation, your Medical Practitioner will discuss your symptoms and create a management plan based on your needs. A diagnostic referral is included in the price is required.

What happens during Colonoscopy:

A Colonoscopy is a quick procedure and usually it takes 30 to 45 minutes to complete it. You will be asked to wear a gown and you will be asked to lie down on your left side.

First, a rectal examination will be performed prior to a colonoscope being inserted inside. Then, your consultant will insert the colonoscopy into your anus, your bowel will be slightly inflated if your consultant needs to see inside your bowel what the cause is.

The colonoscopy is made of flexible fibres, and contains a tiny video camera at its tips. The camera sends the images to external monitors to examine the inside of your bowel. If any ploys are found inside your bowel, doctors may take out some sample and send it for testing. Based on polys results, doctors will advise whether to take out the polys or not from your bowel.

How Chartwell Hospital can help you:

Chartwell is one of the leading hospitals in the United Kingdom. Provides different kinds of cancer screening services to help people identify bowel cancer at the early stage and get treated before the spread of it. The hospital is located at Leigh-on-Sea, London Road. To schedule your free consultation click the button below.

What are the early symptoms of bowel cancer?

Mon, 18 Jul 2022 14:26:35 GMT

Bowel Cancer

Bowel cancer is generally referred to as colorectal cancer. It affects the large bowel, which is made up of the colon and rectum. It’s the fourth most common cause of death from cancer across the United Kingdom, and the second leading cause of death from cancer in older people.

The bowel is split into 2 parts - the small bowel and the large bowel. The large bowel includes the colon, the rectum and the bowel opening (anus).

Cancer of the small bowel is a type of cancer that affects the digestive system. It can start in any section of the small intestine, but most commonly occurs in the lower part of the small bowel (the duodenum), which connects to your stomach. This disease is not as common as other types of cancer, such as breast cancer or prostate cancer, but it is still deadly if not diagnosed and treated early.

And the food we eat ends up in the large bowel where water and some nutrients are absorbed leaving waste. This passes through the bowel before leaving the body.

The most common type of bowel cancer affects the large bowel, which includes the colon and the back passage. Large bowel cancer is also sometimes called colorectal cancer.

Bowel cancer starts when something goes wrong in a cell and it starts growing uncontrollably to form a tumor. More than 9 out of 10 people who develop bowel cancer in the UK are over the age of 50.

Symptoms of Bowel Cancer:

Bleeding from the back passage (rectum) or blood in your poo
A change in your normal bowel habit, such as looser poo, pooing more often or constipation
A lump that your doctor can feel in your back passage or tummy (abdomen), more commonly on the right side
A feeling of needing to strain in your back passage (as if you need to poo), even after opening your bowels
Losing weight
Pain in your abdomen or back passage
Tiredness and breathlessness caused by a lower than normal level of red blood cells (anaemia)

If you are experiencing any of the symptoms above, it is important to see your doctor. It might turn out that your symptoms are caused by another condition, but if bowel cancer is diagnosed early, it is more likely to be cured. But even if your doctor says there’s nothing wrong with you, have a check on a regular basis so that the doctor can monitor for further changes.

Sometimes cancer can block the bowel. This is called a bowel obstruction. The symptoms include:

Cramping pains in the abdomen
Feeling bloated
Constipation and being unable to pass wind
Being sick

Bowel obstruction is a life threatening cancer condition. The key to getting a correct diagnosis and appropriate treatment is to carefully evaluate all the symptoms and their temporal relationships.

Factors affecting bowel cancer:

Older age: Bowel cancer can be diagnosed with any age of people, but a majority of people with bowel cancer are older than 50. The rates of bowel cancer in people younger than 50 have been increasing, but doctors are unable to find why it is happening.

Diet: There is a huge impact on our diet and bowel cancer, but experts are unable to carry out specific studies to which foods might reduce the risks of bowel cancer, and which could raise the risk of cancer.

Being overweight and obese: According to doctors, obesity is one of main cause of bowel cancer. It is estimated that 11 out of 100 bowel cancers (11%) in the UK are linked to being overweight or obese.

Inflammato ry intestinal conditions: With history of Chronic inflammatory diseases, people are becoming victims of bowel cancer. The inflammatory diseases such as ulcerative colitis and Crohn's disease, can increase your risk of colon cancer.

Inherited syndromes: As there are few bowel cancer cases that are happening due to inherited syndromes. Some gene mutations passed through generations of your family have a significant risk of bowel cancer.

The most common inherited syndromes that increase bowel cancer risk are familial adenomatous polyposis (FAP) and Lynch syndrome, which is also known as hereditary nonpolyposis colorectal cancer (HNPCC).

Eating too little fibre: In the United Kingdom, 30% cases are linked due to low fibre eating habits. Research in this area has had mixed results. Some studies have found an increased risk of bowel cancer in people who eat diets high in red meat and processed meat.

A sedentary lifestyle: People who are not more physically active are more likely to develop bowel cancer. Doing regular exercise will reduce the risk of bowel cancer.

Diabetes: People with diabetes have high chances of developing cancer as they become older.

Smoking Tobacco: According to scientists, 7% cases of bowel cancer are happening due to consumption of tobacco. The risk increases with the number of cigarettes smoked a day. It is never too late to stop smoking but the sooner you stop the better.

Alcohol: Heavy use of alcohol increases risk of your bowel cancer. It has been estimated that around 6 out of 100 bowel cancers in the UK are linked to drinking alcohol.

Infections: There is some evidence that the risk of bowel cancer is higher in people who have an infection called Helicobacter pylori (H. pylori). This is a type of bacteria which can cause stomach ulcers. This is a common infection which many people have. Most do not develop into cancer.

Gallstones: The chance of developing bowel cancer in people with gallstone is increased compared to those without. Also, people with gallstones have a higher risk of developing polyps in the larger bowel.

How to avoid Bowel cancer:

Screening: Doctors recommend that people with an average risk of bowel cancer consider screening around age 45. This will help them detect cancer at early stages and help them not become victims of it.

Eating Habits: People should change food habits and should consume more high fibre foods as they become older. This will help them reduce the chances of cancer in them and keep their health healthy.

Exercise: As we know that people with obesity are getting more diagnosed with bowel cancers. With those with obesity, focusing on regular exercise can help them avoid becoming victims of cancer.

Excessive use of smokes and alcohol: People with excessive use of smokes and alcohol, making themselves at the risk of developing cancers in them. Cutting down the use of smokes and alcohol consumption will help them avoid developing symptoms of bowel cancer.

