Updated guidance on FIT testing in primary care
In this episode, Charlie Andrews speaks to Dr Kevin Monahan, lead author for the joint guidelines published by the BSG and ACPGBI in July 2022 outlining the role of FIT testing in patients with symptoms suggestive of colorectal cancer. These guidelines have informed how we use FIT in primary care, and in this episode he…
Read MoreAbnormal LFTs and non-alcoholic liver disease
Did you know that according to the British Liver Trust, up to 20% of the general population has non-alcoholic liver disease (‘fatty liver disease’) and the prevalence is predicted to rise over the coming years. Morbidity associated with this can be significant, with a proportion of patients with fatty liver disease developing fibrosis of the…
Read MoreCoeliac disease management and follow-up
Join Charlie Andrews in this episode where he speaks to Cristian Costas about the management of people diagnosed with coeliac disease. Cristian is a dynamic dietician who is based in Bradford. He is passionate about coeliac disease and runs an innovative dietician-led service for those with coeliac disease in his area. Cristian shares with us…
Read MoreBackground to FIT testing in primary care
In primary care, we are increasingly using FIT (Faecal Immunochemical Testing) to assess the risk of bowel cancer in patients with lower gastrointestinal symptoms, whilst the latest PCN DES IIF (Impact and Investment Fund) has given FIT a prominent role in risk stratifying 2-week wait referrals to secondary care. In this episode, Mo Thoufeeq, a…
Read MoreBridging the gap between primary and secondary care in inflammatory bowel disease (IBD)
In this episode, I am joined by Pearl Avery. Pearl has a unique role – she spends part of her week as an IBD nurse specialist, and part of her week as an ANP (Advanced Nurse Practitioner) working in a GP practice. Pearl has a fantastic understanding of both primary and secondary care and shares…
Read MoreInflammatory Bowel Disease (IBD)
I speak to Chris Lamb about IBD. Chris was lead author on the BSG IBD guidelines which were published in 2019. The full guidance can be found here: BSG-IBD-Guidelines-2019.pdf Chris is a fount of knowledge for all things related to IBD and I have a fascinating chat with him about the guidance and how these relate…
Read MoreChronic diarrhoea
In this episode, I speak to Professor Ramesh Arasaradnam. Ramesh co-authored the BSG guidelines on chronic diarrhoea in 2018, and is a fount of knowledge in this area.
Functional Dyspepsia
Affecting up to 20% of the UK population, dyspepsia is commonly seen in primary care. Following investigations, the majority of people (up to 89%) are found to have functional dyspepsia. As with any functional problem of the gut, such as IBS, making a confident diagnosis is sometimes challenging but extremely important for the patient, and…
Read MoreH. Pylori
This edition of the podcast series Ingest published by the Primary Care Society for Gastroenterology (PCSG) features a very special guest from the world of gastroenterology. Dr Charlie Andrews talks to Nobel Prize laureate Professor Barry Marshall, the Director of the Marshall Centre founded in 2007 in his honour, the Western Australian Ambassador for Life Sciences and University…
Read MoreDyspepsia
Dyspepsia is a common presenting complaint in primary care, and encompasses a range of symptoms including GORD, nausea, and epigastric pain. Having an approach to these patients is vital given how commonly we see these symptoms, and Mike Burkitt joins me in this episode to provide a really useful overview of dyspepsia, and how we…
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