What is dermatovenerology?

Dermatovenerology is a field of medicine which deals with diagnostics and treatment of skin conditions and sexually transmitted diseases.

Northway Medical Centres offer dermatologic services delivered by professional dermatologists.  A dermatologist treats skin, hair, and nail conditions and prescribes and performs the necessary tests and diagnoses. We also offer examination and removal of birthmarks and benign skin lesions, as well as treatment and cosmetic skin procedures. 

Our dermatovenerologists diagnose and treat all types of sexually transmitted (venereal) diseases.

Our highly-skilled medical specialists in dermatology and venereology consult both women and men. To make an accurate diagnosis, they identify the disease cause and prescribe the most effective treatment, dermatovenerologists employ the newest clinical, laboratory and instrumental techniques. Dermatologists also share skin care tips and recommendations on how to help manage skin conditions and prevent them in the future.

Dermatovenereologic diseases

Specialists in dermatology treat skin conditions such as acne, hives, other types of skin rashes, pigmentation disorders, stretch marks (striae), birthmarks, papilloma, warts, and excessive sweating.  The most common skin disorders include acne, rosacea, contact, and atopic dermatitis, psoriasis (in other words, urticaria), etc.

When diagnosing skin problems, our medical specialists use the newest techniques which include a variety of microscopic and microbiological tests, plating, PCR testing, skin biopsy, allergic patch tests, and an automated digital test (Trichoscan) for hair follicles.

Venereologists specialize in the treatment of sexually transmitted diseases. The most common sexually transmitted diseases include chlamydia, syphilis, and gonorrhea. Sexually transmitted infections spread through sexual contact. Their symptoms include pain when urinating, heavy vaginal discharge, genital rashes, white plaque covering the areas around the penis, vagina, or mouth; swollen lymph nodes in the groin, testicular pain, lower abdominal pain, and bleeding after sex.  It is important to know that once you get infected with a sexually transmitted disease, you can spread the disease to other people even if you don’t have any symptoms.

Effective treatment is available for the majority of sexually transmitted diseases (syphilis, gonorrhea, chlamydia. etc.). But treatment of venereal diseases will be effective only if both sexual partners receive it. Viral infections (HIV infection, herpes virus, genital warts, etc.) are not curable, but medical specialists can help control the course of infection.

When should you see a dermatovenerologist?

If you develop any skin conditions, for example, rashes, itchy skin, dry skin, flaking skin, wounds, it is recommended to see a dermatovenerologist. If you experience any problems with hair, such as hair loss, alopecia, or suspect having nail fungus or symptoms of sexually transmitted diseases, you should also book an appointment with a dermatovenerologist immediately.

It is also recommended to see a dermatovenerologist for a routine check-up or surgical removal of birthmarks or any other types of skin lumps. Once you notice any changes to the birthmarks, you should immediately seek help from a dermatologist. The dermatologists at Northway Medical Centres examine birthmarks, horny growths, papilloma and other types of skin lumps using a dermatoscope and diagnose various skin conditions. Based on the diagnosis of skin conditions (lesions, lumps, growths), localization, risk of injury, cosmetic needs and risk factors, a medical specialist may advice their surgical removal. Northway Medical Centres offer laser or surgical removal of skin lesions.

If you experience excessive sweating, you should also see a dermatovenerologist. Excessive sweating is usually prominent in different parts of our body due to an active lifestyle, anxiety, diet changes, ageing, use of medicines or for other reasons. Botox (botulinum toxin) injections is one of the most effective ways to manage this problem in the long term. They can be applied to treat excessive sweating in the armpits, feet, or palms.

Northway offers a wide range of treatments and aesthetic laser-based therapies performed with the use of modern, safe, and certified medical lasers.

New generation lasers are used for the removal of birthmarks, pigmentation spots, keratomas (horny growth), papilloma, viral warts, skin rejuvenation laser treatments, vascular laser therapy (removal of expanded blood vessels from the face, redness) and for the effective treatment of rosacea and acne, and tattoos.