How Chartwell Hospital can help you:

Chartwell is one of the leading hospitals in the United Kingdom. Provides different kinds of cancer screening services to help people identify bowel cancer at the early stage and get treated before the spread of it. The hospital is located at Leigh-on-Sea, London Road. If you would like to arrange a FREE Consultation please click the button below.

Flexible Sigmoidoscopy | What to Expect & How to Prepare

Fri, 25 Mar 2022 14:26:37 GMT

A flexible sigmoidoscopy is an exam used to evaluate the lower part of the large intestine (colon). A thin, flexible tube with a tiny video camera at the top (sigmoidoscope) is inserted into the rectum. This exam allows the doctor to view the inside of the rectum, the sigmoid colon and around 50 centimetres of the large intestine.

If necessary, tissue samples (biopsies) can be taken through the scope during a flexible sigmoidoscopy exam. The samples taken will later be tested in the laboratory and your doctor will discuss with you the findings.

A flexible sigmoidoscopy exam doesn't allow the doctor to see the entire colon. As a result, flexible sigmoidoscopy alone can't detect all relating cancers or small clumps of cells that could develop into polyps farther into the colon.

Why might your doctor recommend a flexible sigmoidoscopy exam?

There are a couple of reasons for a GP or specialist doctor to recommend a flexible sigmoidoscopy exam:

To investigate intestinal signs and symptoms. A flexible sigmoidoscopy exam can help your doctor explore possible causes for any abdominal pain, rectal bleeding, changes in bowel habits, chronic diarrhoea and other intestinal problems you have been experiencing.
Screen for colon cancer. If you're age 50 or older and you have no colon cancer risk factors other than age — which puts you at average risk — your doctor may recommend a flexible sigmoidoscopy exam every five years to screen for colon cancer.

Sigmoidoscopy is one option for colon cancer screening, but there are other options that allow your doctor to view your whole colon, for example, a colonoscopy. Please discuss with your doctor all the options available to you and your circumstance.

Occasionally, sigmoidoscopy exams are preferred over a colonoscopy because:

The preparation for sigmoidoscopy and the test itself can take less time
An anaesthetic is not often required.
There is a lower risk of direct harm such as a tear in the colon or rectum wall (perforation) with sigmoidoscopy, compared with colonoscopy.

How do you prepare for a flexible sigmoidoscopy?

Before a flexible sigmoidoscopy exam is carried out, you'll need to empty your colon. Any residue in your colon can obscure the view of your colon and rectum during the exam.

To empty your colon, you will need to follow your doctor's instructions carefully. Often people are asked to:

Follow a special diet the day before the exam. Your doctor may ask you not to eat the day before the exam. Drinks may be limited to clear liquids — plain water, tea and coffee without milk or cream. And you may be asked not to eat or drink anything after midnight the night before the exam.
Take a laxative the night before the exam. If your doctor asks you to take a laxative, it will be in either pill or liquid form, and you’ll need to do this the night before.
Use an enema kit. You will need to use an enema kit — typically a few hours before the exam — to fully empty your colon. You may even be asked to take two enemas – this is normal.
Adjust your medications. Remind your doctor of your medications at least a week before the exam — especially if you have diabetes, if you take medications or supplements that contain iron, or if you take aspirin or other blood thinners. Your doctor may need to adjust your dosages or stop taking the medication temporarily before the exam is taken.

What happens during and after a flexible sigmoidoscopy?

Below is a breakdown of what to expect when having a flexible sigmoidoscopy.

During the exam

Wearing a hospital gown, you'll begin the exam lying on your left side on the exam table, usually with your knees drawn toward your abdomen. The doctor will then insert the sigmoidoscope into your rectum.

The sigmoidoscope contains a light and a tube that allows the doctor to place air into your colon. The air expands the colon to provide a better view of the colon lining. When the scope is moved or air is introduced, it is common to experience abdominal cramping or the urge to move your bowels. This is normal but if you are concerned, please discuss it with your doctor during the time of the exam.

The sigmoidoscope also contains a tiny video camera at its tip, that sends images to an external monitor so that the doctor can study the inside of your colon. Your doctor may also insert instruments through the scope to take tissue samples (biopsies).

Typically, a flexible sigmoidoscopy exam takes 15 to 20 minutes. In the case biopsies are taken, the exam may take longer but your doctor will talk you through the process.

If a polyp is found during the exam, your doctor will likely recommend a full colonoscopy to look at your full colon, as other polyps may be present further up in the colon where the flexible sigmoidoscopy cannot reach.

After the exam

After the flexible sigmoidoscopy exam, it is common to experience mild abdominal discomfort and bloating, and you may pass more gas than usual for a few hours as you clear the air from your colon. To relieve any discomfort, we recommend walking, and you should be able to return to your usual diet and activities right away.

You may also notice a small amount of blood in your first bowel movement after the exam, which is common. However, if you continue to pass blood or blood clots, have persistent abdominal pain, and/or a fever of 100 F (37.8 C) or higher, please consult your doctor straight away.

What happens with the results?

Your doctor will review the results of your flexible sigmoidoscopy exam and then share them with you.

Negative result. The results of a flexible sigmoidoscopy exam are considered negative if there are no abnormalities in the colon. If you're at average risk of colon cancer, with the only risk factors being your age, the doctor is likely to recommend waiting five years before repeating the exam.
Positive result. The results of a flexible sigmoidoscopy exam are considered positive if the doctor finds polyps or abnormal tissue in the colon. Depending on the results, you may need additional testing, like a colonoscopy, so that any abnormalities can be examined more thoroughly, biopsied or removed (if necessary). During a colonoscopy, your doctor will screen the entire colon for any other abnormalities.

How much of your colon can be viewed during a flexible sigmoidoscopy depends on the anatomy of your colon and the success of the colon preparation. If your doctor has any concerns regarding the quality of the view through the scope, they are likely to recommend a repeat flexible sigmoidoscopy exam or another screening test that is more suitable. Again, your doctor will discuss this with you in great detail, to ensure you are well informed and as comfortable as possible.

Care at Chartwell Hospital

At Chartwell Gut Health, we have a team of specialists dedicated to providing the best possible care for all of our patients. We diagnose and treat common abdominal symptoms such as rectal bleeding, change in bowel habits and abdominal pain which can be distressing for patients. In most cases, the symptoms are due to underlying health problems. However, for more serious cases, early detection, diagnosis, and treatment are key to recovery.

Our specialists use comprehensive examinations, such as colonoscopy, gastroscopy and flexible sigmoidoscopy to diagnose various digestive health conditions. We work hard to provide compassionate, personalised care and will work with you to review your options and choose the testing/treatment that best suits your needs and preferences.

To book a FREE consultation with us, please complete this online form and one of our team will be in touch with you to discuss the options you have.

