Question 1

When is gastroscopy (oral or nasal) the right choice?

Accepted Answer

Gastroscopy is used for persistent dyspepsia, reflux/GERD with alarm symptoms, dysphagia, vomiting, unexplained anaemia or weight loss, and suspected ulcer, coeliac disease or Barrett's oesophagus. We offer both oral and transnasal gastroscopy — the nasal variant is performed without sedation and is often more comfortable.

Question 2

When should I have a colonoscopy?

Accepted Answer

Colonoscopy is indicated for visible or occult blood in the stool, persistent diarrhoea, iron-deficiency anaemia, suspected inflammatory bowel disease (Crohn's/ulcerative colitis), polyp surveillance or screening in families with a predisposition to colorectal cancer.

Question 3

When is capsule endoscopy used instead of a scope?

Accepted Answer

Capsule endoscopy (CapsoVision) examines the small intestine — an area that cannot be reached with gastroscopy or colonoscopy. It is used for unexplained bleeding or anaemia after normal gastro- and colonoscopy, suspected small-bowel Crohn's, or polyps in hereditary syndromes.

Question 4

Do I need a referral from my GP?

Accepted Answer

No. You can book directly with us without a referral. The clinic is led by consultant surgeon Dr. Bahir Hadi, who handles both diagnostics and treatment of gastrointestinal conditions — so you do not need to be referred on to other specialists.

Question 5

Who performs the SIBO test?

Accepted Answer

We perform the H₂/CH₄ breath test with glucose, lactulose or fructose ourselves in the clinic and decide on treatment with rifaximin or other targeted therapy. No onward referral is needed.

Question 6

Can halitosis be diagnosed and treated at EndoCap?

Accepted Answer

Yes. We objectively measure sulphur compounds (H₂S, CH₃SH, (CH₃)₂S) with OralChroma and combine this with clinical assessment. If a gastrointestinal cause is suspected, we perform the necessary GI assessment ourselves. Only purely ENT or internal-medicine causes (sinus, liver, kidney, diabetes) are referred externally.

Question 7

How does an IBS assessment proceed?

Accepted Answer

We follow the Rome V criteria, screen for alarm symptoms (red flags) and rule out organic disease — including endoscopy, calprotectin and SIBO testing when relevant — before we put together an individual treatment plan with diet (low-FODMAP), medication and follow-up. Everything happens in the clinic.

Specialist gastrointestinal diagnostics
for gut and breath.

The whole pathway. One place.

Capsule endoscopy

SIBO test

Halitosis

IBS

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Consultation

Investigation

Report & plan

Which investigation is right when?

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Specialist gastrointestinal diagnostics for gut and breath.