Specialist Evaluation Guide

Symptoms We Evaluate

Expert Evaluation of Digestive, Liver, Pancreatic and Biliary Symptoms

Digestive and liver diseases can present with many different symptoms. Some symptoms may be temporary and improve with simple measures, while persistent, recurrent, or severe symptoms may indicate an underlying condition requiring specialist evaluation.

Symptoms such as acidity, abdominal pain, difficulty swallowing, diarrhoea, constipation, blood in stool, jaundice, unexplained weight loss, or abnormal liver tests should not be ignored—especially when they persist, worsen, or occur with warning signs.

Dr. Dipankar Das provides comprehensive evaluation of gastrointestinal, liver, pancreatic, and biliary symptoms using clinical assessment, blood and stool tests, imaging, endoscopy, colonoscopy, FibroScan®, MRCP, ERCP, and other specialised investigations when required.

Clinical Emergency Warning

When Should You Seek Urgent Medical Care?

Seek immediate medical attention if you experience any of the following warning signs:

Vomiting blood
Black or tarry stools
Heavy or persistent rectal bleeding
Sudden or severe abdominal pain
Jaundice with fever or chills
Persistent vomiting with dehydration
Food stuck in the oesophagus
Severe abdominal swelling
Confusion or excessive drowsiness
Inability to pass stool or gas
Fainting, severe dizziness, or low blood pressure

These symptoms may indicate gastrointestinal bleeding, acute cholangitis, intestinal obstruction, acute pancreatitis, liver failure, or another serious condition requiring urgent treatment.

Call Emergency Helpline
Diagnostic Standards

How Are Digestive Symptoms Evaluated?

The investigations required depend on the nature, duration, severity, and associated warning signs. Evaluation may include:

Detailed Clinical Assessment
Blood Tests
Liver Function Tests
Stool Tests
Abdominal Ultrasound
FibroScan®
Upper GI Endoscopy
Colonoscopy
Flexible Sigmoidoscopy
CT Scan or MRI
CT or MR Enterography
MRCP
Capsule Endoscopy
Oesophageal Manometry
ERCP
Endoscopic Biopsy

Not every patient requires every test. Investigations are selected according to the symptoms, examination findings, medical history, and individual risk factors.

Doctor’s Advice

"Persistent digestive symptoms should not be repeatedly treated with over-the-counter medicines without identifying the underlying cause. Specialist evaluation is particularly important when symptoms are recurrent, worsening, or associated with bleeding, weight loss, anaemia, jaundice, difficulty swallowing, fever, or significant changes in bowel habits."

"An accurate diagnosis allows timely treatment, helps prevent complications, and avoids unnecessary medication or repeated investigations."

Dr. Dipankar DasDM Gastroenterologist • IMS BHU
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