The 5 Top Causes of Small Intestinal Bacteria Overgrowth (SIBO)

Tue, 08 Mar 2022 10:29:55 GMT

Small Intestinal Bacteria Overgrowth (SIBO) occurs when there are too many bacteria in the small intestine. Although bacteria are vital for the functioning of the healthy body, too many or an imbalance of certain types of bacteria can lead to a variety of health concerns, like SIBO.

There are many reasons why bacteria can relocate to the small intestine, or why the bacteria usually present there to flourish. According to the definition, SIBO is both the cause of a variety of symptoms - and is caused by a variety of health concerns. To fully treat SIBO, it is important to identify what caused it. Without treating the cause, SIBO will likely recur after treatment. Typically, levels of bacteria are kept in check by the following features in the digestive tract:

Acidic secretions from the stomach
Downward propulsive impulses such as peristalsis and the migrating motor complex (MMC)
The ileocecal valve (a one-way valve connection between the small intestine and large intestine)
Immunoglobulins in the small intestine (that fight bacteria and other pathogens)
Secretion of bile from the gallbladder

Any form of dysfunction in these processes can allow bacteria to overgrow in the small intestine, resulting in a SIBO diagnosis.

Common Signs and Symptoms of SIBO

Signs:

B12 deficiency - fatigue, nerve issues such as numbness or tingling, depression, poor memory, megaloblastic anaemia
Chronic related illnesses – Crohn's Disease, Celiac, Chronic Fatigue Syndrome, hypothyroidism, fibromyalgia,
Iron deficiency - fatigue, shortness of breath, pale skin
Joint pain, weight gain or weight loss, sugar and carbohydrate cravings
Psychiatric - stress, brain fog, poor memory, anxiety, depression
Skin - acne, rosacea, eczema, psoriasis, dermatitis
Vitamin A deficiency - night blindness, low immune system
Vitamin D deficiency - poor bone health, hormonal imbalance, poor immunity
Vitamin E deficiency - muscle weakness, poor immunity

Symptoms:

Abdominal gurgling, discomfort, or pain
Burping or reflux after meals
Chronic diarrhoea and/or constipation
Commonly associated symptoms of SIBO
Foul-smelling gas
Multiple food sensitivities
Wind and bloating within one hour of eating

5 Causes of SIBO

1) Low stomach acid

Low stomach acid, also known as hypochlorhydria, interferes with the initial stages of digestion. Without adequate acid, food is not broken down sufficiently, allowing large undigested carbohydrates into the small intestine. The bacteria in your small intestine then feed off of these carbohydrates, allowing them to multiply. Stomach acid suppresses the growth of bacteria; so, when levels are low, the bacteria can proliferate freely.

The bacteria will then produce hydrogen gas, increasing pressure in the abdomen, pushing acid from the stomach into the oesophagus, leading to acid reflux. Generally, doctors will prescribe an acid-blocking medication; however, since the initial issue was a lack of acid, these medications can worsen symptoms and increase the likelihood of developing SIBO. Other factors that can lead to low stomach acids are stress, inflammatory foods, antacids nutrient deficiencies, or an H. Pylori infection.

2) Migrating Motor Complex Dysfunction

In the digestive system, the migrating motor complex (MMC) is a pattern of gut contraction that moves bacteria from the small intestine into the large intestine between meals and during the night. However, if MMC function is impaired, bacteria is then not cleared from the small intestine correctly, increasing the likelihood of developing SIBO. A variety of factors/conditions increase the risk of impaired MMC function. Here’s a list of the most prominent ones:

Celiac disease
Colitis
Crohns
Diabetes
Ehler's Danlos
Gastroenteritis,
History of eating disorders
Hypothyroidism
Inflammatory bowel disease
Lyme disease
Medications such as opioids and proton pump inhibitors

3) Dysfunction of intestinal nerves and/or muscles

In addition to the MMC, the digestive tract requires peristalsis to move food from mouth to anus. Many conditions can interfere with this movement including, but not limited to:

Achalasia
Gastroparesis
Parkinson’s
Scleroderma
And other neurogenic issues

Structural changes in the digestive tract can also inhibit the movement of bacteria from the small intestine to the large intestine or allow the migration of bacteria upwards from the large intestine. All the following can interfere with the normal bacterial flow:

Adhesions
Ileocecal valve removal or impairment
Masses
Non-draining pockets in the small intestine (diverticula)
Obstructions
Strictures (an area of narrowing in the intestines)

4) Altered bile flow and enzyme production

Bile and enzymes are both required for adequate digestion of the food we eat. Proteolytic enzymes and bile acids additionally have anti-bacterial effects, helping to protect our gut against the possibility of bacterial overgrowth. Without sufficient enzymes, carbohydrates may not be broken down sufficiently, providing plenty of fuel for bacteria to overgrow. So, without the protective efforts of enzymes and bile acids, there is an increased risk of developing SIBO.

5) Stress

Stress interferes with many aspects of digestion, but how does it relate to SIBO?

When we are under stress, our body produces less stomach acid, leading to reduced bile secretion and enzyme production - both of which we have just learned can contribute to SIBO. Moreover, stress weakens the immune system, allowing for the overgrowth of bad bacteria or an infection that may require antibiotics - further increasing the risk of developing SIBO.

Additionally, stress interferes with gut motility, slowing the movement of food, and bacteria, through the gut. Reduced gut motility predisposes us to develop SIBO. So, in a nutshell, stress harms our digestive system and increases the risk of SIBO.

Care at Chartwell Hospital

At Chartwell Hospital, we have a team of specialists dedicated to providing the best possible care for all of our patients. We diagnose and treat various gut health-related issues, including SIBO.

Our specialists use comprehensive examinations and testing to diagnose the problem at hand, depending on your signs and symptoms. These procedures vary from testing blood and stool samples, all the way through to other diagnostic tools such as colonoscopy, gastroscopy, flexible sigmoidoscopy, MRI, X-rays, and CT scans.

To book a FREE consultation with us, please complete our online form to arrange a free one to one video consultation.

7 Foods to Help Relieve Constipation

Tue, 22 Feb 2022 14:05:54 GMT

There’s a high chance you've experienced constipation at one point or another. If the problem is more than occasional or includes symptoms like severe pain or bleeding, it's important to check in with your doctor, as these can be signs of something more serious like a digestive disorder. But in most cases, constipation is just a sign that your diet needs more fibre and fluids.

According to the American Heart Association , the daily value for fibre depending on age and sex is that women under 50 should have around 21 to 25 grams per day, and men under 50 need between 30 to 38 grams per day. Children up to the age of 18 should eat between 14 to 31 grams of fibre per day, again depending on their age and sex.

