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  • When should we consult an internist?

    What do you need to know about internal medicine? What exactly does an internist do? When should I contact him? In our article, we take a look at this topic and, of course, provide answers to the questions. Medicine is divided into many different fields depending on what each field deals with. One such large field is internal medicine, which is extremely versatile, as it offers solutions and treatment suggestions for many problems. As the name suggests, internal medicine deals with complaints that develop in internal organs or systems, and at first glance they cannot be clearly linked to a specific body part, organ or specialty. What is worth knowing about internal medicine? Internal medicine is one of the most comprehensive medical fields, which includes not only treatment, but also prevention and follow-up. This includes the treatment of diseases related to disorders and dysfunction of internal organs. Because internal problems affect many different organs, internal medicine has many branches. Examples include cardiology, endocrinology, gastroenterology, hematology, nephrology and pulmonology. An internist must have comprehensive knowledge to effectively treat a variety of problems. While you may be dealing with diseases that are limited to a single organ, there are often cases where the problem affects the functioning of multiple organs. In these cases, a complex investigation and therapy is necessary in order to improve the patient's condition. What symptoms should we see an internist with? If, for example, abdominal pain or cramps occur, it is definitely advisable to consult a doctor. Occasionally, the cause of abdominal pain may simply be the consumption of the wrong quality or quantity of food, but if the problem recurs or does not go away within 1-2 hours, it should be thoroughly investigated. The same applies to stomach pain and heartburn. Bloating and a feeling of fullness may also occur after a meal. It is important to pay attention to how often these symptoms occur and how strong they are. If reflux, intestinal pain or intestinal inflammation is suspected, it is still recommended to visit an internist. Chest pain is a symptom that should be taken seriously, especially if it is repeated and possibly accompanied by shortness of breath. This could also be a sign of a heart attack. If you experience frequent headaches and dizziness, it is also worth getting it checked out. Symptoms can be caused by a number of problems, which can be serious or less serious. So it's important to make sure. Loss of appetite and vomiting can also be warning signs if they occur frequently and are unexplained. This is also true for constipation and diarrhea. In addition, a fever of unknown origin cannot be ignored, as our body can also indicate a problem or illness. Do you need a referral? If it is difficult for you to get to your family doctor, your complaints persist despite the family doctor's examination and therapy, or if you are not satisfied with the doctor-patient communication experienced there, you can contact a private doctor with confidence. What's more, you won't even need a referral to see an internist practicing in a private practice! Internal medicine examinations at Visegrádi40 Private practice With any of the complaints described above, you can contact our internists with confidence! We have no queues, no waiting, and we also have the necessary diagnostic tools to safely diagnose the origin of your complaints: lab, EKG, Holter, ultrasound, MRI, CT. We work quickly and accurately, always making sure that our communication is polite, clear and at the same time reassuring. You are always the first in Visegrádi40 Private Practice!

  • Let's prevent colon and rectal cancer together!

