General Medicine
If you are not sure what kind of specialty your symptom is from common diseases such as colds, bronchitis, and flu, please feel free to contact us.
The internal medicine will work with the concierge of the medical institution, and provide appropriate medical treatment according to the cause and pathology of the symptom you are having trouble with.
If more specialized medical treatment is required, we will introduce you to the appropriate higher-order medical institution and cooperate in medical treatment.
Cold syndrome
Cold syndrome is a generic name for catarrhal acute upper respiratory tract inflammation (commonly known as cold), and those symptoms such as airway symptoms such as fever, nasal discharge, sneezing, sore throat, cough, sputum, and vocal bleeding, as well as headache, muscle pain, and limb's abnormal sensations are occurred.
The pathogen causing cold is almost a virus, and the number of viruses is estimated to be several hundred. For this reason, antibiotics is not effective (In April 2018, the Ministry of Health, Labor and Welfare issued a notice not to prescribe antibiotics in the case of colds, since antibiotics would increase the number of resistant bacteria).
Antiviral drugs for cold have not been developed yet, prescription drugs are only for relieving symptoms, and the purpose is to alleviate hard symptoms and lead a comfortable life as much as possible, and prevent exhaustion of physical strength and quicken the speed of recovery.
Many of the basic symptoms of cold naturally heal in about a week. If it lasts longer, or you have a runny nose and coughing doesn’t stop, if you have symptoms that are a little different from a cold, you may have another infection so try to show your symptoms to a medical institution.
In the elderly, if the condition of the body that is susceptible to infection such as decrease in swallowing or cough reflex due to cerebrovascular disorders, reduced ability to purify mucus in the respiratory tract due to reduced airway deformation and cough strength, Metabolic disease and malignant tumor continues, the infection will progress and become more serious. Decrease in appetite and associated hyponatremia and dehydration may make it difficult to cause consciousness and may cause pneumonia. Check with a medical institution as soon as possible.
Cystitis
Commonly referred to cystitis is acute (simple) cystitis, frequent urination (more frequent toilets), pain around the end of urination, residual urine sensation, urine turbidity, blood in urine etc., There are those symptoms and almost no fever.
Bacteria such as E. coli mainly pass through the urethra and enter the bladder, and inflammation is caused. It is a disease that can occur even in healthy people, and it is said that it often occurs one in two women who have a shorter urethra than men.
Symptoms are alleviated by drinking enough water to increase urine output. However, the therapeutic effect is not enough by just it, so take antibiotics that kill the bacteria that cause cystitis. Recently, drug resistant bacteria are increasing, and if the effect is insufficient, the type of antibiotic is changed.
If cystitis is left untreated without proper treatment, bacteria can go up to the kidneys, causing fever, vomiting, severe back and lower back pain, and pyelonephritis. Try to see a medical institution.
Prevention method
- Take plenty of water.
- If you put up with urine, it will be easier for bacteria to grow in your bladder, so you should not put up with it.
- Urinate after sexual activity.
- Do not cool your waist.
- Pay attention to how you wipe after urination and defecation, and wipe from front to back.
- A warm-washed toilet seat may push bacteria in the vagina into the urethra, so those who are prone to repeat cystitis should refrain from using it.
Hay fever
Hay fever is a general term for seasonal allergic diseases caused by pollen invading the body. Currently, "About 1 in 4 Japanese people have hay fever", it is said that so.
The symptoms of hay fever are likely to appear in the nose and eyes. The three major symptoms of the nose are sneezing, runny nose and stuffy nose. These symptoms are easily mistaken for a cold, but a cold can be cured in about a week, whereas hay fever lasts while the pollen is flying, and the runny nose is like water. On the other hand, the three major symptoms of the eye are itchy eyes, redness of the eyes, and tears. Other systemic symptoms may be dull, feverish, irritated, itchy throat, face, neck, and poor concentration.
The causative plants include cedar, cypress, rice, mugwort, camogaya, ragweed, and birch. In Japan, there are many cedar forests, and the percentage of cedar pollinosis is the largest. Symptoms vary depending on when the pollen is scattered. In the case of cedar, the epidemic is seen from January, in the case of cypress from March, and in the case of rice from May to June.
