Gastroenterology Clinic Online

Specialist care for problems of the stomach, bowel, liver, gallbladder and pancreas — first assessment, interpretation of test results, a treatment plan and follow-up.

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Appointments in Swedish, English and Arabic
Evidence-based care
Written plan after every visit

About the clinic

Gastroenterology covers everything from the oesophagus and stomach through to the bowel, liver, gallbladder and pancreas. It is a field where the symptoms are often vague — abdominal pain, bloating, a change in bowel habit — but where the distinction between functional and structural is decisive. An experienced gastroenterologist therefore puts most weight on the pattern: when the symptoms come, how often, and above all whether there are alarm symptoms that change everything.

We spend time mapping the symptom pattern properly rather than going straight to investigations. That means we can often tell you early whether your problems are the kind managed with diet and lifestyle, or the kind that genuinely need endoscopy.

Who we help

Adults with long-standing stomach and bowel problems
Children and adolescents with recurrent abdominal pain
You with suspected IBS or functional bowel problems
You with heartburn, acid regurgitation or reflux
You with nausea or a feeling of fullness that comes on early
You with diarrhoea, constipation or an alternating stool pattern
You with blood in the stool, or worry about bowel disease
You with suspected coeliac disease
You with raised liver tests
You with gallbladder problems or pain under the right rib margin
You who want help interpreting test results or imaging
You who would like a second opinion

Symptoms

Conditions

IBS and functional bowel problems
Reflux disease (GERD)
Dyspepsia and gastritis
Lactose intolerance
Chronic constipation
Hepatitis
Pancreatitis
Crohn's disease
Ulcerative colitis
Gallstones

Services and examinations

Digital specialist assessment
Review of medical history and symptoms
Interpretation of existing test results and investigations
A recommendation on the next step
Guidance on the need for in-person care (gastroscopy, colonoscopy, ultrasound and CT require a physical care unit)

How it works

1Book and describe your main problem online.
2Upload previous results if you have them — test results, examinations, medication list.
3Video consultation — review of your history and targeted questions.
4A clear plan — next steps, any treatment, and a timeframe for follow-up.

What to prepare

A timeline of your symptoms (when it started, what triggers or relieves it)
Current medications and doses
Known allergies and previous illnesses
Previous test results and examinations, with dates if possible
Your three most important questions for the visit

Call your local emergency number immediately or go to the nearest emergency department if you have:

Severe abdominal pain with fever and impaired general condition
Large amounts of blood in the stool, or black, tar-like stools
Forceful vomiting, especially with blood
Jaundice combined with severe pain
Severe difficulty swallowing with a feeling of choking

Digital care cannot replace emergency services. If unsure, seek care immediately.

Our doctors

See available doctors and book an appointment

Frequently asked questions

When should I seek care for stomach problems?

If the problems recur, affect everyday life, or if you have alarm symptoms such as blood in the stool, weight loss, difficulty swallowing or symptoms at night.

Do I need test results before the appointment?

No, but please upload them if you have them.

Can you make a diagnosis online?

In some cases, from the history and previous results; other cases require a physical examination or endoscopy.

Can you interpret tests from another care provider?

Yes.

What happens after the appointment?

A clear plan for how things are taken forward.

Can you help with managing IBS?

Yes — dietary and lifestyle advice along with a treatment plan.

Can you follow up Crohn's disease or ulcerative colitis?

We can assist with assessment and guidance; the lead specialist care often takes place in consultation with in-person services.

What do I do if things get worse?

Do I always need a gastroscopy for stomach problems?

No. Most stomach problems are investigated and treated without endoscopy — it is alarm symptoms and age that decide.

Can my problems be caused by stress?

Yes, the gut is strongly affected by stress. But we always rule out other causes first — one does not exclude the other.

Fifteen common conditions

IBS (irritable or sensitive bowel)

Typical age: All adult ages.
Background: A functional bowel disorder with no structural cause.
Symptoms: Abdominal pain, bloating, an alternating stool pattern.
What the doctor looks for: Warning signs that would point to a more serious cause.
Investigations: History, sometimes blood tests.
Diagnosis: Exclusion of other causes, together with the symptom picture.
Management: Diet, lifestyle, symptom relief.
Follow-up: If symptoms persist.
Prognosis: Good, but it can be long-lasting.
What you can do yourself: A food and symptom diary kept for two weeks often identifies specific triggers.
When should you book?: For problems lasting more than three months, and always if there is blood in the stool or weight loss.

