Who needs a consultation with a Family doctor / Internist

A doctor’s consultation is necessary in case of feeling worse than usual. The following symptoms are grounds for consulting a specialist:

• respiratory disorders;
• chronic fatigue;
• back pain;
• headaches;
• pain or discomfort in the area of various organs;
• dizziness, fainting spells;
• memory loss, sleep disturbances, impaired attention deficit disorder and loss of interest in life;
• discoloration of the skin;
• sudden weight loss with no change in diet.

Women should consult a general practitioner during pregnancy.

Consultation results

Based on the results of tests and diagnostic examinations, the family doctor / internist diagnoses and prescribes a course of medication and physiotherapy or refers the patient to a specialist for treatment. Follow-up appointments are made as necessary to monitor the progress of treatment and subsequent rehabilitation.

Treatment

Everything that the family doctor / internist does relates to the prevention and treatment of internal medicine diseases.  In most cases, it is the general practitioner who decides all questions about examinations and the prescription of effective treatment and, if necessary, makes a referral to a specialist doctor.

Who needs a consultation with an endocrinologist

A endocrinologist should be consulted if you have any of the following symptoms:

• dry mouth, thirst
• rapid heart, cardiac pain
• excessive hair shedding
• rapid weight loss/gain
• depression
• long-term constipation
• chronic anaemia
• tumour-like mass in the neck area
• pregnancy planning
• preparation for IVF;
• loss of libido (reduced sex drive);
• menstrual disorders
• infertility, inability to carry a pregnancy, early termination of pregnancy.

Consultation results

The coordinated work of the patient and the doctor will make it possible to find the best possible measures to improve the patient’s quality of life, to correct disorders in the body, as well as radical treatment methods — according to patient’s condition.

An endocrinologist will identify hidden disorders in the endocrine system and help a woman with thyroid disease, diabetes and other pathological conditions of the endocrine system to handle the pregnancy.

Treatment by an endocrinologist

Our goal is to normalise the functioning of your endocrine system, preventing and avoiding illness in the future.

For this purpose, we use modern and effective treatment methods and recommendations for the prevention of diseases of the endocrine system.

Who needs to see a pulmonologist?

You should see a pulmonologist if

• a cough lasts for at least three weeks
• changes in the nature of the sputum: pus, blood, cough drops; pink foam
• sharp pain in the chest, which increases with breathing and is accompanied by progressive respiratory failure
• cough accompanied by fever, breathlessness, weakness, sweating and other signs of intoxication
• when the skin — lips, skin under the nails — turns blue (cyanosis)
• choking, increased coughing in the evening/night time
• cramps, difficulty breathing in certain conditions (smells, dust pollution, change in air temperature)
• persistent irritation of the upper respiratory tract, prolonged runny nose with clear discharge, laryngospasm

 Pulmonology treats conditions such as

• bronchial asthma
• acute bronchitis (chronic)
• pneumonia
• sarcoidosis
• pulmonary fibrosis
• respiratory failure
• pulmonary emphysema and many others.

Consultation results

A pulmonologist will only prescribe the necessary diagnostic tests and examinations. Our main aim is to identify the disease quickly and prescribe an effective treatment.

For virtually all respiratory diseases in their most complex forms, there are effective treatments that help to control symptoms, reduce the risk of complications and improve the patient’s quality of life.

Treatment by a pulmonologist

Treatment by a pulmonologist includes modern methods of drug and non-drug therapy (adequate physical activity and proper nutrition, training in breathing exercises and techniques).

Who needs a consultation with a gastroenterologist?

A gastroenterologist should be consulted if you have any of the following symptoms:

• heartburn or burning sensation behind the breastbone;
• abdominal pain/discomfort;
• belching, nausea, vomiting;
• feeling of heaviness or discomfort after eating;
• a bitter or unpleasant taste in the mouth;
• changes in stool consistency (constipation, diarrhoea, discoloured stool, mucus or bloody stool);
• flatulence, bloating;
• overweight or weight loss;
• sleep disturbances.

Consultation results

Based on the results of the interview and further examinations, the gastroenterologist will prescribe a prevention and treatment plan, as well as recommendations for an individual diet, lifestyle and medication suitable for you. If chronic or autoimmune diseases are detected, dynamic monitoring will be prescribed.

Treatment by a gastroenterologist

Treatment at a gastroenterologist focuses on the treatment of gastrointestinal diseases, as well as their prevention and improvement of general well-being. Taking a serious diet, a healthy lifestyle, taking prescribed medication and regularly visiting a gastroenterologist can not only stop the progression of various diseases of the digestive system, but also avoid at all.

Who needs a consultation with a rheumatologist?

