Dr Charlie Andrews, a GP from Bath and PCSG Committee Member, explores a range of gastroenterology topics from a GPs perspective. The focus of the series covers when to suspect, how to diagnose, when to refer and how to support your patients.
Ingest
Claim This Podcastby PCSG
5.0(2 reviews)
36 episodes
Updated Bi-weekly
Accepts GuestsHas SponsorsLocation 🇬🇧
37
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality42
Social0
YouTube0
Engagement81
Podcast Overview
Dr Charlie Andrews, a GP from Bath and PCSG Committee Member, explores a range of gastroenterology topics from a GPs perspective. The focus of the series covers when to suspect, how to diagnose, when to refer and how to support your patients.
Language
🇺🇲
Publishing Since
10/6/2021
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37
Podcast Authority
BetaPoorBased on show quality, social media presence, reviews, charts, and more
Quality42
Social0
YouTube0
Engagement81
7
Excellent Areas
1
Good Performance
11
Growth Opportunities
excellent
Episode Length
47 minutes
Performing excellently!
good
iTunes Tags
7.2/10
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poor
Publishing Consistency
Every 39 days
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Recent Episodes
January 6, 2026
Helicobacter pylori for primary care
Dr Charlie Andrews talks to Dr Jan Bornschein.
December 23, 2025
The 12 Days of Gut-mas
Based on a popular well known Christmas carol this episode reminds us about prescribing thoughtfully, recognising key red flags, and keeping often-missed diagnoses like bile acid diarrhoea, coeliac disease and liver disease on the radar. The episode also reinforces the importance of early-life microbiome influences and structured differential diagnosis for abdominal symptoms in primary care. Prescribing and de-prescribing • Taper PPIs rather than stopping abruptly to avoid rebound acid hypersecretion, driven by upregulated gastrin during PPI therapy. • Always link NSAID use and H. pylori status to ulcer risk, and remember: gastric ulcers typically cause pain with meals, duodenal ulcers 2–3 hours after eating. Diagnosis, tests and red flags • Use three coeliac test “groups”: serology (tTG/EMA, with total IgA checked), genetics (HLA‑DQ2/DQ8) and duodenal biopsies; ensure patients eat gluten for at least six weeks pre‑testing and to endoscopy. • Actively screen for GI red flags: dysphagia and weight loss (upper GI), PR bleeding and unexplained iron‑deficiency anaemia (lower GI), and escalate for urgent investigation. Practical tools and endoscopy indications • Use the Bristol Stool Chart (types 1–7) routinely in consultations to standardise conversations about stool form and avoid ambiguous “food analogies.” • Remember the three main indications for endoscopy: diagnostic (e.g. dyspepsia, chronic diarrhoea), surveillance (Barrett’s, polyp follow‑up) and therapeutic (RFA/EMR in Barrett’s, polyp removal). Conditions to consider and not miss • Keep bile acid diarrhoea prominent in the differential for IBS‑D: up to ~40% of IBS‑D patients may have it, particularly with ileal disease/resection, Crohn’s, or post‑cholecystectomy. • Maintain a broad GI bleeding differential beyond cancer (e.g. gastritis, peptic ulcer, Mallory–Weiss tear, haemorrhoids/fissures, liver disease/coagulopathy, IBD, angiodysplasia, diverticular disease). Liver disease, microbiome and early life • Remember major causes of liver failure in primary care: excess alcohol, paracetamol overdose, DILI, autoimmune hepatitis, Wilson’s disease, haemochromatosis, viral hepatitis B/C and progressive MASLD. • Support breastfeeding where possible to promote a healthy infant microbiome (HMOs favouring bifidobacteria) and recognise how birth mode and early microbes shape immune development and later allergy/immune risk. Structuring abdominal symptom assessment • For undifferentiated abdominal symptoms, consciously work through a core list: IBS, lactose intolerance, coeliac disease, gastroenteritis, SIBO, IBD, diverticular disease, colorectal cancer, peptic ulcer disease, gallstones/biliary colic, pancreatic insufficiency and medication‑related causes (e.g. metformin, NSAIDs, antibiotics). • Use these categories to guide targeted history, examination, basic tests and thresholds for referral back to gastroenterology or specialist services.
June 9, 2025
The Microbiome, Our Health and Wellbeing
Dr. James Kinross, colorectal surgeon and researcher, explores the microbiome's role in health, discussing its development, impact on the immune system, and the use of probiotics and diet, in an interview with Dr. Charlie Andrews.
36 total episodes available
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Frequently asked questions
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- What is Ingest?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
- Where can I listen to this podcast?
This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
No, this podcast does not typically feature guests.
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