Board-certified general internal medicine
Lifestyle, gastroenterology and general internal medicine
The director is a board-certified general internist of the Japanese Society of Internal Medicine. The clinic provides insured care for general symptoms, lifestyle-related disease, gastroenterology and hepatology, thyroid concerns, allergies and prevention after health screening.
A general internist who connects each concern with appropriate specialist care
The director is a board-certified general internist of the Japanese Society of Internal Medicine. Symptoms that do not fit neatly into one department and multiple screening findings are reviewed together, connecting general medicine and ongoing lifestyle care with specialist gastroenterology, hepatology and endoscopy.
- Set priorities across symptoms, medical history, medication and screening results
- Follow blood pressure, diabetes, cholesterol, fatty liver and related risks over time
- Explain appropriate testing, treatment, follow-up or referral clearly
Preventive care for healthy longevity
The director is a board-certified specialist of the Japanese Society of Anti-Aging Medicine. Insured consultations use symptoms and screening results to review blood pressure, glucose, lipids, liver function, body composition, alcohol use and sleep. The aim is earlier detection, prevention of complications and more years spent in good health.
- Review the complete screening report and set priorities
- Monitor progression and complications of lifestyle-related disease and fatty liver
- Recommend appropriate tests and follow-up based on age, family history and medical history
- Keep self-pay examinations and treatments separate on the private-care website
How to visit
General internal medicine, lifestyle-related disease, gastroenterology and hepatology consultations do not require an appointment. Visit during clinic hours. Endoscopy and health screening require advance arrangements. A cardiology specialist sees patients on Saturdays; call first to confirm the physician and hours.
Lifestyle-related disease
We provide ongoing care for high blood pressure, diabetes, dyslipidemia, hyperuricemia, obesity and fatty liver. Screening results, home records, body composition, alcohol use, medication and daily routines are reviewed together.
- High home blood pressure or hypertension treatment
- Abnormal glucose or HbA1c and diabetes care
- High LDL cholesterol, triglycerides or other lipid findings
- Hyperuricemia and gout
- Fatty liver, MASLD, MASH or abnormal liver tests
Gastroenterology and hepatology
A board-certified gastroenterologist and hepatologist assesses constipation, diarrhea, IBS, bloating, reflux, stomach pain, fatty liver, alcohol-related liver disease, viral hepatitis and other abnormal liver findings.
- Constipation, incomplete evacuation or alternating diarrhea and constipation
- Bloating, abdominal pain, heartburn or acid reflux
- Fatty liver, MASLD, MASH and abnormal liver tests
- Alcohol-related liver disease and viral hepatitis
- Follow-up of abnormal stool, barium or H. pylori screening results
Constipation clinic
Constipation can be assessed through insured outpatient care. We review stool form and frequency, straining, incomplete evacuation, bloating, current laxatives, diet, fluid intake, activity, medication and relevant medical history.
General symptoms and screening findings
A board-certified general internist reviews symptoms, medical history, medication and screening results before recommending the appropriate examination, treatment or specialist referral.
- Persistent fatigue, reduced appetite or an unexplained weight change
- Headache, dizziness, lightheadedness or anemia
- Cough, shortness of breath, bronchial asthma or cough-variant asthma
- Palpitations, chest discomfort, swelling or an abnormal ECG
- Heat or cold intolerance, neck swelling or possible thyroid symptoms
- Sleep, snoring, daytime sleepiness or concern about alcohol use
- Several abnormal screening results and uncertainty about where to start
Allergic rhinitis and thyroid concerns
Sneezing, runny nose, nasal congestion and seasonal allergies can be discussed through insured outpatient care. Thyroid-related symptoms and abnormal screening results can be assessed with examination, blood tests and thyroid ultrasound when indicated.
Tests available at the clinic
- Chest X-ray
- Electrocardiogram
- Ultrasound of the abdomen, carotid arteries, heart and thyroid
- Gastroscopy and colonoscopy
- PWV assessment of arterial stiffness
- Bone density testing
- Pulmonary function testing with spirometry
- InBody body-composition measurement
What to bring
- Health insurance card or eligibility document
- Current medication list
- Complete screening report and previous test results
- Home blood-pressure, weight or symptom records when available
- Patients under 18 must attend with a parent or guardian
Clinic guide
Detailed clinic information
Review symptoms, examinations and care information through clear headings, lists and tables.
General Internal Medicine
Gastroenterology
- Gastric and Duodenal Ulcers
- Helicobacter pylori Infection
- Gastroenteritis
- Gastric and Colonic Polyps
- Stomach and Colorectal Cancer
- Gallstones
- Gallbladder Polyps
- Liver Dysfunction
- Fatty Liver Disease
- Hepatitis
- We offer transnasal endoscopy, abdominal ultrasound, colonoscopy, and same-day polyp removal surgery.
Allergy Treatment
Have you heard of terms like egg allergy or buckwheat allergy?
These are examples of allergic reactions, which occur when an allergen (a substance that triggers allergies) comes into contact with the skin, mucous membranes, digestive system, or respiratory system. Seasonal allergies, like hay fever, are also allergic reactions.
In severe cases, a reaction called anaphylactic shock can occur, which may be life-threatening if not treated promptly.
Identifying the exact cause of an allergy can be challenging. However, we conduct a variety of tests to pinpoint the specific allergens and develop a personalized treatment plan to manage the condition.
- Pollen Allergy (Hay Fever)
- Food Allergy
- Animal Allergy
- Asthma
- House Dust Allergy
- Metal Allergy
- For those who have had abnormalities detected in other health screenings
Production reference
https://nakamura-a10clinic.com/en/InsurancetreatmentGeneral medicine
Plan your visit
General outpatient visits do not require an appointment. Review care and access information.
Contact
General outpatient visits do not require an appointment
Visit during clinic hours. Bring screening results and a medication list if available.