The Gastroenterology Services at Nottingham Road Clinic provide specialist-led assessment, diagnosis and management of conditions affecting the gastrointestinal tract, liver and associated digestive organs. Gastrointestinal symptoms are common and can range from mild, intermittent discomfort to complex, chronic or potentially serious disease. Accurate and timely assessment is clinically important, as symptoms are often non-specific and may reflect inflammatory, functional, infectious, metabolic or malignant processes.
The service is delivered by consultant gastroenterologists with expertise across luminal gastroenterology, hepatology and digestive health. Care is supported by access to diagnostics including laboratory testing, imaging, endoscopy and pathology, allowing thorough evaluation and safe, evidence-based decision-making. Where appropriate, results and management plans interface with NHS pathways to support continuity of care and onward treatment.
Nottingham Road Clinic’s approach to gastroenterology is structured, methodical and patient-centred. Assessment focuses on identifying the underlying cause of symptoms, excluding serious pathology, and developing individualised management plans aligned with national clinical guidance. Digestive conditions frequently have a significant impact on daily functioning, nutrition, mental wellbeing and quality of life, and the service recognises the importance of holistic and multidisciplinary care where physical, psychological and nutritional factors intersect.
The Gastroenterology Services at Nottingham Road Clinic provide specialist-led assessment, diagnosis and management of conditions affecting the gastrointestinal tract, liver and associated digestive organs. Gastrointestinal symptoms are common and can range from mild, intermittent discomfort to complex, chronic or potentially serious disease. Accurate and timely assessment is clinically important, as symptoms are often non-specific and may reflect inflammatory, functional, infectious, metabolic or malignant processes.
The service is delivered by consultant gastroenterologists with expertise across luminal gastroenterology, hepatology and digestive health. Care is supported by access to diagnostics including laboratory testing, imaging, endoscopy and pathology, allowing thorough evaluation and safe, evidence-based decision-making. Where appropriate, results and management plans interface with NHS pathways to support continuity of care and onward treatment.
Nottingham Road Clinic’s approach to gastroenterology is structured, methodical and patient-centred. Assessment focuses on identifying the underlying cause of symptoms, excluding serious pathology, and developing individualised management plans aligned with national clinical guidance. Digestive conditions frequently have a significant impact on daily functioning, nutrition, mental wellbeing and quality of life, and the service recognises the importance of holistic and multidisciplinary care where physical, psychological and nutritional factors intersect.
Gastroenterology Services are suitable for adults presenting with new, persistent or recurrent gastrointestinal symptoms that require specialist assessment beyond primary care.
This includes patients with:
Specialist input is particularly appropriate where symptoms are unexplained, progressive, recurrent, associated with red-flag features, or when there is diagnostic uncertainty. The service supports both self-pay and privately insured patients and provides clear guidance for GP and referrer audiences regarding investigation, risk stratification, management and onward referral.
The Gastroenterology Service assesses and manages a comprehensive range of digestive conditions, including functional, inflammatory, structural and hepatobiliary disease.
Upper gastrointestinal conditions
Patients may present with heartburn, reflux, indigestion, nausea or difficulty swallowing. Conditions assessed include gastro-oesophageal reflux disease, peptic ulcer disease, functional dyspepsia and oesophageal motility disorders. Risk factors include obesity, medication use, smoking and Helicobacter pylori infection.
Lower gastrointestinal and bowel conditions
Altered bowel habit, abdominal pain and rectal bleeding may indicate irritable bowel syndrome, inflammatory bowel disease, diverticular disease or colorectal pathology. Specialist assessment helps distinguish functional from inflammatory or malignant causes.
Inflammatory bowel disease
Crohn’s disease and ulcerative colitis may present with diarrhoea, bleeding, abdominal pain, fatigue and weight loss. Accurate diagnosis and disease monitoring are essential to guide treatment and reduce complications.
Functional gastrointestinal disorders
Conditions such as irritable bowel syndrome can cause significant symptoms despite the absence of structural disease. Assessment focuses on symptom pattern, exclusion of red flags and structured management.
Hepatology and liver-related conditions
Abnormal liver blood tests, fatty liver disease, alcohol-related liver disease and other chronic liver conditions require specialist evaluation to determine cause, severity and need for monitoring or referral.
Iron deficiency anaemia and malabsorption
Unexplained anaemia, vitamin deficiencies or weight loss may reflect underlying gastrointestinal disease and require investigation to exclude significant pathology.
Red-flag gastrointestinal symptoms
Urgent assessment is required for persistent rectal bleeding, iron deficiency anaemia, unintentional weight loss, dysphagia, persistent vomiting or suspected gastrointestinal malignancy.
Assessment begins with a detailed gastroenterological history focusing on symptom onset, duration, progression, dietary factors, medication use, family history and associated systemic symptoms. Attention is given to identifying alarm features and assessing the impact of symptoms on daily life.
Diagnostic pathways are guided by clinical findings and may include:
All investigations align with national guidelines and are selected to maximise diagnostic accuracy while avoiding unnecessary testing.
Management is individualised and evidence-based, reflecting diagnosis, disease severity, comorbidities and patient preference.
Treatment options may include:
Conservative measures are prioritised where appropriate, with escalation to interventional pathways guided by response and risk. Follow-up arrangements ensure monitoring of symptoms, treatment effectiveness and safety.
Gastroenterology frequently involves multidisciplinary care. The service works closely with:
This collaborative approach supports coordinated, patient-centred care and timely escalation where required.
Appointments are consultant-led and structured to allow thorough evaluation.
Patients can expect:
Do all gastrointestinal symptoms require specialist investigation?
Many symptoms are benign, but specialist assessment is important where symptoms persist, recur or include red-flag features.
Will I need endoscopy?
Endoscopic investigation is used when clinically indicated to support diagnosis or exclude serious disease.
Can functional bowel symptoms be managed effectively?
Yes. Structured, evidence-based management can significantly improve symptoms and quality of life.
Are abnormal blood tests always serious?
Not always, but they require careful assessment to identify or exclude underlying disease.
Can this service link into NHS care?
Yes. Findings and investigations can support NHS referrals and shared care pathways.
Will my GP be informed?
With patient consent, clear correspondence is shared with primary care.
To book an appointment or discuss which clinician you should see first:
Phone: 01623 624137
Location: Nottingham Road Clinic, 195 Nottingham Road Mansfield NG18 4AA
