An Upper Gastrointestinal Assessment is a clinical evaluation that focuses on the oesophagus, stomach and duodenum.
It aims to explore symptoms such as indigestion, reflux, nausea or swallowing difficulties. The assessment may include a discussion of medical history, lifestyle factors and any previous digestive concerns. Depending on the individual, clinicians may recommend diagnostic tests to understand symptoms more clearly. These may include blood tests, imaging or endoscopic procedures when appropriate. The process aims to inform and guide rather than promise specific outcomes.
Mediwell Clinic
Upper Gastrointestinal Clinic
Common Symptoms / When It May Be Needed
Many patients seek an assessment when they experience persistent heartburn, frequent indigestion or discomfort after eating. Others attend due to nausea, vomiting, early fullness or difficulty swallowing. Symptoms vary from person to person, and some people experience only mild symptoms that still warrant investigation if they continue. An assessment may also be helpful after unexplained weight loss, low appetite or long-standing digestive discomfort. Patients with a history of gastrointestinal conditions may also benefit from regular evaluation.
Causes & Risk Factors
Upper gastrointestinal symptoms may develop due to a wide range of factors. Diet, stress, genetics, medication use and lifestyle habits can all influence digestive function. Acid reflux, inflammation, ulcers or motility issues may also contribute to symptoms. Alcohol intake, smoking and high stress levels may increase risk for some individuals. Research suggests that early evaluation may help identify potential causes, but not all symptoms point to a single condition. Your clinician will consider your history and risk factors to guide further steps.
How the Condition is Diagnosed
Diagnosis depends on the symptoms presented. Clinicians start by reviewing medical history and asking detailed questions about eating patterns, discomfort and lifestyle. They may examine the abdomen and check for signs of tenderness. Blood tests may be used to identify inflammation, infection or nutritional deficiencies. Imaging such as ultrasound or CT may be suggested depending on findings. In many cases, clinicians recommend an upper gastrointestinal endoscopy, which allows direct visual examination.
Treatment Options
Treatment options depend on the underlying cause and the severity of symptoms. Some patients benefit from dietary adjustments, which may help improve reflux, indigestion or bloating. Others may need medication that reduces stomach acid, supports motility or treats infection. Stress management and lifestyle changes can also support digestive comfort. When appropriate, clinicians may advise endoscopic procedures to investigate or manage certain conditions. Each plan depends on the individual, and your clinician will discuss suitable options. Pricing may vary. Please contact the clinic for up-to-date information.
Benefits & Limitations
An Upper Gastrointestinal Assessment may help identify possible causes of discomfort and guide appropriate care. It may also offer reassurance when serious concerns appear unlikely. The assessment encourages early intervention, which may help improve long-term digestive wellbeing. However, limitations exist. No test identifies every condition, and symptoms may persist despite initial investigations. Some patients need long-term monitoring or specialist referral. The assessment does not guarantee specific results, and outcomes depend on individual health factors.
Potential Risks & Side Effects
Who is Suitable / Who May Not Be Suitable
Most adults with upper digestive symptoms are suitable for an assessment. It may also support patients with long-term reflux or those with a family history of gastrointestinal conditions. However, people with sudden severe symptoms—such as intense abdominal pain, vomiting blood, or rapid weight loss—should seek urgent medical care rather than wait for a routine appointment. A GP consultation is recommended when patients feel unsure about the suitability of a clinic visit. Clinicians may refer patients to specialist services if complex care is needed.
Aftercare & Recovery Expectations
After the assessment, most patients resume daily activities immediately unless they undergo sedation or invasive procedures. If endoscopy is performed, temporary throat soreness or bloating may occur, but these usually resolve within hours. Your clinician may advise dietary changes, lifestyle adjustments or follow-up tests depending on the findings. Patients should monitor symptoms and contact the clinic if discomfort increases or new symptoms appear. Clear communication supports safer and more effective ongoing care.
When to Seek Medical Advice
Patients should seek medical attention if they notice severe abdominal pain, persistent vomiting, black stools, difficulty swallowing or sudden weight loss. Non-urgent symptoms, such as mild reflux or ongoing discomfort after meals, may be discussed during a routine appointment. A GP or specialist consultation is recommended if symptoms remain unexplained, worsen over time or interfere with daily activities.
Frequently Asked Questions
Do all symptoms require endoscopy?
Can diet changes help?
How long does the assessment take?
Assessment times vary based on symptoms, tests and clinical needs.
- Information on this website is provided for general guidance only and should not be used as a substitute for professional medical advice. If you have concerns about your health, symptoms or treatment options, please seek advice from a qualified healthcare professional.