Getting adequate fibre has been found to play an important role in maintaining weight and helping prevent obesity, as well as maintaining a healthy gut microbiome - which affects several other aspects of our health.

If you need to increase your fibre intake, we advise you to add it to your diet gradually to avoid symptoms like bloating. Give your body a chance to process the new amount of fibre and make sure to drink plenty of fluids to help the fibre flow properly through your digestive tract.

Keep reading to learn the high fibre foods we recommend adding to your day to day - if you wish to improve the amount of fibre you are currently having.

Beans

Beans (and lentils) have been found to provide twice as much fibre as most vegetables. A ½ cup serving of boiled navy beans will provide an impressive 9.5 g of fibre, while a similar size serving of pinto beans provides 7.7 g. Lima and kidney beans have a little less but are still packed with 4.5 g + of fibre per ½ cup. Beans are a great source of fibre to add to your day-to-day because they’re incredibly versatile, and can be added to almost anything - salads, soups, casseroles, pasta and rice dishes.

High Fibre Cereal

There are so many wonderful high-fibre cereals to choose from now, but we recommend you focus on the cereal that has at least 6 g of fibre per serving. Or, if your favourite cereal doesn’t have a lot of fibre, add toppings of your own to bring up the fibre value by sprinkling a tablespoon of wheat bran, chia seeds, or ground flaxseed on top. Here are 15 Super High Fibre Breakfast Cereals you need to see.

Sweet Potato

Now, potatoes in general are good sources of fibre, but we want to focus on sweet potatoes here. A baked sweet potato (with skin) provides 4.8 g of fibre. Boiling and mashing 255g worth of sweet potatoes — with the skin — sees you reach at least 4.3g of fibre. Or why not make your own chips instead of being the frozen ones – simply cut some potatoes in the shape of fries, spray them with a little olive oil, sprinkle with your favourite seasonings, and bake in the oven until crisp. They’ll taste like French fries without the added calories and unhealthy fats.

Berries

Got a bit of a sweet tooth but need something to relieve your constipation? Take your pick of luscious raspberries, blackberries, and strawberries, all of which are fibre sources. Just one cup of fresh strawberries can provide 3 g of fibre. Even better, the same size serving of blackberries can provide 7.6 g and raspberries with an incredible 8 g. They are low in calories, so you can eat a big bowl of plain berries with low-fat yoghurt as a dessert or add them as toppings to your breakfast cereal.

Whole Grain Bread

If you want to avoid being constipated, the bread you eat should be made from 100 per cent whole grains. Whole-grain bread is low in fat and high in dietary fibre and complex carbohydrates. Our advice is always to check the label before buying and find the first ingredient, which should say “whole” before the type of grain, such as “whole-wheat flour.” Don't be fooled by "multigrain" or "seven-grain" loaves of bread, which are made from enriched flour. These products often contain several different grains, but there's no guarantee that any of them are whole grains. Find a whole grain bread you like that contains at least 3 g of fibre per slice.

Broccoli

Broccoli is another vegetable that is an incredible source of fibre. It's also low in calories and a great source of the daily nutrient you need. We recommend you eat your broccoli raw because cooking it can reduce its fibre content. But if you prefer it cooked, try steaming, broiling, or baking the broccoli to avoid extra calories. For additional flavour, you can add a small amount of olive oil, salt, and pepper to the broccoli.

Apples

"An apple a day keeps the doctor away" rings true, because apples come with a long list of health benefits. From being low in calories, aiding weight loss, reducing the risk of diabetes to protecting your heart, apples make for one of the most popular fruits. And yes, they are beneficial when you’re constipated. A study published in the American Journal of Clinical Nutrition found that women who regularly ate apples were found to have 13 to 22 per cent fewer constipation problems than those who didn't have apples. The value of fibre in just one apple can range from 3.6g to 5g.

To arrange a FREE consultation please use our online form to arrange a suitable date and time for a FREE video consultation.

What is a Gastroenterologist?

Fri, 11 Feb 2022 13:52:49 GMT

Gastroenterologists are specialists who focus on the health of the digestive system, or the gastrointestinal (GI) tract, as well as the liver. As experts, they can do more than just treat problems such as irritable bowel syndrome (IBS), pancreatitis and peptic ulcers; they also help both adults and children learn what they need to do to keep their digestive system healthy.

So without further ado, here’s a look at what these specialists do and when you should consider seeing one.

What does a Gastroenterologist do?

Gastroenterologists primarily diagnose and treat GI conditions. If your GP has noticed an issue involving your GI tract, they will most likely refer you to a gastroenterologist for a more detailed assessment of the problem at hand. Gastroenterologists primarily work in clinic or hospital settings and perform endoscopic procedures, in which they use specialised instruments to view the GI tract to make a diagnosis.

What health conditions do Gastroenterologists diagnose and treat?

Gastroenterologists are trained with specialist knowledge of the normal movement of food through the stomach and intestine, the absorption of nutrients, how waste is removed from the body, and how the liver helps with the digestion process. This area of expertise allows them to diagnose and treat issues such as:

Colitis
Colon Polyps (also known as Bowel Polyps)
Gallbladder And Biliary Tract Diseases
Gastro-Oesophageal Reflux (Heartburn)
Gastro-Oesophagael Reflux Disease (GORD)
Hepatitis
Irritable Bowel Syndrome (IBS)
Nutritional Issues
Pancreatitis
Peptic Ulcers

What procedures do Gastroenterologists perform?

Gastroenterologists can perform a range of nonsurgical procedures. They include:

Capsule Endoscopy and double balloon Enteroscopy (which both examine the small intestine)
Colonoscopies (to detect colon cancer or colon polyps)
Endoscopic retrograde cholangiopancreatography (to identify stones or tumours in the bile duct area)
Endoscopic ultrasounds (to examine the upper and lower GI tract, as well as other internal organs)
Feeding tube insertion
Liver biopsy (to assess inflammation and fibrosis in the liver)
Sigmoidoscopy (to evaluate blood loss or pain in the lower large bowel)
Upper Endoscopy (to help diagnose conditions of the food pipe, stomach, and small intestine)

When should you see a Gastroenterologist?

Your GP or primary care doctor may refer you to a Gastroenterologist if you experiencing:

Blood in your stool
Constant acid reflux or heartburn
Difficulty swallowing
Digestion issues (such as constant constipation or diarrhoea)
Unexplained abdominal pain

If you’re over the age of 50, you may also want to meet with a Gastroenterologist for regular screening and preventive care, as you may have an increased risk of colon cancer.

