Inflammatory Bowel Disease (IBD) is primarily known for its impact on the digestive system, causing severe symptoms like abdominal pain, severe diarrhoea, fatigue, weight loss, and malnutrition. However, recent studies have revealed an intriguing connection between migraines and an increased risk of developing IBD.

Here we’ll explore the findings of the recent study, explore the potential link between migraines and IBD, and discuss effective treatment strategies.

Study reveals migraines increase the risk of IBD

A recent study in South Korea, involving more than 10 million participants, has revealed a link between migraines and IBD. The research, leveraging data from the National Health Insurance Service database in South Korea, found that those diagnosed with migraines showed a notably higher incidence of IBD during a ten-year follow-up.

It was revealed there was a 31% higher chance of migraine sufferers developing IBD, with even sharper increases for Crohn’s Disease (CD) at 58% and a 26% increase for Ulcerative Colitis (UC).

How might migraines lead to IBD?

While the exact mechanisms linking migraines with IBD remain under investigation, experts believe that common inflammatory pathways may be at play. Both migraines and IBD are thought to involve increased levels of proinflammatory cytokines and tumour necrosis factor alpha – substances in the body that can promote inflammation.

This shared inflammatory response suggests that migraines may not just be a painful headache, but also a signal of deeper inflammatory processes that could contribute to the development of IBD.

The potential connection between migraines and IBD extends beyond shared inflammatory markers. Neurological research indicates that migraines are not merely localised events in the brain but involve systemic changes affecting the entire body.

The gut-brain axis, a communication network linking the central nervous system and the gastrointestinal tract, may play a crucial role in this association. Disruptions to this network could lead to altered gut motility, changes in the gut microbiome, and increased gut permeability, all of which are observed in IBD patients.

Stress, a common trigger for migraine attacks, is also known to exacerbate gastrointestinal symptoms, suggesting a stress-related pathway that could link migraines to IBD flare-ups. The chronic pain and stress associated with migraines can lead to the activation of the hypothalamic-pituitary-adrenal (HPA) axis, resulting in the release of stress hormones like cortisol. This further promotes inflammation and could potentially trigger IBD symptoms.

While the precise relationship between migraines and IBD is still being unravelled, the evidence points to a multifaceted link.

Your options for treating IBD

Managing IBD effectively involves a combination of medication, lifestyle adjustments, and sometimes surgery. Treatment aims to reduce inflammation that triggers symptoms, leading to long-term remission and minimising complications.

Medications like anti-inflammatory drugs, immune system suppressors, antibiotics, antidiarrheal agents, and pain relievers, are often used to control the symptoms of IBD. Dietary modifications and stress reduction techniques can also play a crucial role in managing the condition.

Given the complexity of IBD and its individual nature, having a tailored treatment plan is vital. If you’re dealing with IBD or experiencing symptoms that could be linked to it, consulting with a specialist is essential.

Mr Michael Stellakis is an expert in managing IBD and can provide a personalised treatment plan that addresses your specific needs. Schedule an appointment today to explore your treatment options and find the best approach to managing the condition.

Whether you’re training for a marathon, or you simply like to run for leisure, when you have a hernia, it can throw a wrench in your routine. Navigating the do’s and don’ts of physical activity with a hernia is crucial, not only for your performance, but also for your health.

Here we look at the implications of running with a hernia. Also, how to safely return to running after hernia surgery.

What is a hernia?

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in the surrounding muscle or connective tissue. The most common types are found in the abdomen and groin areas, like inguinal hernias in the groin, umbilical hernias near the belly button, and hiatal hernias in the upper stomach.

Symptoms may include a noticeable bulge, pain, or discomfort, especially when bending over, coughing, or lifting. There may also be a burning or aching sensation at the site of the bulge.

Some hernias are more apparent when standing up or undertaking physical activity, which is why they can become a particular concern for runners.

Is it a bad idea to run with a hernia?

Whether one should run with a hernia depends very much on the type of hernia and often its size. Sometimes, It can exacerbate symptoms of pain. The repetitive motion and increased intra-abdominal pressure from running can further stress the weakened area, potentially enlarging the hernia or causing additional discomfort. However it is often fine to run with a hernia particularly if it is small and there is no pain. It is essential to listen to your body and consult with a medical professional to evaluate your specific situation.

In general, high intensity running or training should be avoided until after the hernia has been surgically repaired.