It’s time to see a rheumatologist if

• you feel pain in the joint or periodically appearing and suddenly disappearing sharp pain in the joints;
• the temperature of the tissue in the area of the joint has increased;
• there is soreness, redness and swelling in the joints;
• a feeling of stiffness or limited mobility;
• soreness in the muscles;
• stiffness in fingers and toes;
• migratory pain in various joints.

The most common rheumatic diseases are:

• osteoarthritis (osteoarthrosis);
• osteoporosis;
• rheumatoid arthritis;
• fibromyalgia;
• systemic lupus erythematosus;
• gout etc.

Consultation results

The rheumatologist will question you closely about the nature of your symptoms and when they occur. He will look at all your medical records — the results of laboratory tests and instrumental methods of diagnosis and prescribe treatment based on this.

Treatment by a rheumatologist

Treatment of rheumatic diseases is generally lengthy, demanding and requires patience and discipline from the patient. A good diagnosis is the key to effective and effective treatment. By identifying the cause of the pain syndrome, the doctor selects the appropriate treatment.

Who needs a cardiologist’s consultation?

At the first symptoms of pain in the heart area, you should sign up to see a cardiologist. You should definitely see a cardiologist in the following cases:

• Pain of any type and intensity in the thoracic region, behind the sternum and in the heart area;
• Swelling;
• Shortness of breath;
• Heart rhythm disturbances (feeling of strong heartbeat or heart stopping, slow or too fast pulse);
• Weakness, tiredness;
• Dizziness;
• Fainting;
• Shortness of breath during a walk, lying down, fits of shortness of breath;
• Impaired consciousness;
• Also, a cardiologist’s consultation is required if you have diabetes mellitus.

Consultation results

The doctor will collect the patient’s medical history, perform initial diagnostics, check the pulse, measure arterial pressure, determine the initial diagnosis and, if necessary, prescribe additional examinations, such as ECG (electrocardiography), EHO-KG (echocardiography), possibly dopplerography (vascular examination), 24-hour Holter monitoring and others

Treatment with a cardiologist

The tasks of specialists of Olivia Clinic are to perform differential diagnostics, determine and set an accurate diagnosis for the patient, and develop an individual treatment regimen. This is an important stage, since similar symptoms can also be shown by diseases of other systems and internal organs. There is a medical and surgical treatment available of cardiovascular pathologies, as well as their prevention and rehabilitation.

When planning an advisory visit to an arrhythmologist, it is recommended that the patient takes with them:

1. ECG results,
2. overnight ECG monitoring (Holter) data,
3. EHOCG data (if available).

You should also bring the medical documentation issued to you: results analyses, examinations, findings of specialists.

Who needs a consultation with an arrhythmologist

The reason for consulting an arrhythmologist can be:

• Excessively fast or, on the contrary, slowed heart rate;
• State of pre-fainting and fainting;
• Feeling of the heart growing weaker;
• Cardiac disorders;
• Cardiostimulator testing.

Arrhythmologist deals with all diseases that are associated with heart rhythm disorders

• Atrioventricular blockade;
• Heart rhythm disorders (arrhythmia);
• Wolf-Parkinson-White syndrome;
• sinus node weakness syndrome;
• Tachycardia (ventricular and paroxysmal atrial disease);
• Extrasystroly (ventricular and atrial).

Consultation results

The arithmologist develops the correct therapeutic strategy based on the results of testing and diagnostics.

Treatment by an arrhythmologist

In most cases, medical treatment is enough. However, if medical treatment is ineffective, in severe cases, in case of congenital pathologies, cardiac surgery may be required – implantation of the arrhythmia correction system (pacemaker). In the future, you will need to regularly visit a doctor to check the operation of the device and, if necessary, reprogram it.

Who requires a consultation with an orthopaedics traumatologist

The expertise of orthopaedics traumatologist extend to the acute and chronic illnesses and pathologies of the musculoskeletal system:

• Broken bones
• Deformation of the osteoarticular apparatus of the spine and lower extremities (osteochondritis of the spine, scoliosis, hallux valgus, flat feet, heel spurs, etc.)
• Joint diseases: arthritis and arthrosis (rheumatoid, post-traumatic, dysplastic, etc.)
• Tendon diseases (epicondylitis, styloiditis, etc.)
• Soft tissue inflammation (bursitis, etc.)
• Aseptic necrosis (femoral head, femoral condyles, etc.)
• Benign tumours and tumour-like diseases (giant cell tumour, chondroma, fibroma, exostosis, fibrous dysplasia, bone cyst of various genesis, etc.)
• Consequences and complications of injuries (slow healing of fractures, limb deformities, pseudoarthrosis, contractures, etc.)