How we can help

Our Gastroenterology doctors can provide compassionate, personalised care and will work with you to diagnose the problem, review your options and choose the treatment that best suits your needs and preferences. To book a FREE consultation, please fill in this form to arrange a date and time for a FREE video consultation.

Heartburn & Acid Reflux | What Are The Causes, Symptoms & Treatments?

Mon, 31 Jan 2022 14:00:42 GMT

Heartburn is extremely common and affects up to 1 in every 5 of UK adults . But what is it? Heartburn is when the stomach acid backs up into the tube that carries food from your mouth to your stomach (oesophagus).

Normally when you swallow, a band of muscle around the bottom of your oesophagus (lower oesophageal sphincter) relaxes to allow food and liquid to flow down into your stomach. Then the muscle tightens again.

If the lower oesophageal sphincter relaxes abnormally or weakens, stomach acid will flow back up into your oesophagus (acid reflux) and cause heartburn. The acid backup may be worse when you're bent over or lying down.

What Causes Heartburn & Acid Reflux?

There are certain factors which appear to cause and worsen heartburn and reflux. These include:

Smoking
Drinking excess alcohol
Certain food and drink ( coffee, tomatoes, chocolate and fatty or spicy foods)
Pregnancy
Stress and Anxiety
Some medicines - such as anti-inflammatory painkillers (like ibuprofen)
Bending forwards
Excess body weight (obesity)
A hiatus hernia – when part of your stomach moves up into your chest

However, many people can suffer from heartburn when there is no apparent lifestyle or other factor causing the problem. It is also quite common for people to develop symptoms because of reflux when there are no signs of oesophagitis. Doctors believe that in such cases the lining of the oesophagus is unusually sensitive to reflux of acid.

What Symptoms Are Associated With Heartburn & Acid Reflux?

For most people, heartburn and reflux is just a nuisance burning sensation in the chest and in the throat, and some notice discomfort or pain as they swallow causing them to frequently need to clear their throat, cough or they could start choking. It is quite common for these symptoms to be worse at night or when lying down.

In a few people, especially where there is severe inflammation of the oesophagus, there is a risk of complications. These can include internal bleeding and narrowing of the gullet, linking to conditions such as Barrett’s Oesophagus . This is a condition that can, very rarely, progress to cancer of the lower oesophagus. If you are worried about these complications, please discuss them with your GP as soon as you can.

When to see your GP:

You have experienced heartburn most days for 3 weeks or more
You are getting food stuck in your throat, frequently being sick or losing weight for no reason
You have difficulty or pain when swallowing food
You have heartburn, indigestion, hiccups or an unpleasant taste in your mouth for three weeks or more

How is Heartburn & Acid Reflux Diagnosed?

Your doctor will ask you to describe your symptoms and the length of time you have had them, to review the need for prescribing the right treatment/medication for you. Should you require such medication long term or the treatment is not working, and your symptoms continue or return, your GP may request an endoscopy. This will ensure there are no underlying problems with your oesophagus or stomach. Here is a quick breakdown of the different procedures your doctor may use to diagnose the problem at hand:

Endoscopy : This test involves passing a thin, flexible tube through the mouth or nose and down into the oesophagus, stomach and start of small intestine. It is usually carried out as an outpatient and takes less than 15 minutes. The endoscopist will take small tissue samples (biopsies) for analysis in the laboratory. The procedure is not painful, but it may be uncomfortable at times, so you may be offered a local anaesthetic throat spray and/or a sedative. Do not worry about knowing which to go for right away, the endoscopist will guide you in this decision.

Barium Meal : Is a procedure in which you drink barium liquid, which will show your oesophagus, stomach and first part of the small intestine on x-ray. It gives less information than an endoscopy but is good at identifying a hiatus hernia or oesophagus narrowing.

Cytosponge : This is a relatively new test that is available in some areas of the UK to identify Barrett’s oesophagus in people who have persistent heartburn and reflux symptoms. For the Cytosponge test, you swallow a small capsule with a sponge inside, which is attached to a piece of thread. After swallowing it, the capsule dissolves in the stomach, and the sponge inside is released. Then a nurse removes the sponge by pulling on the thread. On the way out of the body, the sponge collects cells from the oesophagus lining so that the laboratory can check if there are any changes in the cells to be noted.

What Treatments Are Available For Heartburn & Acid Reflux?

Most treatments revolve around lifestyle changes as your symptoms are likely to lessen if you take measures to reduce the amount of reflux that you have. The lifestyle changes you can make to treat the symptoms of and prevent heartburn and acid reflux occurring are:

Stopping smoking
Reducing alcohol
Losing weight
Reducing your intake of fizzy drinks
Avoiding meals late at night (have your last meal at least 3 hours before you go bed)
Limiting spicy foods
Eating little and often instead of three big meals a day
Propping your head up in bed to alleviate symptoms

There are also a variety of medicines you may be prescribed to help lessen acid reflux symptoms. These are:

Acid-supressing medications : capsules or tablets which reduce the amount of acid produced by the cells in your stomach.

Antacids : alkaline liquids or tablets that reduce the amount of acid produced in the stomach. They usually work immediately and are best taken after meals and before going to bed.

Alginates : these form a thick protective layer on top of the stomach contents and help reduce reflux symptoms. These can be useful to take after meals and before going to bed to reduce night-time symptoms.

Your doctor will discuss all the treatment options available to you once you have discussed your symptoms and whether you have had tests done to examine what is going on in your case.

Care at Chartwell Hospital

At Chartwell Gut Health, we have a team of specialists dedicated to providing the best possible care for all of our patients. We diagnose and treat common abdominal symptoms such as rectal bleeding, change in bowel habit and abdominal pain which can be distressing for patients. In most cases, the symptoms are due to underlying health problems. However, for more serious cases, early detection, diagnosis, and treatment is key to recovery.

Our specialists use comprehensive examinations and testing to diagnose various conditions. In addition to testing blood and stool samples, our Consultant Gastroenterologists may use other diagnostic tools including colonoscopy, gastroscopy, flexible sigmoidoscopy, MRI, X-rays, and CT scans.

To book a FREE consultation at Chartwell Gut Health, please complete our online form to arrange a suitable date and time for a FREE video consultation.

12 Ways to Live Happier and Healthier with Crohn’s Disease

Fri, 14 Jan 2022 16:20:23 GMT

When you find out you have Crohn’s disease, it’s natural to think about how your life may change. Crohn’s is a chronic disease, something you’re going to have for the rest of your life. It’s important you know you can manage the symptoms.

Medication is just one aspect that can help control the symptoms of Crohn’s disease, but effective treatment goes beyond what the doctor prescribes you. For you to truly live well, you’ll need to take a look at every aspect of your life to be as healthy and happy as you can be.

