Hello Graeme I appreciate your concern I would like further information to help you better like your age and complete medical history like diabetes or throid disease I would advise you to make certain dietary changes and life style modifications Have plenty of dietary fibers, lots of fresh fruits and vegetables Say no to smoking and alcohol Avoid fatty fried spicy and junk food or carbonated drinks Remain cheerful, avoid excessive stress and anxiety Exercise regularly like abdominal exercises, walking and swimming If it doesn t improve than consult a gastroenterologist for an endoscopy and stool test. Hope you will find my response helpful and informative follow up questions are most welcome Regards