Running after hernia surgery

Most hernias eventually need surgery as they don’t disappear on their own. Surgical repair is the only way to permanently eliminate them. Following surgery, it’s important to give your body time to heal before hitting the pavement again.

The waiting period can vary, typically ranging from a week to a couple of months, depending on the extent of the surgery and your individual recovery rate. It’s crucial to gradually reintroduce physical activity, starting with walking and slowly progressing to jogging and then running.

Resuming running after hernia surgery should be done under the guidance of your healthcare provider, who can tailor the advice based on the type of hernia repair and your overall health. Following a structured rehabilitation program will also help strengthen the affected area and reduce the risk of recurrence.

Given the complexities and individual variations of hernia conditions and treatments, consulting with a hernia specialist is essential.

Schedule an appointment to have Mr Stellakis assess your hernia and create a personalised treatment plan based on your needs. This professional guidance and treatment will ensure you return to running safely, with your health and long-term recovery as the top priority.

Don’t let a hernia set you back. With the right care and expert advice, you can get back to running and enjoying your active lifestyle safely and confidently.

Piles, also known as haemorrhoids, are a common yet uncomfortable condition. They occur when veins in the anus and rectum become swollen and inflamed, leading to symptoms like pain, itching, and bleeding.

While various treatments are available, incorporating certain lifestyle and dietary changes can significantly reduce symptoms and prevent piles from worsening.

Here we explore some of the most effective dietary and lifestyle strategies you can adopt to manage the condition.

Increase your dietary fibre

One of the most effective ways to prevent and manage piles is by increasing your intake of dietary fibre. Fibre helps to soften stools and promotes regular bowel movements, reducing strain when you go to the toilet that can cause or exacerbate the problem.

Foods rich in fibre include fruits, vegetables, whole grains, legumes, nuts, and seeds. Incorporating a variety of these foods into your diet can not only alleviate symptoms, but also contribute to better overall digestive health.

Drink plenty of water

Hydration plays a crucial role in softening the stools, making them easier to pass without straining. It also supports the absorption of fibre, helping to prevent constipation.

Aim to drink at least eight glasses of water daily. However, how much you actually need will depend on how active you are, the climate, and overall health. Avoid drinks that can lead to dehydration too. These include alcohol and those high in caffeine, as they can exacerbate symptoms of piles.

Limit time on the toilet

Spending excessive time on the toilet can increase pressure on the veins in the rectum and anus, aggravating piles. To reduce the risk, avoid sitting on the toilet for longer than necessary. This means avoiding scrolling on your phone or reading, both of which can be distracting and cause you to sit on the toilet longer than you need to.

It’s also important to listen to your body and go to the toilet as soon as you feel the urge. Delaying bowel movements can make stools harder and more difficult to pass, leading to increased straining.

Exercise regularly

Regular exercise can help prevent constipation and reduce the pressure on rectal and anal veins, which could prevent piles in the first place. It also promotes regular bowel movements by decreasing the time it takes food to move through the large intestine.

Aim to get at least 30 minutes of moderate-intensity exercise per day, such as brisk walking, cycling, or swimming. Make sure you avoid heavy lifting and high-impact exercises that can strain the abdominal and pelvic areas, potentially worsening the condition.

Adopting these lifestyle and dietary changes can significantly reduce the discomfort associated with piles. However, if symptoms persist or worsen, it’s essential to consult with a professional for further evaluation and treatment options.

If you’re struggling to manage the symptoms of piles, schedule an appointment with Mr Michael Stellakis today. After an initial assessment, he will be able to suggest the best non-surgical or surgical treatments to help alleviate the symptoms and clear up the condition.

A recent study has discovered a link between ulcerative colitis and low Vitamin D levels. The findings highlight the importance of vitamin D, not just in bone health, but also in supporting the immune system and managing inflammation.

Here, we’ll explore what ulcerative colitis is and what the recent findings could mean for those living with the condition.

Low levels of serum vitamin D linked to ulcerative colitis

The recent study, carried out by researchers at the Xi’an Jiaotong University in China, was published in the European Journal of Gastroenterology & Hepatology.

It involved a meta-analysis and systematic review of 16 observational case studies. Altogether they included 987 patients with ulcerative colitis, and 1247 people without the condition. They discovered that vitamin D deficiency was a common thread in five out of the 16 studies reviewed.