Here are 12 ways to live better with Crohn’s disease:

Check in with your doctor regularly

If you’re feeling well, you might only need to see your doctor twice a year. But if you’re experiencing frequent flare-ups, you may need to schedule appointments more often, possibly to adjust your medication. NOTE : Never change your medication dosage, scheduling, or any other aspect of your health plan on your own. This could be dangerous – always consult your doctor.

Practice relaxation techniques

Although stress doesn’t cause Crohn’s disease, it can certainly aggravate it. Occasions where you are feeling anxious and stressed, try slowing down your breathing, meditation, yoga or something else you find relaxing. It could just be reading a book in a quiet place, listening to your favourite singer, or spending time with loved ones. Do what works for you.

Exercise regularly

Exercise not only helps your digestive tract work more efficiently but can also help reduce stress due to the release of endorphins (or feel-good hormones) that come with getting your blood pumping around your body. To stay motivated, choose an exercise you like doing – whether that going to the gym 5 times a week or simply going for a brisk walk during your lunch break at work- and get your body moving.

Don’t smoke

People who smoke have more Crohn’s disease flares and emergency surgeries — and are more likely to be diagnosed with Crohn’s in the first place. So for those of you that currently smoke, look into ways you can stop the habit to avoid it complicating your condition further. For help quitting smoking, here are some resources to look at:

Avoid over-the-counter anti-inflammatory and antibiotic drugs

Many people with Crohn’s disease also tend to have arthritis and may want to take a nonsteroidal anti-inflammatory drug (NSAID) - such as ibuprofen or naproxen- for the pain and swelling. However, over-the-counter medications are generally bad for Crohn’s disease and can cause flares and ulcers in the lining of the intestines. Talk to your doctor about your options when it comes to anti-inflammatory and antibiotic medication.

Get enough sleep

When you’re tired, you’re more likely to feel stressed, which we’ve mentioned can worsen your symptoms. You’ll sleep better at night if you stick to a routine, with a set time for getting up and going to bed. Be sure to give yourself enough time to wind down before bed so you can focus on sleep. Studies have shown poor sleep is associated with higher disease activity (flares and discomfort) and even hospitalisation. So, make sure you’re well-rested every day.

Follow some dietary basics

Most people with Crohn’s disease find that they feel better if they:

Eat small portions more frequently throughout the day, rather than two or three large meals.
Limit high-fibre foods that are more difficult to digest. For example, popcorn, seeds, and nuts.
Avoid greasy and fatty foods
Cut down on dairy products, which can be hard on your stomach.

Work with a dietitian or nutritionist

Still, with the food side of things -you may want to avoid certain foods if you know they intensify your symptoms during flares, but when you eliminate entire food groups, you run the risk of malnutrition. That’s why it’s good to get guidance from a nutritionist or dietitian who will help you create a meal plan that avoids the foods that bother you but is still nutritious.

Start a journal

One great way that helps people with Crohn’s disease manage their lives better is by keeping a journal. Get yourself a book and write down your day-to-day. Include what you eat, when you eat, when you exercise, when you experience stress and anything else that affects you and your symptoms. This is so you can look back at each day regularly to see what makes you feel good and what may harm your health. Then you will be able to share the information with your doctor so you can tweak your Crohn’s disease treatment plan as needed.

Have new symptoms evaluated quickly

Other complications of Crohn’s disease include abscesses, ulcers, anal fistulas, fissures — all of which are rare, but you should know the signs and symptoms so you can contact your doctor immediately if you experience anything new/different. With new symptoms come possibly different prescription medications to help cope and even heal.

Protect your bones

Crohn’s disease and some of the treatments can increase the risk of developing osteoporosis , a condition that causes bones to become fragile, increasing the risk of fractures and breaks. It’s important to talk to a professional, whether that is your doctor or a nutritionist, about how to get enough calcium, vitamin D, and other nutrients in your diet to help keep your bones as strong as possible. The professional you talk to might suggest you get a bone density test – this is nothing to be worried about. Click HERE to learn about the bone density scan (DEXA scan).

Get screened for colon cancer

Having Crohn’s disease increases your risk of developing colon cancer, so it’s important to have regular colonoscopies to check for changes or any signs of the disease. Talk to your doctor about how frequently you should be screened for colon cancer and they will go through the process with you. Any questions you have about this screening, always refer to your doctor.

To book a FREE video consultation please use our online form to arrange a suitable date and time

What Are the Early Signs of Stomach Cancer?

Mon, 10 Jan 2022 15:22:10 GMT

Stomach cancer, in its early stages, rarely shows any signs or symptoms. Around 7,000 people are diagnosed with this form of cancer each year in the UK, but due to its gradual progress, stomach cancer can be hard to detect in its early stages. Therefore, it is important to get any possible symptoms of stomach cancer checked by your GP as soon as possible. But what are the symptoms associated with stomach cancer?

The signs and symptoms of stomach cancer include:

Loss of appetite
Unintended weight loss
Change in bowel habits such as diarrhoea or constipation
Abdominal pain
Indigestion or acid reflux (heartburn)
Bloating
Vomiting
Nausea
Blood in your stool
Discomfort in the belly, usually above the navel
Feeling of fullness after eating a small meal
Swelling or fluid build-up in the abdomen
Pallor because of anaemia (low red blood cell count)

As the early symptoms of stomach cancer are similar to those of many other conditions, and this form of cancer is often advanced by the time it’s diagnosed by a professional, it’s incredibly important to get check out if you have the slightest concern.

What are the risk factors for stomach cancer?

The exact cause of stomach cancer is still unclear, but there are several risk factors that have been proven to higher the chances of a stomach cancer diagnosis.

The risk factors for stomach cancer are as follows:

Gender : Men are at a higher risk of stomach cancer than women.
Age : Stomach cancer occurs most commonly in people over the age of 50. Most people diagnosed with stomach cancer are in their 60s and 70s.
Occupation : People who work in coal, metal and rubber industries may have a high risk of stomach cancer.
Diet : A diet rich in smoked foods, processed meats and pickled vegetables increases the risk of stomach cancer. A diet rich in fresh fruits and vegetables can lower the risk of stomach cancer. In fact, the number of people in the UK who develop stomach cancer is decreasing. This is probably because our diet is improving, and we are eating more fresh food than ever before.
Smoking : Smoking increases the risk of stomach cancer. The longer a person smokes for and the more they smoke, the greater the risk. The risk reduces when you stop smoking.
Family history : Most stomach cancers are not caused by inherited cancer genes. And most people who develop stomach cancer do not have a strong family history of it. But sometimes stomach cancer runs in families. This may be because close family members share some risk factors for stomach cancer like a similar diet. Rarely is it caused by an inherited gene, but it’s not impossible. In general, the chance of there being a family link is greater when:

a number of family members have been diagnosed with stomach cancer
the family members who have been diagnosed with stomach cancer are closely related
the family members were diagnosed with stomach cancer at a younger age.

