Mrs Cristine Daniel-Naguib
Senior Specialist Dietician in Gastroenterology
I see patients from Cheshire and its adjoining areas.
Mrs Daniel-Naguib is a Cheshire based UK registered senior specialist dietitian with an interest in bowel related issues, IBS, Crohn’s, colitis, coeliac, low Fodmap diet.The NHS side of my practice is based at Mid Cheshire Hospital NHS Foundation Trust. whereas my private practice is whole of Cheshire with adjoining parts of Wales, Shropshire and Staffordshire.
I am accredited with all major private health insurance companies including BUPA, Axa, Aviva and WPA. Once an appointment has been made, pre-authorisation will often be provided by your insurers for the initial appointment. .
Biography
She is member of the highly regarded Cheshire Gut Clinic.
Conditions treated
Heartburn
Heartburn is a burning pain in your chest, just behind your breastbone. The pain is often worse after eating, in the evening, or when lying down or bending over.
Occasional heartburn is common and no cause for alarm. Most people can manage the discomfort of heartburn on their own with lifestyle changes and nonprescription medications.
Heartburn that is more frequent or interferes with your daily routine may be a symptom of a more serious condition that requires medical care.
Irritable bowel syndrome (IBS)
IBS is part of the Functional gastrointestinal (GI) disorders. These are long-term conditions marked by persistent GI symptoms—such as abdominal pain, bloating, diarrhea, or constipation—without any detectable structural or biochemical abnormalities. Often referred to as disorders of gut-brain interaction, these conditions are believed to stem from disruptions in gut motility, heightened visceral sensitivity, immune system irregularities, or dysfunction in the gut-brain axis. Other examples include functional dyspepsia, and functional constipation.
Conspitation
Constipation is a condition in which a person has uncomfortable or infrequent bowel movements. Generally, a person is considered to be constipated when bowel movements result in passage of small amounts of hard, dry stool, usually fewer than three times a week. However, normal stool elimination may consist of having a bowel movement three times a day or three times a week; it depends on the person.
Coeliac Disease
Two people can have the same symptoms after eating gluten — bloating, stomach pain, diarrhea — but have two different gastrointestinal (GI) diseases: Coeliac disease and gluten intolerance, or non-celiac gluten sensitivity (NCGS).
Coeliac disease is an autoimmune disorder, whereas gluten intolerance is a sensitivity. NCGS does not typically have a full negative impact on overall health like celiac disease can.”
Crohn's Disease and Ulcerative Colitis
Crohn’s disease and ulcerative colitis are two types of Inflammatory bowel disease (IBD). IBD refers to diseases that cause chronic inflammation in your gastrointestinal tract. Its symptoms may come on suddenly (flares) and cause abdominal pain and diarrhoea, among other issues. But IBD can affect more than your gut — it can affect your overall physical health, emotional well-being and even your mental health.
Inflammatory bowel disease is a lifelong illness for which there’s no cure. This may sound grim. But there are treatments that manage IBD symptoms, and steps you can take to keep IBD from disrupting your life.
Diarrhoea
Diarrhoea is a loose, watery and possibly more-frequent passage of stool. It is a common problem. Sometimes, it is the only symptom of a condition. At other times, it may be associated with other symptoms, such as nausea, vomiting, abdominal pain or weight loss.
In most cases, diarrhoea is usually short-lived, lasting no more than a few days. But when diarrhoea lasts beyond a few days, it is usually a sign to another problem — such as medicine side effects, changes in diet, irritable bowel syndrome (IBS), or a more serious disorder, including ongoing infection, coeliac disease or inflammatory bowel disease (IBD).
Diverticular Disease
Diverticular disease and diverticulitis are related digestive conditions that affect the large bowel.
In diverticular disease, small bulges or pockets (diverticula) develop in the lining of the intestine. Diverticulitis is when these pockets become inflamed or infected.
The majority of people with diverticula will not have any symptoms; this is known as diverticulosis. However, symptoms of diverticulitis tend to be more serious.
Liver Disease
There are many types of liver disease. Some of the most common types are treatable with diet and lifestyle changes, while others may require lifelong medication to manage. If you begin treatment early enough, you can often prevent permanent damage. But you may not have symptoms in the early stages. Late-stage liver disease is more complicated to treat.
Procedures
Oesophageal manometry and pH monitoring are tests that assess the function of the oesophagus and the amount of acid in the oesophagus.
Oesophageal manometry
- Measures the strength of the oesophageal muscles
- Determines how well the oesophageal sphincters open and close
- Measures the pressure and speed of muscle contractions
- Involves passing a thin tube through the nose and into the oesophagus
- Measures the amount of acid in the oesophagus over a 24-hour period
- Helps diagnose gastroesophageal reflux disease (GERD)
- Involves placing a tube in the oesophagus that’s connected to a data recorder
Small intestinal bacterial overgrowth (SIBO) occurs when there is an abnormal increase in the overall bacterial population in the small intestine — particularly types of bacteria not commonly found in that part of the digestive tract. This condition is sometimes called blind loop syndrome.
Small intestinal bacterial overgrowth (SIBO) commonly results when a circumstance — such as surgery or disease — slows the passage of food and waste products in the digestive tract, creating a breeding ground for bacteria. The excess bacteria often cause diarrhea and may cause weight loss and malnutrition.
Hydrogen and methane breath testing is a widely accepted means of identifying changes to the gut microbiome and is used to detect abnormal growth of bacteria in the small intestine, or small intestinal bacterial overgrowth (SIBO).
These simple carbohydrate intolerance breath tests can provide information on whether you have an intolerance to sugars such as lactose or fructose.
Lactose is a sugar found in milk and dairy products. If you are lactose intolerant, it means your body has difficulty in handling lactose and you may experience symptoms like diarrhoea, stomach pains and bloating.
Some people are unable to digest lactose because they do not produce enough of an enzyme (a substance which helps break down food) called lactase.
You may be referred for a test if you are experiencing symptoms including diarrhoea, nausea, bloating, gas and abdominal cramps as many of these symptoms can be attributed to digesting foods with certain sugars and carbohydrates. A lactose intolerance breath test can help to uncover malabsorption of lactose (the sugar in dairy), and a fructose intolerance test can identify malabsorption of fructose (fruit sugar).
Appointment
Referrals are made to us by your GP or by self referrals. The vast majority of GPs are familiar with us already and may direct you to our unit. However, if they are not familiar with the Cheshire Gut Clinic, you can suggest they consider us, should you wish to be referred to a specialist unit such as ours. Once your NHS or Private GP believes there may be a possibility of a stomach, bowel or liver problem, they may consider that it is more appropriate that you are seen by a gastroenterologist, and this is when the Cheshire Gut Clinic might be considered.
Please