Treatment method
The basic treatment is to avoid the causative substance. Pay attention to pollen scattering information, refrain from going out on days when there is a lot of scattering, and wear glasses and a mask when going out. Pharmacotherapeutics center on oral antihistamines and anti-leukotrienes and nasal spray steroid hormones. In addition, allergen immunotherapy is highly effective, but long-term continuous treatment is also required.
Gastroenteritis
Gastroenteritis is a disease that causes inflammation of the stomach and intestinal tract for some reason, causing gastrointestinal symptoms such as stomach pain, stomach sag, stomach ache, bloating, diarrhea, nausea, vomiting, and feeling uncomfortable. In addition to gastrointestinal symptoms, headache, fever, fatigue, and joint pain may also be seen.
Two types in Gastroenteritis: infectious and non-infectious gastroenteritis. It is classified into those two types. Causes of infectious gastroenteritis are divided into “viruses” and “bacteria”, and most are caused by viruses such as norovirus, rotavirus, and adenovirus. Less often, it is caused by bacteria such as Escherichia coli, Salmonella and Campylobacter.
On the other hand, non-infectious gastroenteritis can be caused by allergies, abnormal eating habits, pharmaceutical properties, parasites, etc. In general, many of symptoms may be milder than infectious gastroenteritis.
Treatment method
In the case of infectious gastroenteritis, antibiotics suitable for the causative bacterium may be used in bacteria, but basically the symptoms naturally improve while paying attention to frequent diarrhea and dehydration due to vomiting wait. Children and the elderly are prone to dehydration, so if they don't get enough water, improving their dehydration by infusion is adopted.
Lifestyle disease
Lifestyle-related diseases include hypertension, diabetes, dyslipidemia (hyperlipidemia), and hyperuricemia (gout). Each of these diseases is mild, but there is a possibility that multiple diseases can cause more serious illness. In particular, when arteriosclerosis progresses and causes cardiovascular diseases such as stroke and myocardial infarction, it can have a major impact on life and, in some cases, leads to death.
Recently, liver damage caused by fatty liver is also closely related to these lifestyle-related diseases, "In fatty liver with severe liver damage, it develops to liver cirrhosis.", it is also said so. All of these are chronic diseases caused mainly by unhealthy lifestyle such as overeating, unbalanced diet, lack of exercise, and excessive consumption of luxury goods (cigarettes, alcohol, etc.), and the big feature is that those can be prevented or improved by reviewing lifestyle.
High blood pressure
Hypertension is a condition in which blood pressure continuously increases, and is generally diagnosed when the blood pressure in the examination room is 140/90 mmHg or higher. Even if high blood pressure is present, there are not many symptoms, and it is often pointed out in medical examinations (45% over 40 years old), but is often left unattended. If you leave high blood pressure, the possibility that causes cardiovascular diseases such as heart failure and angina, myocardial infarction, cerebral hemorrhage and cerebral infarction for the reason of that the vascular wall has stresses and the atherosclerosis progresses by the high pressure will be higher.
Treatment method
First of all, blood pressure is measured regularly to understand the state of blood pressure in daily life, and to promote awareness of high blood pressure. And we make you keep improving your lifestyle (meal / exercise therapy) by maintaining appropriate weight (less than BMI25) and performing moderate exercise (light aerobic exercise such as walking or cycling for more than 30 minutes every day) continuously and trying for salt reduction (less than 6g a day) , quitting smoking, saving alcohol (about 180 ml for sake, one bottle for beer in one day), actively consume vegetables, fruits and fish, and refraining from cholesterol and saturated fatty acids. If blood pressure control is still insufficient, antihypertensive medication is implemented.
Dyslipidemia (hyperlipidemia)
Dyslipidemia is a condition in which LDL (bad) cholesterol or triglyceride (neutral fat) in the blood is excessive or low in HDL (good) cholesterol. If dyslipidemia is left, cholesterol accumulates on the inner wall of the artery, the blood vessels rise and narrow, and at the same time the blood vessels become hard and brittle (arteriosclerosis), eventually causing strokes of cerebral infarction and myocardial infarction.