Being overweight or obese : People who are very overweight have an increased risk of cancer in the area where the stomach joins the oesophagus. This area is called the gastro-oesophageal junction (GOJ).
Helicobacter pylori infection : This is a stomach infection that causes inflammation of the stomach lining. Over a long time, it can increase the risk of cancer developing.
Previous stomach surgery : Previous surgeries for reasons such as stomach ulcers can increase the risk of stomach cancer. It might be due to less acid production that causes the nitrite-producing bacteria to multiply in the stomach. Bile reflux into the stomach after surgery can also contribute to different stomach cancers.
Type A blood group : People with type A blood are at a high risk of stomach cancer.
Pernicious anaemia : Cells that line the stomach make something called intrinsic factor (IF). This helps us to absorb vitamin B12 and make red blood cells. Pernicious anaemia causes the immune system to attack the cells that make IF. If you are not making enough IF, you do not absorb enough vitamin B12, meaning you have too few red blood cells (anaemia). Due to this, people with Pernicious anaemia are at higher risk of stomach cancer.
Lynch syndrome : This is a genetic disorder that increases the risk of certain cancers including stomach cancer.

How we can help

The Chartwell Hospital is committed to increasing awareness of cancer symptoms as early diagnosis really can save lives. We urge all patients to see a GP or Healthcare Professional if they feel that something is wrong, or any health-related symptom has them worried.

Our Gastroenterology doctors can provide compassionate, personalised care and will work with you to review your options and choose the treatment that best suits your needs and preferences.

To book a FREE video consultation please use our online form to arrange a suitable date and time.

5 Foods to Avoid if You Have IBS

Fri, 07 Jan 2022 15:22:11 GMT

Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system. Symptoms vary from person to person as well as severity, but in most cases, the main symptoms of IBS are:

stomach cramps (usually worse after eating and better after doing a poo)
bloating
diarrhoea
constipation
increased flatulence
passing mucus from your bottom
tiredness and a lack of energy
nausea
backache
problems urinating
not always being able to control when you poo (bowel incontinence)

There can be days when your symptoms are better and days when they're worse (flare-ups). If this is the case, they may be triggered by food.

There's no single diet that works for everyone with IBS. Often, the foods that trigger IBS symptoms vary slightly between individuals with the condition, though several common problematic foods exist. They are:

Dairy

Many people, not just those with IBS, experience some discomfort after eating dairy. Lactose intolerance and IBS symptoms are almost identical, so some individuals with IBS may not even realise that they are lactose intolerant, and vice versa. But why is this? Milk is high in fat, which can trigger diarrhoea and other symptoms associated with IBS. If the dairy foods you’re eating are causing you some discomfort, we recommend you introduce more plant-based milk such as almond, coconut, and oat milk into your diet. It’s important to note many foods contain animal milk/ whole milk that can be causing you to experience IBS flare-ups, so get used to reading labels and educating yourself of the ingredients used in the foods you eat – yes this includes milk chocolate, unfortunately.

Red Meat

Red meat such as beef, lamb, veal, bacon, venison and salami often trigger IBS symptoms like bloating, nausea, and constipation. These animal products lack fibre and have low water content, which can trigger contractions and spasms in the colon. Processed meats also contain additives and nitrates that can aggravate an already sensitive gut. Poultry and fish are common alternatives people with irritable bowel syndrome generally tolerate better.

Beans

Beans are an excellent source of plant-based protein; they are an especially significant part of many vegan and vegetarian recipes. However, people who face digestive complaints like IBS may need to reduce their consumption of pulses like beans, as they are prone to causing symptoms such as bloating, flatulence, and cramping. Given their nutritional benefit, many people find ways to work around these drawbacks. For example, soaking beans overnight or cooking the beans in pressure cookers can help remove the compounds that cause people to fart, and cooking at a higher heat can also eliminate certain IBS symptoms.

We do recommend, however, that you avoid soybeans, black beans and kidney beans as they contain high amounts of fructans, which cause excessive bloating.

Fatty Foods

Consuming fat triggers the digestive system to begin working. Unfortunately, after too many fatty foods, people with IBS often experience symptoms associated with the disorder like cramping, bloating, and periods of severe constipation and diarrhoea. As the food works its way through the gut, the colon contracts, trapping wind and faecal matter within the body. This can be both painful and embarrassing for the individual. We recommend you avoid fatty foods as much as possible.

Gluten

Many people find gluten, a protein found in various ingredients (most commonly wheat), difficult to process. Research suggests gluten could worsen symptoms associated with IBS and doctors often recommend cutting out gluten from your diet. Though avoiding gluten requires reading a lot of food labels, there are many gluten-free options available on the market.

Other things to avoid if you have IBS

Caffeinated Drinks

Beverages such as coffee, carbonated drinks such as coca Cola, and green tea have enough caffeine to irritate the digestive system and cause a lot of discomfort. Though caffeine has numerous health benefits, people with IBS should seek alternatives as it can cause symptoms such as diarrhoea, severe bloating and increased flatulence.

Alcohol

Alcohol is a gut stimulant, like caffeinated drinks, that will quickly take command of the digestive system by moving things along quicker than usual, causing major discomfort along the way. People with and without IBS should consume alcohol only in moderation, and those with IBS should consider distilled alcohol such as gin, vodka and whiskey as these are less likely to cause any gastrointestinal issues.

Stress and Anxiety

A significant amount of research suggests stress can trigger symptoms of IBS in many people. Additionally, stress and anxiety disorders often appear alongside IBS, hinting at a deeper link that needs to be explored more. We recommend those people with IBS find ways to reduce their stress levels on a day-to-day basis. This can include taking short frequent breaks, practising meditation or even simply taking a hot bath at the end of the day. There are many ways to reduce stress levels, it is up to you to find what works for you.

To book a FREE video consultation please use our online form to arrange a date and time that works best for you.

Preparing for a Colonoscopy

Tue, 04 Jan 2022 15:22:06 GMT

One of the most effective ways for a doctor to diagnose a digestive problem is to look directly inside the digestive tract. There are a number of different procedures that a doctor can choose to perform when it comes to the digestive tract, depending on the symptoms at hand and the area of the tract that needs investigating.

Colonoscopy is a common procedure used to investigate the digestive system, and it’s most likely the name of a procedure you’ve heard of, but not necessarily know what it is. With this in mind, we are going to cover what a colonoscopy is and how you prepare for it.