Patients with ulcerative colitis consistently showed significantly lower levels of serum vitamin D compared to those without the condition. However, although these findings highlight a correlation, the reasons behind the link are uncertain.

Another study highlighted that low vitamin D levels are common in those with Irritable Bowel Disease (IBD), and is associated with higher severity of IBD conditions. This highlights the potential importance of monitoring vitamin D levels and treatment.

What is ulcerative colitis?

Ulcerative colitis is a common form of IBD, and is a chronic condition that affects the colon, leading to inflammation and the formation of ulcers along the lining of the large intestine. Symptoms can vary in severity, but it can cause considerable discomfort and distress for those affected. Common symptoms can include persistent diarrhoea, abdominal pain, rectal bleeding, fatigue, and weight loss.

The unpredictability of flare-ups and periods of remission, adds to the challenge of living with ulcerative colitis. Recognising the symptoms and seeking timely treatment can significantly improve quality of life for those affected.

Treating ulcerative colitis

Treating ulcerative colitis typically involves a range of approaches aimed at reducing inflammation, managing symptoms, and inducing and maintaining remission.

Treatment strategies can vary, including medication, lifestyle, and dietary changes. In severe cases, surgery may also be required. Anti-inflammatory drugs, immune system suppressors, and biologics play a crucial role in managing the condition. Lifestyle adjustments, meanwhile, such as stress management and diet modifications, can help manage symptoms and reduce the frequency of flare-ups. Those who have lived with the condition for ten years or longer may require more regular colonoscopy surveillance because there is an increased risk of bowel cancer.

Given the complexities and individual nature of ulcerative colitis treatment, personalised medical advice is crucial. If you’re experiencing symptoms, or have been diagnosed with ulcerative colitis, schedule an appointment with Mr Michael Stellakis at the Warwickshire Bowel and Hernia Centre.

With the right support and treatment plan, it is possible to lead a fulfilling life despite the challenges of ulcerative colitis.

Athletes and those who are physically active often face injuries. However, distinguishing between a pulled groin and a sports hernia can be challenging due to their similar symptoms.

Understanding the differences between these two conditions is essential for effective treatment and recovery. Read on to discover what a pulled groin and sports hernia are, and how you can identify which one you might be dealing with.

What is a pulled groin?

A pulled groin, medically known as a groin strain, occurs when one or more of the adductor muscles of the thigh are stretched, torn, or ruptured. These muscles, located on the inner thigh, are crucial for bringing the legs together and stabilising the hip joint.

Groin strains often occur during activities that involve sudden movements, changes in direction, or intense physical exertion. They are especially common in sports like football, hockey, or athletics.

Symptoms of a pulled groin include a sharp pain in the inner thigh, swelling, and bruising. The pain is usually immediate and intensifies with continued activity or movement.

Depending on the severity, which ranges from mild stretching to a complete muscle tear, the discomfort can vary from a dull ache to severe pain that hinders movement.

Rest, ice, compression, and elevation are typically recommended for initial treatment, along with a gradual return to activity.

What is a sports hernia?

A sports hernia, or athletic pubalgia, is a more complex condition than a simple muscle strain. It involves a strain or tear in any soft tissue (muscle, tendon, ligament) in the lower abdomen or groin area.

Contrary to what the name suggests, a sports hernia isn’t actually a hernia. It is a condition often seen in high-intensity sports that involve twisting movements or sudden changes of direction.

The symptoms of a sports hernia can be like those of a pulled groin but often include persistent, aching pain in the lower abdomen. It also causes pain that worsens with activities like running, twisting, or bending.

Unlike a pulled groin, the pain associated with a sports hernia may decrease during rest periods, but often returns when you return to activity.

How to tell if you have a pulled groin or a sports hernia

Distinguishing between a pulled groin and a sports hernia primarily involves assessing the nature and duration of symptoms. A pulled groin typically presents immediate sharp pain at the time of injury, predominantly in the inner thigh. In contrast, a sports hernia starts with a slow onset of pain in the groin or abdominal area, worsening with continuous activity.

Since symptoms can overlap and self-diagnosis can be challenging, it’s crucial to seek professional medical advice for an accurate diagnosis and appropriate treatment plan.

If you suspect you have a sports hernia, book a consultation with Mr Michael Stellakis. He can carry out a thorough physical examination, organising imaging if necessary for a confirmed diagnosis and can recommend the best course of action for recovery.