At our clinic, dermatologists also perform a variety of cosmetic procedures, for example, mesotherapy, biorevitalisation, Platelet Rich Plasma therapy, skin rejuvenation, laser treatments, chemical peels, hyaluronic acid filling (fillers) and botulinum toxin injection therapies. Our highly-skilled dermatologists will provide you with everything you need to keep your skin healthy and beautiful!

The post Dermatovenerology appeared first on NORTHWAY.

What can beauty injections correct and when to start using them?

Many people wonder: when do I need beauty injections? At what age can I start using them to maintain the youth and beauty of my skin? Specialists in aesthetic medicine emphasize that there is no specific age limit for undergoing such treatments. It is best to address any concerns as they arise. Each person is unique, and signs of aging manifest at different times. Some individuals may notice wrinkles appearing around the age of 30, while others may experience them at 40 or even later.

If you feel dissatisfied with your natural facial appearance, want to make corrections, or have observed a loss of moisture, elasticity, and the emergence of wrinkles or other undesired changes, it may be time to consult a specialist in aesthetic medicine and consider beauty injections to enhance your appearance. According to experts, botulinum toxin injections, commonly used to treat expression lines (or dynamic wrinkles), can be utilized not only for wrinkle correction but also for prevention. By blocking involuntary facial expressions, Botox injections can delay the onset of wrinkles, which can be particularly beneficial for individuals with overactive muscles, especially those prone to emotional expressions.

Dermal fillers containing hyaluronic acid can be applied to various facial areas. These fillers help reduce or smoothen wrinkles on the forehead, bridge of the nose, around the eyes, mouth, nose, lips, neck, and hands. They can also lift the cheeks, plump the lips, define the chin and jawline, restore and shape specific facial features, provide long-term hydration to the skin, restore volume, enhance elasticity, and create a healthy, fresh, and youthful appearance. The effects of these beauty injections are noticeable immediately after the procedure.

Botulinum toxin injections can effectively minimize or even eliminate wrinkles, including crow’s feet (wrinkles at the outer corners of the eyes), frown lines (also known as worry lines) between the eyebrows, forehead wrinkles, and other expression lines. Additionally, they can lift the corners of the lips. Botox injections work by blocking hyperactive muscles responsible for the formation of expression lines, resulting in smoother skin. The effects typically become noticeable within 3-5 days, with maximum results observed within two weeks after treatment.

It is essential to highlight that only qualified medical practitioners, such as plastic surgeons or dermatologists, should administer hyaluronic acid or botulinum toxin injections in a medical setting. This ensures a safe procedure and high-quality outcomes. The proper prescription of the correct drug type, dosage, and maintaining sterility are crucial factors. Moreover, the expertise of medical specialists in understanding the skin’s structure, potential reactions, and complications is of utmost importance. Trained professionals will also determine the optimal dosage and appropriate injection sites. By choosing to have cosmetic procedures at a reputable medical centre, you mitigate the risks associated with obtaining uncertified hyaluronic acid and Botox fillers of questionable quality.

How long do beauty injections work?

The effectiveness of beauty injections varies based on an individual’s skin properties. Hyaluronic acid fillers can provide results that last between 9 to 24 months. As the fillers naturally dissolve, wrinkles become less pronounced. Consequently, during subsequent procedures, a smaller amount of filler will be required.

Botulinum toxin injections typically yield results lasting approximately 6 to 12 months. To maintain a long-term effect, it is advisable to schedule repeat injections at a later stage. Over time, the effects of fillers tend to last longer. Additionally, you will gradually break the habit of furrowing your brows, which contributes to the formation of expression lines.

Are beauty injections painful?

Before applying dermal fillers, a local anesthetic is administered to ensure comfort. The filler is then injected into specific areas of the skin using a fine needle. During the procedure, patients may experience mild pain or discomfort. However, modern fillers now include lidocaine, which helps to further alleviate any potential discomfort. While dermal treatment is minimally invasive, it is common for the injection sites to exhibit temporary redness, swelling, or bruising. Depending on the specific treatment performed, many patients are able to resume their daily activities on the same day. However, it is advisable to follow the medical specialist’s advice to avoid exposure to extreme temperatures (such as sun or frost) or going to the sauna.