    Colon and rectal cancer (medically known as colorectal cancer) is one of the most common types of cancer. Roughly 9,000 patients are diagnosed here every year, and the death rate is high. On the other hand, a malignant disease that is screened out in the initial stage can be cured in a particularly large proportion. Many of us are familiar with colonoscopy screening and rightly dislike it. But there is another, much more pleasant solution for colorectal cancer screening, namely a simple blood test! What is colorectal cancer? Colorectal cancer, i.e., cancer of the colon and rectum, in most cases develops from benign lesions, so-called polyps. These polyps, also called adenomas, are epithelium-like formations on the inner surface of the intestinal wall: they develop as glandular lesions but do not perform any function. These do not yet cause symptoms but can already be detected with a suitable screening test. Benign adenomas develop into malignant tumors in approximately 5-10 years. Predisposing factors and symptoms The most common factors that predispose to colorectal cancer are a sedentary lifestyle, a diet rich in preservatives and red meat but poor in fiber, smoking, and frequent alcohol consumption, which can also be considered harmful to civilization. In addition, genetic predisposing factors cannot be neglected: in some families, the disease occurs cumulatively. Symptoms suggestive of colorectal cancer can be painful defecation due to the narrowing of the intestinal canal, abdominal pain, bloating, bleeding in the stool, or the resulting anemia. Intestinal tumors can remain asymptomatic for a long time. The closer the tumor is to the anus, the sooner symptoms will appear. Free-circulating DNA in cancer screening Freely circulating DNA ( cell free - cfDNA ) covers fragments of the chain that carries our genetic information, which end up in body fluids in different ways, for example through the destruction of our cells or active excretion. In the case of cancer, the concentration of free DNA in body fluids increases significantly. Their analysis using liquid biopsy methods is a revolutionary technology for cancer screening, as it can provide important information regarding the risk of the presence of the disease and the extent of the risk. Today, we know the gene regions that can be analyzed to detect colorectal cancer with extremely high sensitivity: moreover, with the help of a simple blood test, without the use of a colonoscopy or other invasive procedure! Basics and benefits of the ColonAiQ genetic test ColonAiQ is a blood-based multigene methylation test. It examines the biochemical modification, i.e., methylation, of five regions of four genes associated with colorectal cancer on free DNA extracted from a blood sample. Our body can turn certain genes on and off with the help of methylation, but in the case of cancer, these processes are pathological. Since the appearance of abnormal methylation patterns precedes the malignant changes of the cells or the advanced state with symptoms, their examination is an effective method for preventive cancer screening or for examining the recurrence of the disease. Thanks to the comprehensive examination, the ColonAiQ test infers the presence of colorectal cancer with extremely high accuracy and sensitivity. Still, it can even detect polyps, which would have turned into a malignant tumor over the years. The test's specificity is 91.6%, and its sensitivity is 86.1%, far surpassing similar tests (e.g. FIT, CEA). The ColonAiQ test can also assess the risk of recurrence and metastasis after radical removal of colorectal cancer. Why is the ColonAiQ test recommended? Regular colorectal cancer screening is recommended for everyone over the age of fifty (or even forty). This is especially true in the case of chronic diseases and a lifestyle predisposing to colorectal cancer or if this disease has already occurred in the family. Early-stage and advanced adenomas do not cause any symptoms, so the only way to prevent them is through regular screening. The tumor's extent determines the disease's curability: in the initial stage, this is up to 90%; in the case of nearby metastasis, 71%, but in the case of distant metastasis, it is only 10-20%. The molecular diagnostic process with the test is completely safe, requiring only 8 ml of blood. Sampling is simple, does not require special preparation, and can be done at any time of the day. As a cooperating partner of Clinomics Europe Kft., you can be one of the first in Hungary to use the ColonAiQ test at Visegrádi40 Private Practice. Don't put off screening!

  • Everything you need to know about the ECG exam

    Do you suffer from high blood pressure? Do you often experience rapid heartbeat? Have you ever had a heart attack or other heart disease in your family? Then it's time for a thorough cardiology examination, and let's start immediately with the ECG! The ECG (electrocardiograph) is one of the most frequently performed medical diagnostic tests. It accurately depicts the heart's state based on its electrical activity. This painless, basic cardiology test not only shows the number of heartbeats per minute but also provides information about heart conduction disorders, rhythm disorders, and heart muscle damage; we can get an accurate picture of the state of the heart based on its electrical activity. This painless, basic cardiology test shows the number of heartbeats per minute and provides information about heart conduction disorders, rhythm disorders, heart muscle damage, and the body's current stress level. Resting ECG examination performed in the office In cases where symptoms are constantly present, the basic EKG test is performed in the doctor's office. The patient lies on his back, and metal electrodes are attached to his wrists and ankles: 8 electrodes are placed on the chest, and four electrodes are placed on the arms and ankles. The patient must be at rest because physical activity can modify the ECG curve. During the examination, the patient must not move or talk, as this may affect the accuracy of the measurement. A standard EKG records the heart's electrical signals for 10 seconds. Even such a short recording is enough to show the ongoing disorder. But what can we do if the symptoms are not constantly present but return unpredictably? In this case, a short ECG examination is usually insufficient to map the problem. If the symptoms appear intermittently, switch on and off; a 24- or 72-hour Holter ECG test is the solution. How does a continuous Holter ECG test take place? The traditional Holter device is a small, portable device attached to a strap and cables, continuously recording the heart's electrical signals for 24, 48, or 72 hours. The electrodes are connected to the chest, and the device - which does not analyze, only records the signals - must be worn throughout the examination. The analysis takes place after returning the device to the doctor's office—the cardiologist searches for abnormalities and hidden problems with the help of a computer. The new generation of Holter tests is Livetec Live ECG. The inconspicuous and convenient cable-free Holter In Visegrádi40 Private Practice, we perform the Holter test with a new-generation device, which our patient wears unnoticed for 24 or 72 hours. The small device—weighing only 30g—is attached to the chest with patches in the doctor's office. This device works without a cable and does not interfere with movement, sleep, or any everyday activity. In case of stubbornly recurring but "random" heart rhythm complaints, fluctuating, strong heartbeat, dizziness, or blurred vision, choose the 24- or 72-hour Holter test from among the cardiology services of the Visegrádi40 Private Practice, for which you will now receive a cardiologist's evaluation as a gift! We will email you the evaluation and upload it to the EESZT within 2 working days of returning the device. In the specialist evaluation, our cardiologist colleague proposes possible further examination or treatment.