Hernias are a common problem that can have multiple causes. Essentially, a hernia occurs when an internal part of the body pushes through a weakness in the muscle or the wall of surrounding tissue.

This means, activities like heavy lifting do have the potential to cause a hernia to occur. So, here, we’ll explore how exercise and heavy lifting can trigger a hernia, and what to do if you think you have one.

Can exercise and heavy lifting cause a hernia?

The relationship between heavy lifting, strenuous exercise, and hernia development is complex. While exercise itself is not a direct cause of hernias, lifting heavy weights or engaging in high-intensity workouts can exacerbate pre-existing weak spots in the abdominal wall or groin area. This is particularly true if proper lifting techniques are not followed or if you partake in excessive training without adequate rest.

Prevention is key when it comes to exercise-related hernias. Proper technique, especially during weightlifting, is crucial. This includes lifting with the legs rather than the back, avoiding twisting motions while lifting, and ensuring that you breathe correctly during exercises.

Gradually increasing the intensity of workouts and allowing plenty of time for rest and recovery can also help in minimising the risk. Incorporating exercises that strengthen the core can support the surrounding muscles and reduce the likelihood of developing a hernia.

Is it safe to exercise when you have a hernia?

If you have a hernia, it’s important to seek medical advice before carrying out any type of exercise. While light exercise may be safe and can even help strengthen the muscles around the hernia, heavy lifting or high-impact workouts can aggravate the condition.

Lifting heavy weights with a hernia can increase the pressure on the affected area, causing it to enlarge or become more painful. This can lead to complications such as incarceration or strangulation of the hernia, where the protruded tissue becomes trapped, and its blood supply is cut off. This is a serious complication that requires emergency surgery.

Low-impact activities like walking, swimming, or gentle yoga can often be suitable alternatives.

What should I do if I develop a hernia?

Treatment for a hernia typically depends on its size, severity, and the symptoms it presents. In some cases, especially if the hernia is small and not causing discomfort, monitoring it may be sufficient. However, for larger or painful hernias, surgical intervention is often required to repair the weakened area.

Surgery for hernias has become increasingly efficient and often involves reinforcing the affected area with mesh to prevent recurrence. Recovery times can vary, but following post-operative instructions is crucial for a successful outcome. This includes sticking to lifting restrictions, engaging in recommended exercises to strengthen the area, and attending follow-up appointments.

It’s important to address a hernia quickly to avoid complications and safely return to your normal activities, including exercise and weightlifting.

Book a consultation with leading hernia repair surgeon, Mr Michael Stellakis to discuss your options.

Hernias and constipation are two common health issues that can sometimes occur at the same time. While there’s a lot of information out there about the two conditions, it can be challenging to determine what’s accurate and whether there’s a link between them.

In today’s blog, we’ll explore whether hernias can cause constipation, the risks involved, and when you should seek medical advice.

Can hernias cause constipation?

Hernias, particularly those in the abdominal area, can sometimes lead to constipation. This happens when a part of the intestine or abdominal fat protrudes through a weak spot in the abdominal muscles, creating a bulge. When this bulge or the hernia itself obstructs the bowel, it can disrupt normal bowel movements, leading to constipation.

With inguinal hernias, the intestine can protrude into the groin area. The physical blockage caused by the hernia can make it difficult for waste to pass through the intestine, leading to discomfort and irregular bowel movements.

In some cases, the hernia may not directly cause constipation, but the discomfort and pain associated with it can lead to a reluctance to strain during bowel movements. This can result in a cycle of constipation, where you avoid going to the bathroom due to the pain, worsening the constipation over time.

The dangers of having constipation with a hernia

Having constipation while also having a hernia can be a sign of an intestinal obstruction and should be taken seriously as it can become life-threatening.

It’s crucial to be aware of the symptoms and seek immediate medical attention when needed. The symptoms to watch out for include a painful bulge that doesn’t go away when lying down, worsening pain, nausea, vomiting, bloating, increased heart rate, and fever.

These symptoms could indicate a strangulated hernia, where the trapped part of the bowel has its blood supply cut off. This can lead to tissue death and severe complications if not treated quickly.

There could be other causes of constipation, including medications, certain medical conditions like irritable bowel syndrome, as well as anxiety or stress and not drinking enough water. If lifestyle changes or laxatives do not improve symptoms, a colonoscopy may be needed to check for any abdominal obstructions.