At Northway Medical Centres, our skilled and professional specialists in plastic and reconstructive surgery, as well as dermatology, listen attentively to each patient’s expectations and offer the most suitable solutions for their individual needs. To ensure the best possible outcomes in cosmetic procedures, we exclusively use time-tested fillers from internationally recognized brands. Beauty injections can also be combined with other procedures like mesotherapy or biorevitalisation. Our highly skilled aesthetic medicine specialists are experienced in providing expert advice and assistance, helping you decide which procedures will best suit you and achieve the desired results.

The post Beauty Injections and Procedures appeared first on NORTHWAY.

The most experienced adult and paediatric ophthalmologists consult patients about various vision problems, perform routine vision check-ups, examine visual acuity and ocular fundus and determine the need for vision correction. When necessary, they will help patients to select suitable glasses or lenses, diagnose and treat eye diseases (inflammatory disorders, near-sightedness, farsightedness, astigmatism, strabismus, conjunctivitis, hordeolum, retinal disorders, glaucoma, cataracts, etc.), perform various procedures, provide emergency aid and make recommendations.

The post Ophthalmology (Eye Treatment) appeared first on NORTHWAY.

A diet is a range of products that a person regularly eats. Good nutrition requires balanced and adequate food that will supply your organism with enough carbohydrates, proteins, fats, vitamins and mineral substances. Each person will receive an individualised diet plan according to his or her current nutritional problems (obesity, eating disorders, digestive tract diseases, low weight).

The post Dietetics appeared first on NORTHWAY.

What does endocrinology cover?

Endocrinology is a branch of medicine that deals with the diagnostics and treatment of endocrine system disorders. Endocrinology is related to many diseases and health disorders such as diabetes, thyroid disorders, osteoporosis, high blood pressure, infertility, obesity, etc.

What is the endocrine system?

The endocrine system is a network of glands that produce biologically active substances called hormones. The pituitary gland (or hypophysis cerebri) plays a crucial role in the body’s hormonal regulation. Other glands in the endocrine system include the thyroid, hypothalamus, pineal gland (located in the brain), thymus, adrenal glands, pancreas, testes, and ovaries.

Endocrine glands produce hormones and release them into the bloodstream or lymphatic system. Hormones are then carried by proteins to various tissues and organs in the body. Adequate hormone levels in the bloodstream are necessary for proper bodily function. Hormones regulate metabolism, growth, development, heart rate, blood pressure, glucose levels, the reproductive system, and functions of the central nervous system, among others.

When an endocrine gland produces an excess of hormones, it is called hyperfunction. On the other hand, a decrease in hormone production is referred to as hypofunction. Hormonal disorders can lead to various health conditions. For example, the pancreas produces insulin, a hormone that helps regulate blood sugar levels. Insufficient insulin production can disrupt the transport of glucose into cells, leading to elevated blood sugar levels and the development of diabetes mellitus. Dysfunction of the pineal gland, which synthesizes the hormone melatonin responsible for regulating the biological clock (circadian rhythms), can cause sleep disturbances, loss of energy, and decreased work performance. Excessive production of androgens (male hormones) by the ovaries can result in the development of polycystic ovary syndrome, causing irregular periods, infertility, and other changes in the female body that impact daily life.

Hormonal imbalance is often associated with puberty, pregnancy, and menopause.

When should you see an endocrinologist? 

If you have noticed any of the following symptoms, it is advisable to seek a consultation with an endocrinologist: sudden weight loss, signs of obesity, symptoms of diabetes mellitus, irregular periods without a gynecological cause, hypersensitivity, irritability, difficulty concentrating, insomnia, chronic fatigue, increased or severe hair loss, or a change in neck circumference or shape.

