General Internal Medicine・Lifestyle Diseases

About General Internal Medicine

Have a cold?, a stomachache?, a sore chest?, a lack of appetite?, feel lethargic?, can’t sleep?, constipated?, have diarrhea?, need to retake a medical test?, etc. There are many different symptoms and many types of illnesses. If you don’t know which hospital you should go to or what department you should consult, please contact us and we will help.If we can not treat you, we will provide you with a referral to a nearby institution that can help. We also accept referrals from General Hospitals.

We will also support introduction from general hospital

If you have been using a General Hospital but your condition has improved and you have trouble getting to and from the Hospital then with a referral you can continue your checkups at our clinic. If your condition relapses or worsens then we can provide you a referral back to the General Hospital.

About Lifestyle Diseases

Main lifestyle-related diseases

High blood pressure disease

Most people do not have symptoms even if their blood pressure is high, so many people will often notice it by measuring their blood pressure at a gym or spa.
Although high blood pressure disease is diagnosed at 140/90 mmHg or more, when blood pressure is high, blood vessels, which are the route of blood, continue to be pushed from the inside, and damage is caused over a long period of time. As a result, blood vessels can be clogged or broken, and if the blood vessels in the head are clogged, it can cause stroke or cerebral hemorrhage. If the blood vessels in the heart get clogged, it can cause Angina or Myocardial infarction. If blood vessels in the foot get clogged, it will lead to various diseases such as obstructive arteriosclerosis. As a result of sudden onset without any anticipation, life after diagnosis often changes greatly.

The cause of high blood pressure for most people is their lifestyle, but in rare cases there are people with other diseases which then cause high blood pressure (secondary hypertension). If you are diagnosed with high blood pressure for the first time, we will take a blood test to see if it is secondary hypertension. In addition, we will examine the blood vessels in the neck (carotid echo) to for any condition of arteriosclerosis.

First of all, it is important to re-evaluate your lifestyle (overweight?, eating too much salt?, try avoiding tobacco and alcohol, etc.) and get your life in order. If your blood pressure still does not go down, it can be adjusted with medicine.

Dyslipidemia (hypercholesterolemia, hypertriglyceridemia)

Cholesterol is important as it creates a membrane for the cells of the body and it is also an important component in hormones the body needs. Neutral fat also plays an important role as a source of energy for the body.
Of cholesterol, “bad” cholesterol (LDL cholesterol), especially when it continues to be high, gradually accumulates inside the blood vessels. As a result, the inside of the blood vessels becomes thick and stiff (arteriosclerosis), leading to cerebral infarction, cerebral hemorrhage, angina and myocardial infarction.
In addition, those with high triglyceride levels (especially above 1000 mg / dl) are more likely to suffer acute pancreatitis.

When cholesterol is high, there are rare cases where thyroid function is affected so we test it via a blood test. In addition, blood vessels in the neck (carotid echo) are also examined to determine the condition of arteriosclerosis.

It is said that 80% of people who are high in cholesterol are affected by their genetic makeup, but it is also important to look at lifestyles and make improvements. If you still have high cholesterol and triglycerides after making changes, then we will prescribe medicine.

Hyperuricemia

In our bodies, cells are always broken and made anew. It is uric acid that comes out after cells are broken down. It is usually dissolved in the blood, but when the value of this uric acid increases (7.0mg/dl), the uric acid can not be completely dissolved in the blood. It then appears in various places in the body and can cause harm. The most common problem is “gout” which suddenly makes the base of the big toe red, swollen and painful. Other problems include “gouty kidney” which happens when uric acid attaches to the kidney and causes to lose its function.

Genetic makeup, obesity, drinking too much alcohol, influence of supplements and medicine etc. all do play a role so if lifestyle change does not help then adjustments can be made with medicine.

Fatty liver

People are sometimes diagnosed with fatty liver after blood tests or abdominal echo tests during medical checkups.
The state where neutral fat is accumulated in the liver is called fatty liver, but it can be divided into those that are caused by alcohol and those that are not. At one time it was said that nothing bad would happen if the fatty liver was left alone untreated, but now it has come to be understood that there are cases where without treatment the liver becomes stiffer and stiffer (chronic hepatitis) resulting in the liver not functioning well (cirrhosis).

In addition to looking at the health of the liver in blood tests, it is important to evaluate the liver by abdominal echo.

If you consume large amounts of alcohol, it is important to reduce the amount you consume, and if you have diabetes, hypertriglyceridemia or are obese, it is important to improve your lifestyle and receive treatment.