Primary analysis
The doctor distinguishes between functional disorders (IBS, functional dyspepsia) and organic diseases that require endoscopy and active treatment; determines indications for endoscopy/colonoscopy (available here with sedation), prescribes therapy according to modern protocols - from Helicobacter eradication to stepwise treatment of GERD and constipation. The patient leaves with a clear plan: what to test, what to take, when to check.
Indications
- heartburn, belching, epigastric pain, heaviness after eating;
- pain along the intestines, bloating, constipation/diarrhea, blood in the stool;
- nausea, bitterness in the mouth, changes in liver function tests, jaundice;
- Helicobacter, gastritis, ulcer, GERD, IBS, pancreatitis - diagnosis and management;
- preparation for endoscopy and observation after polypectomies.
Diagnostic approach
The gastroenterologist builds a diagnosis from complaints to an accurate diagnosis: “alarming symptoms” (weight loss, anemia, blood, night pain, age 45+ with new symptoms) - a direct indication for endoscopy; for typical dyspepsia - testing and eradication of Helicobacter; for reflux - PPI test and decision on EGDS. Gastro- and colonoscopy with sedation and polypectomy (pages in this section), ultrasound and a full laboratory range are also available here - the examination is completed in one place in 1-2 visits.