  • 5 typical symptoms that may indicate type 2 diabetes

    Among the symptoms of type 2 diabetes, five most likely indicate the presence of the disease. If you experience any of these, don't delay seeing a doctor! Get a diagnosis as soon as possible because, without treatment, diabetes can cause serious complications! Type 2 diabetes is the lurking enemy. Unfortunately, type 2 diabetes can cause serious complications, ranging from cardiovascular problems to kidney failure and nerve damage. These complications can even lead to irreversible consequences, such as amputation or loss of vision. Therefore, timely diagnosis and appropriate treatment of diabetes is extremely important. Patients with diabetes often do not experience symptoms in the first years or simply ignore them, and the disease is only discovered by chance during a routine blood test. However, certain signs can warn of the possibility of diabetes, so it's worth paying attention to them. If you notice more of the symptoms, you should see a doctor as soon as possible! The 5 most characteristic symptoms of type 2 diabetes 1. Constant thirst / Frequent urge to urinate / Sudden weight loss One of the early signs that can draw attention to the presence of diabetes is frequent and increased urination. The kidneys normally filter the glucose in the blood, but if the glucose level increases excessively, the kidneys cannot filter it back effectively, so the excess amount is excreted in the urine. As a result, fluid is also removed from the body, which leads to dehydration, and acetone breath may appear. If high blood sugar is really the cause of thirst, increased fluid intake cannot satisfy it either. In this case, you have to go to the toilet often, wake up several times during the night with the urge to urinate, or you are constantly thirsty even if you drink a lot of fluids. Since the glucose leaving the urine is not stored in the body, it is not absorbed by the cells, and even drastic weight loss can begin. 2. Constant feelings of hunger/binge eating Constant hunger or sudden, hard-to-satisfy hunger can also indicate the presence of diabetes, as can frequent overeating. Even though enough food enters the body, the cells are not able to utilize it efficiently. Our body perceives that it is not getting enough energy (e.g., glucose), even if there is an excess of it. In this case, our body gives only one possible response: the feeling of hunger increases to provide the necessary energy. In addition, eating does not relieve this feeling of hunger, even if the amount and nutritional content of the food consumed are adequate. 3. Hard-to-heal wounds / Dry, itchy skin High blood sugar can cause blood vessels to lose their elasticity and narrow. As a result, less oxygen-rich and nutrient-rich blood reaches the cells, including damaged areas. As a result of the circulatory disorder, wounds and injuries heal more slowly and with difficulty, especially on the limbs, hands, and feet. In addition, the skin may become dry, itchy and red. In addition to the slower healing of wounds, it is possible that infections develop and become ulcerated. Diabetics are generally more prone to infections because their immune systems are weaker. The most common infections can affect the skin, urinary tract, and, in the case of women, the vagina. These infections are difficult, sometimessymptoms and slow to heal and often return. 4. Extreme fatigue / Dizziness As a result of diabetes, the cells may lack sufficient nutrients and oxygen. Energy from glucose is also lacking, even though blood glucose levels are high. As a result, we can feel tired, exhausted and weak , and we can often feel dizzy . Even if we get enough sleep and eat healthy. 5. Visual impairment Diabetic retinopathy is a disease of the eye's retina that develops in diabetics and, in some cases, leads to severe vision loss. This disease is the most common ophthalmic complication of diabetes, which can develop in both type 1 and type 2 diabetes. The disease is caused by persistently high blood sugar levels, which can lead to retinal vein changes and damage, as well as vitreous hemorrhage. Although diabetic retinopathy can be cured, if left untreated, it can lead to blindness. What should you do if you experience any of the above symptoms? Do three things if you experience the above symptoms: Make an appointment for a blood test! Use the Diabetes Package Laboratory Test at Visegrádi40 Private Practice! After receiving the laboratory findings, make an appointment for a consultation with a diabetologist! Visit your eye doctor! You are always the first in Visegrádi40 Private Practice!

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