Results of the consultation

The orthopaedics traumatologist will thoroughly discuss with you the nature of the symptoms, the time of their appearance and examine all medical documents – laboratory test results and instrumental examinations. Рroceeding on this, he will prescribe treatment. If it is necessary the doctor will prescribe additional examinations, medication therapy, manipulation, physiotherapy.

Who requires a consultation with a neurologist?

It is required to visit a neurologist when you have these types of symptoms:

• Disturbance to the motor skills: weakness in the arm, legs, and other parts of the body;
• Sensitivity disturbance;
• Disturbance of coordination of movement and gait stability;
• Trembling in various parts of the body (mild and major tremor);
• Dizziness (vertigo);
• Disturbance of speech;
• Disturbance in swallowing, drooping eyelid, drooping corner of the mouth, face asymmetry;
• Loss of consciousness, including convulsions;
• Convulsions without loss of consciousness;
• Sleepwalking;
• Chronic pain in various parts of the body;
• Double vision, loss of visual fields;
• Presence of fear and anxiety;
• Premature waking up, insomnia;
• Long or severe headaches.

Neurologist treats conditions such as:

• Stroke and its consequences
• Vascular and atrophy dementia (e.g. Alzheimer’s disease)
• Amyotrophic lateral sclerosis
• Guillain-Barre syndrome
• Muscular dystrophies and non-inflammatory myopathies
• Post-traumatic lesion of the nervous system
• Migraine and other type of headaches
• Myasthenia gravis
• Meningitis and encephalitis
• Peripheral neuropathy (radiculopathy, trigeminal neuralgia, postherpetic neuralgia)
• Polyneuropathy (diabetic, alcoholic, autoimmune)
• Lesions of the nervous system in systemic diseases of the connective tissue (neuroplus, antiphospholipid syndrome, polyarteritis nodosa, sarcoidosis)
• Multiple sclerosis
• Parkinson’s disease
• Epilepsy and epilepsy syndromes

Results of the consultation

Neurologist examination is a whole artwork that is built on deep understanding of anatomy and physiology of the nervous system. A neurologist examines the strength of muscles, sensitivity of the skin on different parts of the body, presence of a tremor, accuracy of movement, stability during standing and gait, and evaluates reflexes. By the placement of the pain syndrome, change of sensitivity and reflexes a neurologist is able to establish almost to a millimeter the place of damage of the nervous system. By the results of the consultation, diagnostic and additional examination a neurological doctor can prescribe prophylaxis and individual treatment plan, and direct appointment for a diagnostic.

Who needs to see a proctologist?

It’s time to see a proctologist if you have:

• prolonged pain in the lower abdomen or anus region;
• defecation disorders;
• constipation or incontinence;
• bloody stool or mucus from the rectum;
• bloating;
• appearance of pain in the anus area during defecation;
• over the age of 50 and if your relatives have a malignancy;
• rectal prolapse or the appearance of additional formations in the perianal area.

Consultation results and treatment by a proctologist

Usually, during the first consultation with a proctologist, the examination includes digital and instrumental examination of the anal canal, examination of the rectal mucosa using a rectoscope. All examinations are painless and are performed in a physiological state (lying on your side or on your back). The proctologist will prescribe additional examination methods, if necessary, and make a treatment plan. During the consultation, preventive recommendations, medicated and non-medicated treatment options will be provided. If necessary, surgical treatment is prescribed.

Haemorrhoids provoking factors:

1. Excessive physical activity (in this case there is an increase in intra-abdominal pressure, which leads to haemorrhoid prolapse);
2. Tension with constipation (increased pressure in the rectum and increased blood flow to the haemorrhoids, which contributes to their increase and subsequent loss);
3. Excessive alcohol consumption (vasodilation in the anal area can cause haemorrhoid bleeding);
4. Pregnancy (as the uterus increases, the pressure in the abdomen increases);
5. Sedentary lifestyle (leads to congestion in the pelvic area and mainly in the rectum).

Who needs a consultation with a surgeon

It is necessary to consult a surgeon with the following symptoms:

• pain in joints, muscles;
• bone injuries;
• intestinal pathology;
• pathology of the skin and soft tissues;
• inflammatory processes of organs;
• congenital organ anomalies.

Consultation results

At the first appointment, the doctor:

• listens to patient complaints and takes anamnesis;
• assigns the necessary diagnostics. Usually these are fluoroscopy, MRI or CT, blood and urine tests, and others,
• prescribes the necessary treatment and provides first aid – dressing, application of plaster, splints, opens abscesses and treats them;
• if urgent surgical treatment is required, patient is referred to a hospital.

Treatment by a surgeon

A visit to a surgeon does not always end with an operation. The doctor tries to cure any disease with minimal intervention, and only in cases where this is impossible or risky, an operation is indicated.

Today, there are many minimal invasive methods and techniques for performing operations in which injuries to the body are minimized.

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