An endocrinologist specializes in the prevention, diagnosis, and treatment of disorders of the endocrine system, as well as nutrition and metabolic diseases, conditions, and complications. They provide consultations for endocrine system disorders, perform necessary tests including thyroid function tests, diagnose and treat diabetes mellitus (diabetes), goiter, Addison’s disease, and other conditions related to the adrenal glands and thyroid gland. Additionally, they offer guidance on preventing the onset or worsening of these diseases.

Thyroid dysfunction is one of the most common conditions, as stated by endocrinologists. It is important to note that thyroid diseases may not exhibit any symptoms in the early stages. Therefore, individuals aged 35 and over are recommended to undergo routine screening for thyroid dysfunction, including specific thyroid blood tests, every five years, even if they do not have any symptoms. If any family members have had thyroid disorders, especially thyroid cancer (malignant tumors), it is strongly advised to regularly check the thyroid due to the potential genetic inheritance. Pregnant women should also have their thyroid checked. Individuals with high blood pressure and elevated cholesterol levels are also recommended to have their thyroid gland evaluated. After conducting tests and confirming hormone imbalance, the endocrinologist will determine the underlying cause and propose the most effective treatment. Regular testing can help identify thyroid disorders early and prevent their progression.

What can I expect during a consultation with an endocrinologist?

If you suspect you have an endocrine disorder, the endocrinologist will conduct a comprehensive consultation, taking a detailed medical history, listening to your concerns, and ordering necessary blood tests. An ultrasound scan may also be required. After evaluating the results, the doctor will prescribe personalized treatment to rebalance hormone activity and improve overall health. The medical expert will also provide valuable recommendations on adjusting nutritional habits and lifestyle to maintain normal endocrine system function and address any questions or concerns the patient may have.

To assess if you have thyroid disorders, your doctor will perform a physical examination, consider your symptoms, review blood test results, and conduct any necessary imaging tests. An endocrinologist will palpate the thyroid gland and perform an ultrasound scan to evaluate the thyroid tissue and detect any potential abnormalities. Changes in the neck region may be observed during the examination. The doctor will also check for the presence of nodules, their location within the thyroid, their size, and assess the neck’s lymph nodes for enlargement. If any suspicious signs are detected, the doctor may recommend a thyroid puncture (biopsy) to confirm or rule out thyroid cancer. During a thyroid biopsy, a fine needle is inserted into the thyroid nodule under ultrasound guidance to extract a tissue sample. This sample will be analyzed in the laboratory to determine whether it is cancerous or benign. Thyroid biopsy is a safe, painless, and accurate method to diagnose malignant thyroid tumors at an early stage and determine the appropriate treatment before the disease progresses.

The endocrine system regulates vital functions and biological processes in the human body. Therefore, timely diagnosis of hormone disorders and appropriate treatment can significantly improve health, well-being, and overall quality of life.

What are the most common endocrine disorders?

Thyroid-related diseases are the most common conditions among patients seeking the expertise of an endocrinologist. The thyroid gland produces hormones that regulate metabolism in the human body. Approximately 30% of people in our country have developed thyroid disorders. Hormonal imbalance related to the thyroid develops gradually. Initially, you may not experience any symptoms, even though changes have already begun in the gland. If left untreated, thyroid conditions can lead to serious health problems over time. Therefore, it is crucial to not only maintain a healthy lifestyle but also undergo routine screening for thyroid dysfunction. Regular screening can help detect the onset of thyroid conditions and prevent further development.

Thyroid dysfunction can cause symptoms such as anxiety, mood swings, frequent fatigue, rapid heartbeat, and insomnia. While thyroid dysfunction is more common in women, it can also affect men. Risk factors for thyroid diseases include age (the risk increases with age), iodine deficiency (or excess) in food, and exposure to ionizing radiation (depending on the dose and duration of exposure).

There are two main types of thyroid disease. The first type comprises disorders caused by inadequate hormone production, which is the main function of the thyroid gland. Insufficient hormone production leads to general weakness, slow thinking, easy fatigability, dry skin, hair loss, facial swelling (particularly around the eyes), leg swelling, loss of appetite, weight gain, irregular periods, sensitivity to cold, and a desire to keep warm. Excessive hormone production leads to insomnia, mood swings, anxiety, hyperactivity, sweating, thirst, muscle weakness, increased appetite, weight loss, sensitivity to heat, a strong desire to cool down, possible diarrhea, and changes in menstrual cycles. Both hormone deficiency and excess lead to poor health.