How to treat a hernia

The treatment for a hernia usually involves surgery to repair the weakened area of the abdominal wall. The procedure can be done through open surgery or minimally invasive laparoscopic surgery, depending on the hernia’s size and location, as well as the patient’s overall health.

During the surgery, the protruding tissue is pushed back into place, and the abdominal wall is strengthened, often with surgical mesh, to prevent recurrence.

If you suspect you have a hernia, or if you’re experiencing discomfort or complications from an existing hernia, it’s important to seek medical advice. Consulting with a leading specialist, like Mr Michael Stellakis, can help you get the treatment you need for addressing both the hernia and the constipation.

Book an appointment with Mr Stellakis at the Warwick Bowel and Hernia Centre today to discuss your treatment options and take the first step towards relief and recovery.

Colorectal cancer is the fourth most common cancer in the UK, impacting around 43,000 people a year according to Bowel Cancer UK. Like all cancers, if you can predict colorectal cancer early enough, the more successful treatment is likely to be.

Now, a new study has provided hope that it may soon be possible to detect colorectal cancer before it’s even developed. It found that the gut microbiome could help predict colorectal cancer.

Here, we’ll explore the findings of the recent study, and how you can currently check for colorectal cancer so that potentially life-saving treatment can begin.

Study reveals differences in gut microbiome

The Dutch Microbiome Project Cohort study was conducted over 22 years and revealed groundbreaking insights into the gut microbiome’s role in precancerous colonic lesions.

There were significant differences found in the microbiomes of those with precancerous lesions. These variations were detectable up to five years before the lesions developed.

This discovery opens a potentially new avenue for early detection, suggesting that monitoring changes in the gut microbiome could serve as an early warning sign for colon cancer. This would allow interventions to prevent the cancer from developing in the first place, saving countless lives.

Could gut microbiome help prevent colorectal cancer?

The implications of these findings are substantial and could help in colorectal cancer prevention. Currently, the primary diagnostic method, Faecal Immunochemical Tests (FIT), has a 50% rate of false positives, and typically identifies cancer only after it has developed.

A method to detect and potentially prevent colorectal cancer before its onset could revolutionise patient care, saving lives by catching the disease earlier. The gut microbiome’s predictive capacity could be used as a tool in the fight against colorectal cancer, offering a way to identify those at risk of the disease sooner.

How is colorectal cancer diagnosed and treated?

At present, colorectal cancer diagnosis primarily relies on a colonoscopy, a procedure that uses a scope to examine the inside of the colon. During the procedure, pre-cancerous polyps can be removed and tissue samples can be sent off for analysis.

Blood tests are also taken, not for direct diagnosis, but to give clues about overall health and to track specific cancer markers over time​​.

Treatment for colorectal cancer generally starts with surgery, aiming to remove the cancerous tissue. Depending on the cancer’s stage and location, other treatments like radiation therapy and chemotherapy may also be recommended.

Targeted therapy and immunotherapy are newer approaches that focus on attacking cancer cells more directly. This means either by targeting specific chemicals in cancer cells, or by boosting the body’s immune response against them​​​​.

If you have concerns about your colorectal health or want to learn more about advanced diagnostic services and treatment options, book an appointment with Mr Michael Stellakis.

A groundbreaking trial is currently underway to assess the potential of a new AI tool in the early detection of bowel cancer. Set to continue until the summer of 2024, this innovative trial involves 20 NHS Trusts across England, marking a significant step forward in cancer diagnosis and patient care.

With the promise of earlier detection and improved outcomes, this trial represents a beacon of hope for bowel cancer patients and the medical community.

Here, we look at what this new trial could mean for the future of bowel cancer diagnosis and treatment.

Understanding the AI trial

The AI trial, a pioneering initiative at King’s College Hospital, is a significant step in utilising technology for cancer detection. A revolutionary artificial intelligence tool is being used to analyse colonoscopy images.

The AI’s objective is to identify signs of bowel cancer that may be challenging or impossible for the human eye to detect. The trial aims to evaluate the effectiveness of this AI tool in real clinical settings.

The technology behind it is based on advanced algorithms capable of recognising patterns indicative of bowel cancer. By analysing thousands of colonoscopy images, the AI is trained to detect abnormalities such as polyps, which are often precursors to cancer.