Reflux disease (GERD)

Typical age: All adult ages.
Background: Stomach acid leaks up into the oesophagus.
Symptoms: Heartburn, acid regurgitation.
What the doctor looks for: The symptom pattern in relation to meals and body position.
Investigations: The clinical picture, sometimes further investigation if there are alarm symptoms.
Diagnosis: The clinical picture.
Management: Lifestyle measures, acid-suppressing medication.
Follow-up: If there is no improvement.
Prognosis: Good with treatment.
What you can do yourself: Raise the head end of the bed and avoid eating in the last three hours before you go to sleep.
When should you book?: If you have symptoms more than twice a week, or if you have difficulty swallowing.

Dyspepsia and gastritis

Typical age: All adult ages.
Background: Inflammation or irritation of the stomach lining.
Symptoms: Pain in the upper abdomen, early fullness, nausea.
What the doctor looks for: Alarm symptoms.
Investigations: The clinical picture, sometimes further investigation.
Diagnosis: The clinical picture, with or without endoscopy findings.
Management: Acid-suppressing treatment, lifestyle measures.
Follow-up: If there is no improvement.
Prognosis: Good.
What you can do yourself: Note any link with meals, alcohol and NSAID painkillers — the most common triggers.
When should you book?: For problems lasting more than four weeks, particularly if you are over 50.

Lactose intolerance and food hypersensitivity

Typical age: All ages.
Background: A reduced ability to break down lactose or other substances.
Symptoms: Bloating, diarrhoea after intake.
What the doctor looks for: The link to specific foods.
Investigations: History, sometimes testing.
Diagnosis: The clinical picture, with or without a test.
Management: Dietary adjustment.
Follow-up: As needed.
Prognosis: Very good with dietary adjustment.
What you can do yourself: Cut out lactose completely for two weeks and then reintroduce it — a simple and reliable test.
When should you book?: If elimination doesn't help, or if you suspect coeliac disease instead.

Chronic constipation

Typical age: All adult ages.
Background: Slow transit through the bowel.
Symptoms: Infrequent or hard stools, discomfort.
What the doctor looks for: Duration and warning signs.
Investigations: History.
Diagnosis: The clinical picture.
Management: Diet, fluids, sometimes medication.
Follow-up: If problems persist.
Prognosis: Good.
What you can do yourself: Increase fibre gradually and drink more water; a rapid increase in fibre often makes the bloating worse.
When should you book?: For new-onset constipation after the age of 50, or if there is blood in the stool.

Hepatitis and liver inflammation

Typical age: All adult ages.
Background: Inflammation of the liver from a range of causes.
Symptoms: Fatigue, sometimes jaundice.
What the doctor looks for: Test values.
Investigations: Blood tests (liver tests).
Diagnosis: Test results, sometimes further investigation.
Management: Depends on the cause.
Follow-up: Regular blood tests.
Prognosis: Varies with the cause.
What you can do yourself: Avoid alcohol completely until the cause is established.
When should you book?: For raised liver tests, or for jaundice or dark urine.

Pancreatitis — investigation support

Typical age: Adults.
Background: Inflammation of the pancreas.
Symptoms: Pain in the upper abdomen, often radiating through to the back.
What the doctor looks for: The symptom picture and previous findings.
Investigations: A new episode usually requires emergency or in-person investigation; digital support applies to follow-up.
Diagnosis: Requires specialist investigation.
Management: According to the specialist plan.
Follow-up: Regular.
Prognosis: Varies with the cause and the severity.
What you can do yourself: Complete abstinence from alcohol is central in alcohol-related pancreatitis.
When should you book?: For follow-up after an episode of pancreatitis. For acute severe abdominal pain — emergency care.

Acute severe abdominal pain may be an emergency — see the safety box.

Crohn's disease — follow-up support

Typical age: Can begin at any age, most often in young adults.
Background: A chronic inflammatory bowel disease.
Symptoms: Abdominal pain, diarrhoea, weight loss.
What the doctor looks for: Symptom control and adherence to treatment.
Investigations: Review of previous records and test results.
Diagnosis: Already made; this concerns follow-up.
Management: According to the specialist plan.
Follow-up: Regular.
Prognosis: Chronic, but well manageable with the right treatment.
What you can do yourself: Note the pattern of flares and their triggers; stopping smoking has a documented benefit in Crohn's disease.
When should you book?: At signs of a flare, or for planned follow-up.