The second type involves changes that affect the thyroid tissue. Typically, these changes manifest as neck pain, particularly felt at night or when swallowing food. Changes affecting the thyroid can cause voice changes, difficulty breathing, coughing, and fever.

Goiter is the most common thyroid-related endocrine disorder. There are two types of goiters: diffuse goiter (enlargement of the entire thyroid gland) and nodular goiter (development of nodules in the thyroid tissue). Enlargement of the thyroid gland is the main symptom of goiter. There are three grades of thyroid enlargement. Grade 1 is characterized by a normal-sized thyroid gland with a visible nodule or lump only when tilting the head back. In grade 2, the lump is visible when the head is in a normal position. In grade 3, the lump is clearly visible. Goiter typically presents as a swollen neck, discomfort when swallowing, difficulty breathing, fatigue, hoarseness, rapid or irregular heartbeat, weight loss, and nervousness.

Treatment of endocrine disorders

Thyroid dysfunction is typically treated with medications. Hormone replacement therapy, in the form of thyroid hormone pills, is prescribed when the thyroid gland slows down and produces insufficient hormones (hypothyroidism). In cases of excessive hormone production (hyperthyroidism), treatment involves medications known as anti-thyroid drugs, which help reduce the production of excess hormones by the thyroid. When medical therapy is ineffective, hyperthyroidism may be treated with radioactive iodine or surgery, which involves the partial or complete removal of the thyroid gland responsible for the excessive hormone production.

If you have been diagnosed with an underactive thyroid or hormone deficiency (which can occur due to inflammation, surgical removal of the thyroid gland, or a part of it), you will need to take medication for the rest of your life. In the case of excess thyroid hormone levels detected through blood tests, your doctor may prescribe long-term therapy with anti-thyroid drugs. Over time, the doctor will gradually decrease the dosage until it reaches a minimal level or even discontinue the medication. However, if the disease recurs despite medical therapy, your doctor may recommend surgery or radioactive iodine treatment.

Northway Medical Centres offer consultations with trained and experienced endocrinologists who specialize in hormone disorders. Our specialists are qualified to conduct hormone blood tests, perform thyroid ultrasound scans, accurately diagnose endocrine disorders, and develop individualized treatment plans.

The post Endocrinology appeared first on NORTHWAY.

What is a gastroenterologist?

Gastroenterology is a medical specialty that focuses on the study of diseases affecting the internal organs, their progression, methods of diagnosis, treatment, and prevention. Gastroenterologists provide comprehensive consultations, conduct ultrasound examinations of pelvic organs, and treat acute and chronic disorders of the gastrointestinal tract. They are medical specialists who are trained in the prevention, diagnosis, and treatment of diseases and conditions affecting the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, and bile ducts, including various complications.

Diseases treated by a gastroenterologist

Gastroenterologists specialize in diagnosing and treating various diseases and conditions of the digestive system, including irritable bowel syndrome, gastroesophageal reflux disease (acid indigestion), esophageal ulcer, gastric ulcer, duodenal ulcer, inflammatory bowel disease, hemorrhoids, colon and rectal polyps, diarrhea, constipation, acute and chronic pancreatitis, gallstone disease, coeliac disease (gluten-sensitive enteropathy), Helicobacter pylori (H. pylori) infection, jaundice, hepatitis, and more.

Our Medical Centre is equipped with state-of-the-art diagnostic equipment and staffed with a team of experienced gastroenterologists, enabling us to provide accurate diagnoses and effective treatments for acute and chronic diseases of the upper gastrointestinal tract, intestines, liver, biliary system, and pancreas.

The most common examinations and procedures

Before undergoing any tests, it is important to consult with a gastroenterologist. During your initial visit, the gastroenterologist will gather your medical history, listen to your complaints, inquire about symptoms, and develop a personalized testing plan.