Also, like high blood pressure, it is important to find it at an early stage using opportunities such as a health checkup because there is no subjective symptom.
Treatment method
In order to lower LDL cholesterol in the blood, it is important to balance diet, exercise, and medication. In particular, diet is important, and people with high LDL cholesterolemia should reduce foods containing animal fat and increase foods containing vegetable fat, reduce foods high in cholesterol, and actively eat foods rich in dietary fiber such as vegetables and mushrooms, and people with high triglycerideemia should try to refrain from foods with high sugar content or alcohol, or to control energy intake (calories).
Walking is recommended as an exercise therapy. Continuing this light aerobic exercise will reduce triglycerides and increase HDL cholesterol. If these treatments are not effective, pharmacotherapy is given. If arteriosclerosis is strong, drug treatment may be started early.
Diabetes
Diabetes is a disease in which the blood sugar level in the blood becomes chronically high for some reason, resulting in a high blood sugar level. If blood sugar levels continue to be high, it can adversely affect tissues throughout the body, including blood vessels. There are two types of diabetes: type 1 diabetes and type 2 diabetes.
Type 1 diabetes is caused by the destruction of β cells in the pancreas that produce insulin (a hormone that lowers blood sugar) for some reason. The cause is not clear, but it is thought to be due to autoimmunity, in which the cells
themselves are attacked by the immune system's disorder. It often occurs in younger people, and insulin secretion is extremely reduced, which can cause abnormally high blood sugar levels and severe symptoms.
Type 2 diabetes occurs when insulin secretion is insufficient or does not work well on cells by the lack of exercise, increasing in lipid intake due to Westernization of the diet, a diet with an uneven nutritional balance and an irregular diet life, etc. It accounts for over 90% of all diabetes and is the most common.
In most cases, the initial symptoms are unconscious and asymptomatic. Symptoms such as polydipsia, polyuria, and dry mouth appear when the condition worsens. In addition, diabetes may be found with symptoms such as increased appetite, fatigue, and weight loss.
Prolonged diabetes causes organ damage. The risk to have not only cardiovascular diseases such as cerebral infarction, myocardial infarction, and peripheral arterial disease, but also three major complications: diabetes (sex) nephropathy, diabetes (sex) retinopathy, diabetes (sex) neuropathy (diabetic neuropathy) will increases. When diabetic (sexual) nephropathy occurs, it eventually leads to kidney failure and dialysis may be implemented. When diabetic (sexual) retinopathy occurs, it leads to vision loss and blindness. When diabetic (gender) peripheral neuropathy (diabetic neuropathy) occurs, legs may be in gangrene or amputation due to sensory disturbance of the lower limbs.
Treatment method
In the treatment of diabetes, diet and exercise are the most important. Drug treatment is performed while improving meal content and taking appropriate exercise into life. In drug treatment, multiple drugs are often combined. In some cases, deficient insulin is supplemented from outside the body, or drugs that promote insulin secretion from the pancreas are used. In addition, drugs that suppress the absorption of sugar and moderate the increase in blood sugar levels may be used. Since diabetes progresses even when subjective symptoms are not clear, it is important to go to a medical institution as soon as possible and to make an appropriate diagnosis and treatment if a medical checkup indicates that the blood glucose level is exceeded.
Hyperuricemia (gout)
Hyperuricemia is said "the entrance of lifestyle-related diseases", and is said to be easily associated with lifestyle-related diseases such as diabetes, hypertension, and lipid abnormalities. Over the past 50 years, the number of people with high uric acid levels has increased even in their twenties, and the peak of gout onset has been conspicuous in the thirties.
Treatment method
Hyperuricemia requires a proper exercise, improving the eating habits of consuming a lot of alcohol and meat, and if necessary, controlling uric acid levels with drug therapy. If the uric acid level continues to be too high, one day, sudden attacks such as severe pain, redness, heat, and swelling occur in small joints such as the big toe, ankles, knees, and elbows. This is a gout attack. Seizures go away in a few days and are completely asymptomatic until the next seizure. Hyperuricemia can also cause stones in the kidneys. Check your uric acid levels and review your lifestyle.