Ulcerative colitis — follow-up support

Typical age: Can begin at any age.
Background: Chronic inflammation of the large bowel.
Symptoms: Bloody diarrhoea, abdominal pain.
What the doctor looks for: Symptom control.
Investigations: Review of previous records.
Diagnosis: Already made; this concerns follow-up.
Management: According to the specialist plan.
Follow-up: Regular.
Prognosis: Chronic, but well manageable with the right treatment.
What you can do yourself: Note the number of bowel movements per day and whether there is blood — that is what decides how a flare is assessed.
When should you book?: If bleeding or the frequency of bowel movements increases.

Gallstones

Typical age: Adults; more common with increasing age.
Background: Stones forming in the gallbladder.
Symptoms: Pain under the right rib margin, often after a fatty meal.
What the doctor looks for: The symptom pattern.
Investigations: The clinical picture; ultrasound in in-person care.
Diagnosis: Imaging findings.
Management: Depends on symptoms, from watchful waiting through to surgery.
Follow-up: According to symptoms.
Prognosis: Good; many cases stay free of symptoms.
What you can do yourself: Reduce fat in the diet for the time being — attacks are often triggered by fatty meals.
When should you book?: For recurrent attacks of pain. For fever, jaundice or persistent pain — emergency care.

Coeliac disease (gluten intolerance)

Typical age: All ages; it often begins in adulthood, even though many believe it is a childhood illness.
Background: An autoimmune reaction to gluten that damages the lining of the small bowel. It is underdiagnosed — many people have vague symptoms for years before the diagnosis is made, and some have no stomach symptoms at all and are picked up through iron deficiency or osteoporosis.
Common symptoms: Bloating, diarrhoea, abdominal pain, fatigue, iron deficiency, unintentional weight loss.
What the doctor looks for: The symptom picture together with iron deficiency or other deficiency states that have no other explanation.
Investigations: Blood test (transglutaminase antibodies) — IMPORTANT: keep eating gluten as normal right up until the blood test, otherwise the result will be falsely negative. The diagnosis is confirmed with a small-bowel biopsy.
How the diagnosis is made: Antibodies plus a biopsy through in-person care.
Management: A lifelong gluten-free diet — the only treatment, but a highly effective one.
Follow-up: Checks of antibodies and nutritional status.
Risk factors to know: Heredity (a close relative with coeliac disease), type 1 diabetes, autoimmune thyroid disease, Down's syndrome.
Common misconception: That you should try a gluten-free diet before being investigated. It is the worst thing you can do — it destroys the possibility of making the diagnosis.
What you can do yourself: Keep eating gluten until you have been investigated. Do not self-test by cutting it out.
When should you book?: For long-standing stomach problems, unexplained iron deficiency, or if a close relative has coeliac disease.
Prognosis: Very good on a strict gluten-free diet — the bowel lining heals.

Blood in the stool

Typical age: All adult ages.
Background: A symptom that should always be assessed. Most causes are benign — haemorrhoids and anal fissures dominate — but it is also one of the most important symptoms for the early detection of bowel cancer, which is why it must never be dismissed as "just haemorrhoids" without an assessment.
Common symptoms: Bright red blood on the paper or in the toilet bowl, or dark or black blood mixed into the stool.
What the doctor looks for: The colour of the blood and where it sits — bright red on the surface more often points to a local cause, dark or mixed-in blood points higher up the bowel.
Investigations: History, blood tests (haemoglobin); colonoscopy over the age of 50 or where there are warning signs.
How the assessment is made: By weighing the character of the blood against age and the other symptoms.
Management: Directed at the cause.
Follow-up: According to the findings.
Risk factors to know: Age over 50, a family history of bowel cancer, inflammatory bowel disease, a change in bowel habit at the same time.
Common misconception: That bleeding from haemorrhoids does not need to be assessed. Haemorrhoids are common — but they do not rule out something else being present as well.
What you can do yourself: Note the colour, the amount, and whether the blood is mixed into the stool or only on the surface.
When should you book?: Every time there is blood in the stool, particularly after the age of 50 or alongside a change in bowel habit.
Prognosis: Good — most causes are benign and treatable.

