Dr Jafar Jafari

Dr Jafar Jafari is an AGIP-Accredited Senior GI physiologist (Association of GI Physiologists) who is also a a medical doctor. He holds a PhD in Neurogastroenterology (Wingate Inst., Queen Mary, University of London) and MD (Primary Qualification) in General Medicine (Iran, Tehran). Currently, he is Head of Upper GI Physiology Service at the Guy’s and St Thomas’ NHS Trust.

Bad Breath An Indicator of Poor Gut Health and Digestive Imbalances

Bad Breath: An Indicator of Poor Gut Health and Digestive Imbalances

Bad breath, or halitosis, isn’t just a social inconvenience—it can be a sign of deeper issues within your gut health. In this comprehensive exploration, we’ll delve into the intricate connection between bad breath and the delicate balance of your gut microbiome, uncovering how digestive imbalances can manifest in oral odors. The Gut-Breath Connection: Your gut […]

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IBS vs SIBO Whats the difference gi cognition

IBS vs SIBO, What’s the difference?

Navigating the world of gastrointestinal health can be akin to traversing a labyrinth, especially when faced with conditions like Irritable Bowel Syndrome (IBS) and Small Intestinal Bacterial Overgrowth (SIBO). While both can manifest with similar symptoms, understanding their nuances is pivotal for accurate diagnosis and tailored treatment plans. Let’s embark on a journey to unravel

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SIBO Diagnosis gi-cognitions

Navigating SIBO Diagnosis: The Role of Hydrogen and Methane Breath Tests

Navigating the complexities of Small Intestinal Bacterial Overgrowth (SIBO) often involves a diagnostic journey, with hydrogen and methane breath tests serving as essential landmarks along the way. These tests offer valuable insights into the presence and type of bacterial overgrowth in the small intestine, guiding healthcare providers in developing targeted treatment plans. In this comprehensive

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Understanding the Types of SIBO gi-cogniton

Understanding the Types of SIBO

Small Intestinal Bacterial Overgrowth (SIBO) is not a one-size-fits-all condition. There are different types of SIBO, each with its own unique characteristics and implications for digestive health. In this blog post, we’ll delve into the various types of SIBO, shedding light on their distinctions and how they can impact individuals differently. 1. Hydrogen-Dominant SIBO: Hydrogen-dominant

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What is SIBO – Causes, Symptoms and Diagnosis gi-cognition london uk

What is SIBO – Causes, Symptoms & Diagnosis

Small Intestinal Bacterial Overgrowth (SIBO) is a condition that can wreak havoc on digestive health, often causing discomfort and distress. In this comprehensive guide, we’ll take a deep dive into what SIBO is, explore its potential causes, common symptoms, and shed light on how it’s diagnosed. What is SIBO? SIBO is characterized by an abnormal

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Case Study 7: Uncovering the Secret Message Hidden in a Normal Reflux Test Result

A 23 year old lady presented with stomach pain, heartburn, regurgitation, nausea/vomiting and dysphagia.  High resolution manometry and  24-hour pH-impedance investigations were carried out. High Resolution Manometry HRM results showed the following: Based on Chicago classification, the patient was deemed to have ineffective oesophageal motility (IOM). 24-hour pH-Impedance Reflux Monitoring Off PPI The pH-impedance reflux

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Case Study 6: High Resolution Manometry

A 66-year-old lady presented with epigastric pain, heartburn, regurgitation, belching, high dysphagia and odynophagia.  Her OGD showed a hiatus hernia and barium swallows – tertiary contraction and reflux. Initially high resolution manometry was carried out with a further 24-hour pH-impedance test due to HRM results. High Resolution Manometry HRM results showed the following: These results

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Case study 5: 24-hour pH-Impedance Reflux Monitoring On PPI

The patient was a 53-year-old lady presenting with a cough, LUQ pain and occasional dysphagia.  She had previously undergone high-resolution manometry which showed ‘normal oesophageal motility’ based on Chicago Classification.  Her previous 24-hour pH-impedance showed mainly pathological postprandial reflux.  A 24-hour pH-impedance reflux monitoring test on PPIs was carried out.  The patient was taking 80

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Lessons Learned from a Hydrogen and Methane Breath Test – Case Study

A 16-year-old boy presented with IBS-like symptoms of chronic abdominal pain and diarrhoea.  A clinical diagnosis of small intestinal bacterial overgrowth (SIBO) was made. Hydrogen Breath Test A hydrogen breath test was carried out using 75g of glucose, the patient had followed a restricted diet the previous day and fasted overnight.  Methane levels in the

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