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Internal Medicine Clinic

 

If you suffer from headaches, abdominal pain, upper or lower GIT hemorrhage, fatigue, sudden change in weight, chest pain, joint pain, frequent urination and fever, then you need to visit our clinic of internal medicine. This is equipped with the latest diagnostic facilities (ultrasound, ECG and various lab tests). Bleeding sources, causes of abdominal pain and early detection of malignant colon diseases  are diagnosed through a modern endoscopy clinic where we examine the stomach, duodenum and colon, taking into account the highest degree of safety and sterilization.

 

 
 We are also able to admit emergency cases in the observation room and give any necessary fluids for a short period of time. After the diagnosis we start a treatment plan and follow-up of various internal medicines, which include the following:
 
 
• Gastroenterology (e.g.dyspepsia, reflex esophagitis, irritable bowel syndrome, diarrhea or constipation).
 
• Heart disease and blood pressure regulation.
 
• Renal diseases and urinary tract infections.
 
• Endocrine disturbances (e.g.diabetes, thyroid and adrenal gland disease).
 
• Allergy and autoimmune diseases.
 
• Respiratory diseases (e.g. asthma, influenza, bronchitis)
 

A full check up of the gastrointestinal tract to diagnose the cause of abdominal pain, recent change of bowel habits , upper intestinal bleeding, dyspepsia, reflux esophagitis (GERD) and Peptic Ulcer Disease is performed using the latest Olmbus gastroduodenoscopy machine. Liver, pancreatic and gall bladder diseases can also be diagnosed through ultrasonography and regular laboratory investigations. Irritable bowel syndrome, inflammatory bowel diseases (Ulcerative Colitis and Crohn’s Disease) and lower GIT bleeding can be diagnosed by colonoscopy and treated accordingly.

 

Diabetes, caused by heredity, improper diet and an unhealthy lifestyle is very common. Proper health education will be provided to you regarding the disease, its prevention and treatment as well. Thyroid diseases and other endocrine glands disorder (adrenal and sex glands ) that can affect your body can be assessed through ultrasound and hormonal studies. Thus, appropriate disease management will be carried out.

Low water consumption and improper hygiene can cause a  urinary tract infection. Incontinence, burning in urination and urinary stasis may indicate UTI and other renal pathologic disorders . Professional medical intervention to manage these diseases is performed. 

Chest pain, shortness of breath and palpitations which may indicate heart problems can be managed through proper diagnosis and treatment. Respiratory disorder which is manifested with cough, fever and unusual sputum production is promptly dealt with .  
Endoscopy

Upper digestive tract endoscopy (Gastroduodenoscopy)

  


It is the examination of the upper digestive tract , which consists of esophagus, stomach and part of the duodenum , (first part of the small intestine) by a modern device. It is safe and the procedure usually takes 10-15 minutes .

The purpose of Gastroduodenoscopy
If you have any of the following symptoms, such as abdominal pain, bloating, heartburn, weight loss, difficultly in swallowing and diarrhea it may be caused by disorders of the upper digestive tract ,  such as gastro esophageal reflux disease, peptic ulcers, gastritis, strictures and tumors. We can use endoscopy to diagnose the cause of these symptoms.

Lower Gastrointestinal Endoscopy)Colonoscopy)
It is the examination of the large intestine (colon)using a flexible endoscope. The procedure usually takes from 20-30 minutes with minimal discomfort. A Rigid Sigmoidoscope is used to view the lower 30cm of the large intestine.

The purpose of Colonoscopy


For symptoms such as acute or chronic lower abdominal pain, irritable colon, rectal bleeding, diarrhea or chronic constipation. To diagnose chronic inflammatory bowel diseases,The source of rectal bleeding, the presence of polyps and early cancer detection for elderly, a sample can be taken for microscopic examination, and  polypectomy can be performed as well.

The preparations for Gastrointestinal Endoscopy

Before Endoscopy:

- Do not eat or drink anything for at least 8 hours before an upper endoscopy. A Fluid diet is advised for a couple of days before the colonoscopy and a laxative syrup should be taken the day before the procedure in order to evacuate the colon.

- Aspirin and anticoagulant medications should be stopped 7 days prior to  the endoscopy, to prevent bleeding during the procedure .

- Before the examination, the nurse will check the patients information and ask the patient to use an anesthetic spray for the mouth and pharynx.

During the Endoscopy:

- Respiratory rate and oxygen level are monitored frequently.

- Sedative drugs are given to the patient to induce relaxation.

- Drowsiness may be felt, but the patient will remain awake and able to respond and cooperate with the medical        team.

- The Patient lays on the left side with flexion of hip and knee joint.

After the Endoscopy:
1) The Patient may feel drowsy and weak after the procedure , so it is recommended to rest for the day. 
2) If the throat is sore, gargle with warm salty water. This is expected to disappear in less than 24 hours.
3) Fullness and abdominal cramps may be felt, because of gases in the bowel, so ambulation will help to expel        gases e.g. normal walking.
4) At home, start with a fluid diet followed by a normal diet , if tolerated. Otherwise, continue with a fluid diet until         settlement of the condition.

The patient should contact us if they feel any of these symptoms:

  1- Abdominal or chest pain, unable to swallow or continuous vomiting

 2- Rectal bleeding (more than one cup). Although,a small amount of blood may be present in the stool for 48               hours after a biopsy.

  3- Fever and chills.

  4- Appearance of a rash.  

  

 

 

 

 

 



Under The Supervision of : Dr. Abdulrahman mahmoud