One of the most common examinations conducted by gastroenterologists is an ultrasound scan of pelvic organs, including the liver, pancreas, gallbladder, kidneys, spleen, lymph nodes, and the abdominal aorta. This examination serves as an initial imaging test that helps assess the condition of organs, determine the need for further tests, or refer to other specialists. At our Centre, an ultrasound scan is typically performed during your visit with a gastroenterologist. During the ultrasound examination, your doctor will evaluate the liver, gallbladder, pancreas, spleen, kidneys, intestinal tract, and search for enlarged abdominal lymph nodes or fluid accumulation. Based on the patient’s complaints and ultrasound results, further diagnostic tests such as magnetic resonance imaging (MRI) or computed tomography (CT) scans may be recommended to clarify the diagnosis if necessary.

A rapid and accurate urease breath test is performed to diagnose H. pylori (Helicobacter pylori) infection. Helicobacter pylori settles in the lining of the stomach, causing inflammation (gastritis). In many cases, this infection does not cause symptoms, but if the inflammation becomes acute, it can lead to indigestion, burning pain in the upper abdomen, and nausea. In rare cases, it can cause vomiting, bloating, or loss of appetite. The urease breath test can also be used to check the effectiveness of prescribed treatment and confirm its success. The IgG blood test, with qualitative and quantitative range, is effective in diagnosing H. pylori, which is one of the most widespread infectious diseases worldwide.

Endoscopic examinations play a crucial role in diagnosing even minor changes in the condition of the esophagus, stomach, duodenum, and large bowel, thereby helping to prevent insidious diseases. Endoscopy is a procedure that allows doctors to visualize the inside of a person’s body using a specialized instrument called an endoscope. Gastrointestinal endoscopy, or endoscopic examination of the digestive tract, provides a high accuracy rate of 98-100%.

Gastroscopy, also known as upper gastrointestinal endoscopy, is used to examine the spleen, stomach, and a portion of the duodenum. It is recommended in cases of pain or discomfort in the upper part of the stomach, lack of improvement with previous treatments, “dangerous” symptoms in individuals aged 50-55 or older, family history of stomach or esophageal cancer, unexplained weight loss, bleeding, difficulty or painful swallowing, iron-deficiency anemia of unknown origin, chronic vomiting, palpable mass in the stomach or enlarged lymph nodes, and jaundice. Gastroscopy is also recommended for patients with recurring or long-term gastroesophageal reflux disease, unexplained nausea and vomiting, and to differentiate between functional disorders (such as functional dyspepsia) and symptoms caused by possible organic neoplastic diseases. It is used for active and chronic bleeding, iron deficiency, when other radiological examinations have detected pathological formations that require further clarification, and for endoscopic follow-up of pre-cancerous or neoplastic conditions, as well as for monitoring post-endoscopic or surgical treatments.

Gastroscopy aids in diagnosing both malignant and non-malignant diseases, as well as ensuring the absence of pathology.

Colonoscopy is a procedure in which a doctor uses a colonoscope to examine the lower part of the gastrointestinal tract (colon). Colonoscopy can be performed as part of routine screening under the Program for Early Detection of Large Bowel Cancer. Adults aged 50-74 are advised to undergo fecal occult blood tests. If the results are positive, it is strongly recommended to have a colonoscopy. To arrange this examination, you should consult with your GP. Colorectal cancer is one of the most prevalent diseases in Lithuania, with approximately 1,500 new cases detected each year, and the number is increasing annually. Detecting colorectal cancer at an early stage provides the greatest chance for a cure. Unfortunately, patients may not experience any signs of the disease for an extended period. For this reason, regular fecal occult blood tests are important for predicting early-stage colorectal cancer. Colonoscopy, including biopsy when necessary, can confirm or rule out colorectal cancer. The importance of regular examinations cannot be overstated, as timely diagnosis leads to effective treatment.

