Health Goals

Your gut is never quite settled.

Gut & Digestion

Persistent bloating, intolerance to certain foods, and changes in bowel habits. The gut affects more than digestion.

A glass jar of fermented cabbage with garlic and bay leaves on a table
Quick Answer

Bloating that lasts more than a few weeks is not normal. It is a signal worth investigating with clear tests.

When to investigate gut health problems

Start with the self check
  • Bloating every day, rather than occasionally after a large meal
  • Stool habits that changed, and then stayed changed for over three weeks
  • Recurring upper abdominal pain or burning
  • Iron or B12 deficiency that persists although you take supplements
  • Skin rashes or joint pain arriving alongside gut symptoms
  • A list of avoided foods that grows every month
Self Check

Gut Symptom Check

Gut symptoms rarely arrive alone. Tick what happens at least a few times a week over the past three months.

Step 1 of 4

Which of these apply to you?

Select all that apply.

This check is not a diagnosis. A doctor interprets it after consultation and testing.

The mechanism

The four most common causes

First, H. pylori infection irritates the stomach lining and links to ulcers. Second, bacterial overgrowth in the small intestine produces gas after certain carbohydrates. Third, an enzyme shortage such as lactase leaves food undigested. Fourth, slow gut motility drags everything out, and that usually ties back to chronic stress, poor sleep and irregular meal timing.

What we measure for gut health

We usually start with a stool panel including H. pylori antigen, because it answers the infection and absorption questions in one test. If your symptoms track specific foods, then we add allergy and tolerance testing. Meanwhile a general health screen catches the anaemia and thyroid problems that often masquerade as gut trouble. The Bahasa Melayu pathway covers the same ground.

A laboratory microscope on a wooden desk

Not every test here is ordered for everyone. The consultation decides which ones are relevant.

How this pathway runs

Meja konsultasi doktor di iLIV I-City
01
Consultation first
About 45 minutes. Full history, current medication, what you have already tried. No testing is ordered at this stage.
02
Only the tests that change something
We order what will change a treatment decision. A test that does not change the plan only adds cost.
03
Protocol written from findings
The plan follows what the results show, not a package chosen in advance. Every item has a stated reason.
04
Review at four to six weeks
Measurements are repeated so progress is visible. The protocol is adjusted from what the numbers show.
InBody body composition machine at iLIV Clinic
What to expect

How long gut health takes to improve

If H. pylori is the cause, treatment runs fourteen days and we confirm six weeks later. If enzymes or meal patterns explain it, most people notice a change within two or three weeks. Slow motility takes longest, since sleep, stress and meal timing all have to shift together. Therefore we re-measure at eight weeks, so you can check what you feel against numbers.

Why elimination lists rarely fix it

Avoiding foods hides symptoms without answering the cause. Over time your diet narrows until nutrition suffers. Instead, we identify the cause first, and then use a structured elimination with a start date and an end date rather than a permanent banned list.

Read next

The protocol most often used for gut problems at this clinic is the Gut Reset 5R. It is run after testing, not as an off-the-shelf package.

Frequently Asked

Do probiotics help?

It depends on the cause. With bacterial overgrowth, probiotics can worsen bloating. Identify the cause first.

Do I need an endoscopy straight away?

Not necessarily. A stool and H. pylori panel is usually the sensible first step unless there are warning signs.

How long before things improve?

If the cause is infection, treatment runs fourteen days with confirmation testing six weeks later.

Still have questions?
Send a message. We reply during clinic hours.
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Start with one conversation

An initial consultation to understand your situation before any testing is recommended.

Damansara Perdana · I-City, Shah Alam · +60 14-801 6493

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Every doctor at iLIV is registered with the Malaysian Medical Council. Registration numbers appear on each doctor page and you can verify them on the public register.

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Prescription only

GLP-1 therapy is a prescription medicine in Malaysia. It follows a consultation and a medical assessment, and it cannot be bought without a prescription.

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