Gut health · Online consultations · International patients
IBS and persistent gut symptoms.
Start with an online consultation.
Bloating, abdominal pain, diarrhoea or constipation can make everyday life difficult. At MediBalans, we review your symptoms, previous investigations and what you have already tried. Start with a free 45-minute video consultation in English, with follow-up online.
What happens at the first consultation?
- Your story. We discuss the symptom pattern, previous results, medicines, eating habits and what you want help with.
- A focused assessment. We consider what is already known and which questions still need an answer. You do not need to choose a test in advance.
- A clear next step. We discuss whether further investigation or an individual programme fits your situation, and how it would be followed up.
Your first consultation is with Dr Christina Biri. Dr Mario Anthis works with results reviews and follow-up. You can also send a request for an initial appointment with Mario through the booking page.
What is IBS?
IBS, or irritable bowel syndrome, involves recurring abdominal pain together with changes in bowel habits. Diarrhoea, constipation or a mixture can occur. Symptoms can be real and disruptive even when an endoscopy looks normal. The diagnosis is based on the symptom pattern and an appropriate assessment for other conditions.
What can the assessment include?
Symptoms and previous care
We review existing investigations, the timing of symptoms and any findings that need further medical assessment.
Food, bowel habits and daily life
Eating patterns, bowel movements, medicines, sleep and stress help us understand what affects your symptoms.
Tests with a defined purpose
A test is considered when its result could change the next step. Depending on the question, this may include blood tests, stool tests or a SIBO breath test.
Explore the gut-test guide, SIBO testing and GI Effects®. ALCAT 250 and 483 are available through the clinic; read the studies and evidence before considering a test-guided diet.
GCR: choosing what to address first
Dr Mario Anthis’s Global Constraint Rule (GCR) is the clinic’s framework for organising the overall picture and prioritising a testable clinical question. In gut care, we use your history and findings to decide the order of investigation, nutrition changes and follow-up. We review the plan against symptoms and daily function.
The consultation and your next step
Questions about IBS care
Can I book for recurring diarrhoea or bloating?
Yes. You can book for persistent symptoms with or without an IBS diagnosis. We review how long the symptoms have been present, medicines and previous investigations. Recurring diarrhoea has several possible causes and needs an individual assessment.
Can international patients have consultations and follow-up online?
Yes. The first consultation and follow-up can take place by video in English. If testing or an examination is needed, arrangements are confirmed for your location before ordering. Appointment times are shown in Stockholm time.
Do I need a referral or a test before booking?
No referral or new test is required before the first consultation. Have previous results and your current medication list ready so we can build on work already done.
How is IBS treated?
Treatment is adapted to the symptom pattern. Options can include changes in food and fibre, physical activity, medicines and therapies addressing the gut–brain interaction. We discuss what you have tried, choose an appropriate next step and agree how to assess the response.
What does “leaky gut” mean?
The term usually refers to increased intestinal permeability. It describes a biological process studied in several conditions. Symptoms alone do not show whether permeability is increased, and “leaky gut syndrome” is not an established standalone diagnosis.
When should gut symptoms be assessed sooner?
Blood in the stool, unexplained weight loss, fever or a marked new change in bowel habits need prompt medical assessment. Seek urgent care for sudden severe abdominal pain or if you feel seriously unwell.
Persistent symptoms and related care
Diarrhoea and leaky gut: common questions
Gut symptoms can overlap with concerns about energy, weight or blood sugar. Tell us about the whole picture at your consultation. Explore metabolic health and persistent fatigue.
Symptom guides and tests
- First IBS assessment with a doctor
- IBS treatment — what happens after the investigation
- IBS root causes — the biology behind irritable bowel
- Stomach pain — assessment without a referral
- Constantly bloated
- I react to almost everything I eat
- SIBO breath test at home
- Which gut test do I need?
- GI Effects® stool test
- ALCAT — immune reactivity to foods