Colonoscopy can also be used as a follow-up test for inflammatory bowel disease, after the removal of polyps and colorectal cancer, and to assess the spread of inflammatory bowel disease. It may also be recommended in cases of active or chronic bleeding of unknown cause, chronic pelvic pain, sudden changes in bowel habits (such as constipation) accompanied by other concerning signals like weight loss, anemia, or blood in the stool, and for the evaluation of abnormal tissues diagnosed through other radiological examinations.

Typically, colonoscopy helps diagnose polyps, diverticulum, large bowel cancer, and inflammatory bowel diseases. In addition to visual examination, the doctor may take a tissue sample (biopsy) for further analysis by a pathologist.

Both upper gastrointestinal endoscopic examination and colonoscopy can also be used as therapeutic procedures. The most common endoscopic treatment methods include polyp resection in the large bowel, removal of stomach polyps, pre-cancerous tissues, and early stomach cancer, dilation of narrowed lumens, stent placement, control of bleeding, and removal of foreign bodies from the esophagus.

When should you see a gastroenterologist?

If you frequently experience bloating and pain, it is advisable to schedule an appointment with a gastroenterologist. If these symptoms occur after almost every meal and are accompanied by nausea or painful bowel movements, it is recommended to seek an examination from a gastroenterologist. Additionally, severe symptoms such as vomiting, weight loss, and loss of appetite should not be ignored and require immediate attention from a gastroenterologist.

Certain symptoms should never be ignored, including constipation (fewer than three bowel movements per week), acute or chronic diarrhea (three or more bowel movements per day with watery, liquid stools), and the presence of blood in the feces. Bleeding is commonly caused by conditions such as hemorrhoids, anal fistulas, intestinal infections, or inflammatory bowel disease. However, it can also be a warning sign of malignant disease, particularly in individuals over the age of 50 or those with risk factors such as long-term smoking, a family history of cancer, or a high intake of red meat.

Frequent reflux (indigestion) and frequent use of antacids can be another reason to consult a gastroenterologist. Frequent reflux may indicate conditions such as gastritis, stomach ulcers, dysbiosis, esophageal thrush, or gastroesophageal hernia. If you experience symptoms such as difficulty swallowing, the sensation of food getting stuck, or painful swallowing, it is important to contact a gastroenterologist promptly as they can be signs of a malignant disease.

Persistent esophageal pain, difficulty swallowing, or worsening of swallowing over time should not be ignored. If you experience these symptoms, it is recommended to consult a gastroenterologist and undergo an endoscopic examination of the esophagus and stomach (gastroscopy) to determine the underlying cause.

All adults aged over 50 are encouraged to participate in the Program for Early Detection of Large Bowel Cancer and undergo a colonoscopy, even in the absence of symptoms.

Gastrointestinal diseases often start with no or subtle symptoms that are frequently overlooked and left untreated. Gastroenterologists emphasize the importance of preventive health check-ups at least once a year, as many diseases can be detected at an early stage. If you experience any discomfort in the bowel, it is recommended not to delay and seek further examination with a gastroenterologist. Identifying the underlying causes of ailments and prescribing effective treatment can significantly improve a person’s quality of life and prevent disease progression.

Northway Medical Centre provides a team of highly skilled and trained gastroenterologists who offer comprehensive consultations, order and perform essential examinations, treat acute and chronic gastrointestinal conditions, and provide recommendations for prevention.

The post Gastroenterology appeared first on NORTHWAY.

A woman can experience gynaecological problems at any stage of life. Gynaecological diseases can cause health issues and produce a negative impact on a woman’s sexual life and living standards.

Obstetricians-gynaecologists at Northway Medical Centre consult, diagnose, and treat various gynaecological diseases. As well as performing ultrasonic scanning and surgeries.

They also diagnose early pregnancy, consult and provide care for women during pregnancy and after birth, and consult couples about family planning. Those who want to avoid unintended pregnancy receive recommendations on reliable contraception. The gynaecologist and patient choose the most acceptable method of contraception together.

Gynaecologists-obstetricians also diagnose and treat menstrual cycle disorders, advice on how to relieve the symptoms of menopause, and recommend preventive measures. If necessary, they prescribe an alternative hormone replacement therapy.