The trial will provide valuable data on how AI can potentially support doctors in making a more accurate and timely diagnosis.

Could the AI tool improve patient outcomes?

The potential for the AI tool to improve patient outcomes is significant. Early detection of bowel cancer is crucial as it increases the chances of successful treatment. When caught early enough, a staggering 90% of patients recover from the disease.

By helping to identify cancer at an earlier stage, the AI tool could play a crucial role in boosting treatment outcomes for patients. Its precision in detecting early signs of bowel cancer could also lead to more personalised treatment plans.

It would enable healthcare providers to tailor treatments based on the specific stage and nature of the cancer, potentially improving the effectiveness of the interventions, and reducing unnecessary treatments.

The importance of early screening for bowel cancer

Early screening in bowel cancer cases is vital. The earlier the cancer is detected, the better the chances of successful treatment and recovery. Screening usually involves a combination of FIT tests, colonoscopy, flexible sigmoidoscopy or scans.

When caught in the initial stages, it is often treatable. The introduction of advanced screening methods such as this AI tool, could significantly improve early detection rates.

Early screening can also lead to less aggressive treatment options, which can have a profound impact on the quality of life for patients. The implementation of AI in screening for the disease not only promises a higher detection rate of early-stage cancers, but also represents a shift towards more proactive and preventative healthcare measures.

The results of this groundbreaking trial could pave the way for a new era in bowel cancer screening and treatment; offering hope to many who are at risk of this deadly disease.
If you are concerned about bowel cancer, or if you have a family history, consider scheduling an appointment with leading surgeon Mr Michael Stellakis. He can organise a tailored screening programme for you and your family.

Heartburn is a common condition affecting 1 in 4 UK adults. The festive season, with its abundance of rich foods, sweet treats, and alcohol, can unfortunately be a prime time for heartburn flare-ups.

Overindulgence and the types of food and drink we consume during holidays can cause havoc for our digestive system. However, the good news is there are ways to avoid heartburn at Christmas.

Here are some effective strategies for managing heartburn and for reducing the risk of discomfort of a flare-up.

Limiting foods that trigger heartburn

Heartburn is the burning feeling caused by stomach acid travelling up from the chest towards the throat, also known as acid reflux. It commonly occurs after eating. It can also cause upper abdominal pain, with bloating and belching. Certain foods and drinks are well-known triggers for heartburn. During the holiday season we also tend to indulge a bit more than usual.

To reduce the risk, it’s a good idea to limit or avoid the following foods:

  • Spicy foods
  • Citrus fruits and fruit juices
  • Hot drinks
  • Alcohol
  • Fatty or fried foods

In addition to being mindful of what you eat, pay attention to portion sizes. Overeating is a common cause of heartburn, as it puts extra pressure on the stomach, which may lead to acid reflux.

Change your routine

Timing is key in managing heartburn. Avoid eating large meals or snacking too close to bedtime. Lying down soon after eating can make it easier for stomach acid to escape into your oesophagus, triggering heartburn.

Aim to have your last meal or snack at least two to three hours before going to bed. This gives your body enough time to digest the food properly. Another way to avoid heartburn is to consider elevating the head of your bed by just a few inches. This can help prevent stomach acid from rising during the night.

Strictly speaking, this needs to be done by raising the head of the bedstead and not by popping yourself upon lots of pillows.

Make healthy lifestyle choices

Lifestyle factors play a significant role in managing heartburn. Avoiding smoking and excess alcohol are crucial, but also maintaining a healthy weight. Excess weight can increase pressure on the stomach, worsening heartburn symptoms. This can include weight gained in pregnancy. Regular exercise can help you manage your weight but be cautious with high-intensity workouts right after meals, and seek advice for safely treating symptoms during pregnancy.

Consider your clothing choices too. Tight-fitting clothes, especially around the waist, can increase the pressure on your abdomen and worsen heartburn symptoms. Opt for comfortable, loose-fitting clothing, especially when you’re planning to indulge in a festive meal.

Despite these preventative measures, if you find yourself experiencing persistent heartburn, it’s important to seek advice from a medical expert. Chronic heartburn can be a sign of a more serious condition, such as gastroesophageal reflux disease (GERD), or a hiatus hernia. Sometimes symptoms need to be investigated with an endoscopy or other test if treatments are not working.

For expert guidance and treatment options, schedule an appointment with Mr Michael Stellakis.