Your digestive symptoms have an explanation. Let's find it.
Private gastroenterology practice in the Salamanca district of Madrid, with no waiting times. Diagnosis, treatment and tests all handled in the same hospital.
- European Board certified
- MD, PhD
- More than 15 years of experience
First visit €180 · Follow-up €150 · Valid for reimbursement policies · In person or by video · Consultations in English, Spanish and Italian

- Hospital Ruber Juan Bravo
- La Princesa University Hospital
- Autonomous University of Madrid
- Mount Sinai Hospital, New York
Does any of this sound familiar?
Most people I see have spent months, sometimes years, with symptoms that shape their daily life. There is almost always an explanation, and almost always something that can be done.
I bloat and my abdomen goes hard
Your belly grows through the day, clothes feel tight by evening, and you don't know why.
Read more →Pain and changes in bowel habit
You alternate between diarrhoea and constipation, with pain that eases after opening your bowels.
Read more →An ultrasound showed fat in my liver
You want to know whether that matters and whether it has left any damage.
Read more →My H. pylori treatment didn't work
You have completed one or more antibiotic courses and the breath test is still positive.
Read more →Food gets stuck when I swallow
The sensation that food stops on the way down, or choking episodes that have required emergency care.
Read more →Persistent diarrhoea, blood or mucus
Bowel changes lasting weeks, with urgency, pain or waking at night.
Read more →I have achalasia and no treatment has helped
You still cannot swallow normally despite previous treatments. We perform POEM in the hospital itself.
Read more →Bowel cancer runs in my family
You don't know at what age to start screening or how often to repeat it.
Read more →I digest fat poorly and I've lost weight
Loose, oily stools, pain after meals or unexplained weight loss.
Read more →I have cystic fibrosis and need digestive follow-up
Pancreas, liver and nutrition in adults, coordinated with your respiratory team.
Read more →
Dr Fernando Casals Seoane
Certified Specialist
European accreditation in the specialty
Certified by the European Board
The European Board of Gastroenterology and Hepatology certifies, through a European examination, that a specialist meets the training standard required across the European Union. Few gastroenterologists in Spain hold it.
For you it means two concrete things: my training has been assessed by an independent external body, and I am qualified to treat you to the same standard anywhere in Europe.
What I can do for you
I treat the full range of adult digestive conditions, and any tests needed are carried out in the same hospital.
If you have a reimbursement policy, you can come
This is a private practice: I do not work here through insurers' provider networks. If your policy is a reimbursement policy, you pay for the consultation and your insurer refunds part or all of it, depending on your contract. You always receive an invoice itemised the way insurers require.
If you would rather not use insurance, the price is exactly the same and there is no additional paperwork.
- You book your appointmentThrough this website, by WhatsApp or by phone. You choose an in-person or video consultation.
- You receive confirmationBy email, with the address, how to get here and which reports to bring. A text reminder before the appointment.
- Consultation and reportWe review your history and previous tests, I examine you, and you leave with a written report and a concrete plan.
- Tests in the same hospitalEndoscopy, ultrasound, manometry or blood tests are arranged at Ruber Juan Bravo itself, with no referral elsewhere.
- Invoice for your insurerWith the wording and format reimbursement insurers require, so the claim doesn't get held up.

Dr Fernando Casals Seoane
I am a consultant gastroenterologist and hold a doctorate in medicine. I have worked in the Gastroenterology Department of La Princesa University Hospital in Madrid since 2009, where I coordinate the Inpatient Unit and perform digestive endoscopy and abdominal ultrasound. I combine clinical practice with teaching, as a professor at the Autonomous University of Madrid and residency tutor, and with clinical research.
I am opening this private practice for a simple reason: demand has far outgrown what my current schedule allows, and some patients cannot afford to wait months for someone to review their case properly.
Clinical research
Author of publications in The New England Journal of Medicine, The American Journal of Gastroenterology, Clinical Gastroenterology and Hepatology, Inflammatory Bowel Diseases and Mucosal Immunology, among others. Principal investigator in international clinical trials on acute pancreatitis and cystic fibrosis.
Latest articles
Information on common digestive problems, without unnecessary jargon.
Do you work with my health insurance?
What should I bring to the first consultation?
Can you perform my endoscopy?
How does the video consultation work?
I live outside Madrid or outside Spain. Can I consult you?
What is the European Board and why does it matter?
How soon can I be seen?
Shall we look at your case?
Private practice in the Salamanca district of Madrid, with no waiting times. In person or by video. Invoice valid for reimbursement policies.