Unintentional weight loss

Typical age: All adult ages; more serious in older people.
Background: Losing weight without meaning to is one of the least specific but most important symptoms in medicine. The causes range from thyroid disturbance and depression through to malabsorption and malignancy — and it is the time course that governs how urgently it should be investigated.
Common symptoms: A loss of more than five per cent of body weight over six months with no explanation.
What the doctor looks for: Appetite (a preserved appetite despite weight loss points in a different direction from a reduced one), the time course, and the accompanying symptoms.
Investigations: A broad panel of blood tests (haemoglobin, inflammation, thyroid, blood glucose, liver, kidney), stool tests; imaging where needed.
How the assessment is made: Through a structured, broad investigation — not by guessing.
Management: Directed at the established cause.
Follow-up: Close, until the cause has been established.
Risk factors to know: Older age, smoking, previous cancer, difficulty swallowing or abdominal pain at the same time.
Common misconception: That weight loss without other symptoms can be left to see. Unintentional weight loss is in itself a reason for investigation.
What you can do yourself: Weigh yourself and write it down — estimated weight loss is unreliable, measured weight loss is useful.
When should you book?: For unintentional weight loss of more than five per cent over six months, or faster.
Prognosis: Depends entirely on the cause; early investigation improves the outcome either way.

Bloating and wind

Typical age: All adult ages; more common in women.
Background: One of the most common stomach complaints and one of those with the greatest effect on quality of life — and one of the least often investigated in a structured way. Usually functional, but it can also be due to coeliac disease, lactose intolerance, bacterial overgrowth or — rarely but importantly — a gynaecological cause.
Common symptoms: A tense abdomen, increasing abdominal girth through the day, wind, discomfort that eases after opening the bowels.
What the doctor looks for: Whether the bloating varies through the day (which points to a functional cause) or is constant and increasing (which calls for more investigation).
Investigations: Blood tests including coeliac antibodies; sometimes a breath test for lactose or bacterial overgrowth.
How the assessment is made: By ruling out specific causes before a functional diagnosis is made.
Management: Dietary adjustment (often FODMAP-based), and treatment of an underlying cause where there is one.
Follow-up: After a change of diet.
Risk factors to know: A rapid increase in fibre, carbonated drinks, sugar alcohols in sugar-free products, stress.
Common misconception: That bloating always comes from the food you have just eaten. The delay is often several hours, which makes the link hard to see without a diary.
What you can do yourself: A food and symptom diary for two weeks, with times noted — the delay makes the link invisible without written notes.
When should you book?: For constant or increasing bloating, or for bloating alongside weight loss.
Prognosis: Good — most people improve considerably with targeted dietary adjustment.

Liver values — raised tests without symptoms

Typical age: All adult ages.
Background: Raised liver tests are often picked up by chance during other blood tests, and cause a great deal of worry. The most common cause today is fatty liver linked to overweight and metabolic syndrome — a condition that is entirely reversible in its early stages, which makes early detection valuable.
Common symptoms: Usually none at all.
What the doctor looks for: Which enzymes are raised and in what relation to each other — the pattern points towards different causes.
Investigations: Additional blood tests (hepatitis serology, iron saturation, autoantibodies), an alcohol history, a medication review; ultrasound of the liver.
How the assessment is made: By systematically ruling out the treatable causes.
Management: Directed at the cause — in fatty liver, weight loss and physical activity are both first-line treatment and highly effective.
Follow-up: Repeat tests after three to six months.
Risk factors to know: Overweight, type 2 diabetes, high blood lipids, alcohol, certain medicines and food supplements.
Common misconception: That raised liver tests always mean alcohol. Today, fatty liver linked to metabolic factors is the most common cause, including in people who do not drink.
What you can do yourself: Review your alcohol intake, food supplements and over-the-counter medicines — several of them affect liver values.
When should you book?: For raised liver tests, even without symptoms.
Prognosis: Good — most causes are treatable, and fatty liver is reversible.

Contact

Book appointment info@medix7.com

The information on this page is general patient information and does not replace an individual medical assessment. Digital care has limitations and cannot handle emergencies — see the emergency box above. If you are unsure, contact healthcare services or your local emergency number.

About this content

This information draws on established Swedish clinical sources, primarily 1177 Vårdguiden, Internetmedicin and Läkemedelsboken. It is general patient information and does not replace individual medical assessment.