What is a colonoscopy?

A colonoscopy involves inserting a thin, flexible tube called a colonoscope into the body through the anus to examine the colon and rectum. The main purpose of a colonoscopy is to investigate symptoms that may be coming from the colon and the lower digestive tract, such as:

Abdominal pain
Rectal bleeding
Chronic constipation
Passing blood with bowel movements
Chronic diarrhoea

During a colonoscopy, it is possible to identify abnormalities, growths and other intestinal problems, including:

Bowel polyps
Colon cancers
Bleeding
Ulcers
Areas of inflammation

People are recommended to follow particular instructions in preparation for a colonoscopy, including following a specialised prep diet and activity plan. The purpose of this is to induce a kind of diarrhoea that empties the area of stool and other waste to ensure full visibility during screening. This process is known as colonoscopy prep.

How to prepare for a colonoscopy

The reason patients must prep before a colonoscopy is to ensure that the colon is empty and clean before the screening. The prep normally involves:

Following a colonoscopy specific prep diet - this is made up of low fibre food; this stage lasts for three to four days, with a liquid-only food intake on the day before the procedure.
Drinking bowel-cleaning liquids - these are medications called laxatives, which may take the form of a pill or a drink, to induce diarrhoea. They will most commonly be taken the night before the screening, often with another dose on the morning of the procedure. This is called a split-dose regimen.
An enema before the colonoscopy - this may be given in cases where the large intestine is difficult to empty. For example, if the patient is constipated and struggling to pass their bowel movements.

People preparing for a colonoscopy experience quick and frequent bowel movements as the medications take effect, so it is incredibly important that they have ready access to a bathroom at all times.

Before starting the prep for a colonoscopy, most people find it helpful to shop for all the supplies that they will need in advance. In addition to the foods and liquids that will be eaten as part of the diet plan, people preparing for a colonoscopy may wish to purchase products to soothe the skin around the anus, specifically nappy cream (to soothe the skin) and alcohol-free cleansing wipes containing aloe-vera.

What to eat and what to avoid

When prepping for a colonoscopy, one should aim to eat a diet that is full of nutrition but does not cause large amounts of faeces to form in the intestines. Two days before the procedure, is when the patient starts eating a low-fibre diet – avoiding raw fruits and vegetables, whole grain and nuts. This is because low-fibre foods are easier to digest and leave one’s digestive system quickly.

Foods to avoid

Fatty foods
Fruit with seeds or peel like apples, berries or figs
High-fibre cereals such as bran flakes or granola
High-fibre vegetables such as broccoli, cabbage or beans
Legumes such as lentils
Tough meat with gristle
Raw vegetables
Whole grains

Foods to eat

Well cooked vegetables without skin or peel
Eggs
Fish
Fruit without skin or seeds
Smooth peanut butter or almond butter
Lean meat such as chicken, turkey or veal
White rice and pasta
Potatoes without skin

When to avoid solids

The day before the colonoscopy, it is recommended to avoid solid food completely. Consuming liquids only for this time period helps prevent new faecal matter from forming, entering the colon and being present during the procedure, ensuring that the colon remains empty and clean for the appropriate time.

It is important to avoid red and purple food dyes as they can discolour the lining of the colon and make it harder to examine the area during the colonoscopy.

Drinks and liquid foods which are suitable for the day before the colonoscopy include:

Clear broth, including chicken, beef, or vegetable
Tea and black coffee without any cream, milk or sweetener
Clear, light-coloured juices such as apple and white cranberry
Flavoured water
Ice-lollies without fruit or cream
Water
Sports drinks (light colours only)

You must drink clear fluids up until 4 hours before your admission time and you must also stop eating 6 hours before your procedure. This should be a variety of appropriate fluids (listed above) and not just water.

It is important to know that many people often pass clear, yellow liquid once they have finished passing faecal matter. This yellow liquid is made up of digestive juices and does not indicate that the prep has been ineffective. However, if the person preparing for the colonoscopy is still passing liquid containing faecal matter, or brown, cloudy liquid, they should seek medical advice as they will need to take additional steps to clean the system out before the colonoscopy can be performed.

If you have any questions or concerns about the preparation for a colonoscopy, speak with your doctor and they will talk you through the process. No question is a silly question – your doctor is there to inform you of everything – to ensure you are happy as well making sure everything goes as smoothly as possible.

Travel plans

A person can undergo a colonoscopy as an outpatient in most cases, meaning they arrive at the hospital for the procedure and return home the very same day. However, people undergoing a colonoscopy are usually given sedatives to help them relax and to ensure that they are comfortable during the colonoscopy. In all cases where sedatives are used, it is advisable to arrange for a family member or friend to accompany the person having the colonoscopy to and from the hospital. This is because, in general, avoiding activities such as driving is recommended for a time after the use of any kind of sedative. The timeframe simply depends on the specific sedative used.

To book a FREE consultation please use our online form to arrange a suitable date and time.

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What happens with the results?

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7 Foods to Help Relieve Constipation

Beans

High Fibre Cereal

Sweet Potato

Berries

Whole Grain Bread

Broccoli

Apples

What is a Gastroenterologist?

What does a Gastroenterologist do?

What health conditions do Gastroenterologists diagnose and treat?

What procedures do Gastroenterologists perform?

When should you see a Gastroenterologist?

How we can help

Heartburn & Acid Reflux | What Are The Causes, Symptoms & Treatments?

What Causes Heartburn & Acid Reflux?

What Symptoms Are Associated With Heartburn & Acid Reflux?

When to see your GP:

How is Heartburn & Acid Reflux Diagnosed?

What Treatments Are Available For Heartburn & Acid Reflux?

Care at Chartwell Hospital ﻿

12 Ways to Live Happier and Healthier with Crohn’s Disease

Check in with your doctor regularly

Practice relaxation techniques

Exercise regularly

Don’t smoke

Avoid over-the-counter anti-inflammatory and antibiotic drugs

Get enough sleep

Follow some dietary basics

Work with a dietitian or nutritionist

Start a journal

Have new symptoms evaluated quickly

Protect your bones

Get screened for colon cancer

What Are the Early Signs of Stomach Cancer?

What are the risk factors for stomach cancer?

How we can help

5 Foods to Avoid if You Have IBS

Dairy

Red Meat

Beans

Fatty Foods

Gluten

Other things to avoid if you have IBS

Caffeinated Drinks

Alcohol

Stress and Anxiety

Preparing for a Colonoscopy

What is a colonoscopy?

How to prepare for a colonoscopy

What to eat and what to avoid

Foods to avoid

Foods to eat

When to avoid solids

Travel plans

Care at Chartwell Hospital