Find by symptom
You can consult the clinic about fatigue, dizziness, palpitations, allergies, thyroid concerns, blood pressure, glucose, cholesterol, fatty liver and digestive symptoms. You do not need to choose a specialty or test on your own.
General medicine
Consult the clinic even when you have no symptoms but a screening or home measurement was abnormal.
Find your starting point
This diagram helps you navigate the site. It does not make a diagnosis.
Review when a detailed examination of the large intestine should be discussed.
View colonoscopy Recurring bowel symptomsA gastroenterology consultation can assess bowel pattern, abdominal pain and bloating, including possible IBS.
View gastroenterology Reflux symptomsA consultation can assess reflux symptoms and whether treatment or gastroscopy should be considered.
View gastroenterology Unsure or several symptomsA general gastroenterology visit does not require an appointment.
View gastroenterologyEsophagus and stomach
Severity alone does not identify the cause. The consultation also considers timing, meals, weight change, stool change and medication.
Note whether it occurs after meals or when lying down and whether you also have throat discomfort, coughing or difficulty swallowing. Gastroesophageal reflux disease (GERD) is one possible cause, and gastroscopy may be discussed when clinically indicated.
Explain the location, whether it occurs before or after meals, how often it returns and whether you use pain medication. Several conditions can cause similar symptoms.
Tell the clinic about weight loss, reduced food intake or a feeling that food sticks. Examination of the esophagus, stomach and duodenum may be considered.
Black stool can be associated with bleeding in the upper digestive tract. Prompt in-person assessment is appropriate when it occurs with dizziness, palpitations, severe pain or a worsening condition.
Bowel and abdomen
Changes in stool color, shape and frequency provide useful information. Compare the current condition with your usual bowel pattern.
Note the color and amount, whether blood is mixed into the stool and whether passing stool is painful. Even when hemorrhoids seem likely, another cause may need to be excluded.
A detailed examination should be discussed even when you feel well and cannot see blood. Bring the screening report showing the collection dates and results.
Explain frequency, consistency, abdominal pain and whether symptoms change after a bowel movement. Irritable bowel syndrome (IBS) is one possibility, while other causes may need to be assessed from symptoms and test results.
Note the location, relationship to bowel movements and whether fever or vomiting is present. Severe pain or rapid deterioration requires prompt medical assessment.
Health screening follow-up
Bring the complete report so the clinic can review the judgment, values and previous results together.
A positive result requires discussion of a detailed examination even when you feel well. Repeating the stool test does not replace that evaluation.
What to do after a positive resultThe clinic reviews the location and category noted on the report. Gastroscopy directly examines the lining of the esophagus, stomach and duodenum and may include tissue sampling when medically indicated.
What to do after an abnormal barium testThe next step is not selected from one value alone. Previous eradication treatment, endoscopy history, trends in blood results and current symptoms are reviewed together.
Review anemia and digestive evaluationBefore consultation
Approximate dates are fine. Notes, medication lists and translated records can help.
Note when the symptom began, how long it lasts, what improves or worsens it and its relationship to meals or bowel movements.
Bring fecal occult blood, barium, blood-test and previous endoscopy reports when available.
Include treated conditions, abdominal surgery, medication and allergies. Do not stop prescribed medication without medical advice.
Explain if eating, sleeping, working or going out has become difficult. This helps the clinic understand severity and urgency.
検査方法や受診条件は医療機関ごとに異なります。当院からの個別案内を優先してください。
Contact
General internal medicine and gastroenterology visits do not require an appointment. The clinic will explain the appropriate next step.