Gynaecologists-obstetricians consult on infertility as well. Our centre offers various infertility treatment methods to couples that want to have children but cannot conceive. The choice of treatment methods, including surgeries, to be applied to a woman, a man or both partners depends on the type of infertility problem. Various insemination procedures offered by Northway Fertility Centre in Vilnius solve more serious infertility problems.

Gynaecologists-obstetricians recommend every woman to take a yearly diagnostic examination to discover gynaecological diseases on time.

Gynaecologists-obstetricians recommend visiting a doctor in the following cases:
• After the first period arrives;
• you are planning to start sexual activity and want to choose the most suitable and reliable contraception;
• you are planning to have a baby or cannot conceive;
• you are pregnant;
• you are experiencing menstrual disorders;
• you have questions on how to avoid venereal diseases;
• you are experiencing the symptoms of menopause;
• you want to check if you have any gynaecological diseases, uterine and ovary fibroids (cysts, myomas, polyps);
• you want to get advice on how to protect yourself from venereal diseases.

The post Gynaecology appeared first on NORTHWAY.

The laboratory at Northway Medical Centre uses the latest testing equipment from Roche, the world’s leading producer of diagnostic equipment for several decades. The supplier ensures technical maintenance and supervision of the medical equipment, and thus guarantees the precision and reliability of the test results at high levels.

Our skilled and qualified specialists perform clinical, immunological and biochemical tests, tumour marker tests, PGR, microbiological, genetic and other types of test precisely and promptly.

Urine tests provide information about changes in kidneys, urethra, renal ducts, genitals and other systems in the body. A urine test is the quickest, less painful and quite informative method to detect diseases, even in the absence of any symptoms.

Meanwhile, a detailed blood test helps to distinguish between viral and  bacterial  infections, diagnose anaemia, or even detect cancer. Abnormal ranges of leucocytes in the bloodstream may indicate allergic reactions, viral inflammations, or tuberculosis occurring in the organism.

Sometimes laboratory tests are not sufficient to diagnose a disease. It is necessary to have a conversation with the patient, check symptoms of his disease, and perform examinations and tests to make an accurate diagnosis, prescribe additional tests (if necessary), and perform the most effective treatment.

The post Laboratory Examination appeared first on NORTHWAY.

Northway Medical Centre is equipped with state-of-the-art medical equipment for endoscopy, ultrasound scanning, electrocardiography (in a relaxed state and during exercise), Holter monitoring, 24-hour blood pressure monitoring, X-ray, clinical physiology examinations of the eyes, ears, nose, throat, obstetrics, and gynaecology.

The most common instrumental diagnostic techniques

One of the most frequently used diagnostic tests is X-ray (radiography). X-ray is primarily used to examine the condition and functionality of various organs and body systems. It aids in assessing the lungs, bones, and joints, as well as diagnosing any changes or injuries, such as bone fractures or inflammation. An X-ray test can only be conducted with a referral from a healthcare practitioner.

Another widely used test is an ultrasound scan (or sonogram). This quick, accurate, and painless test is considered one of the most essential diagnostic tools in various fields of medicine. An ultrasound scan is a reliable and efficient method for diagnosing cardiovascular diseases, thyroid conditions, breast abnormalities, stomach issues, kidney and bladder problems, pelvic disorders, and many other diseases. It provides real-time imaging, allowing medical specialists to determine the structure, size, and location of organs. Moreover, it assists in guiding further examinations, making precise diagnoses, prescribing the most effective treatments, and achieving optimal treatment outcomes.

According to scientific research, ultrasound is a completely safe procedure. Ultrasound waves are based on non-ionizing radiation, which means it does not require any special safety measures and does not pose any risks to patients or medical technicians performing the scans. Therefore, it can be performed as needed, without any limitations.

Northway Medical Centres utilize Mindray’s new generation ultrasound machine, equipped with cutting-edge features. This machine, produced by a leader in medical equipment, allows for comprehensive examination of all soft tissues in the human body. It can detect lesions or lumps under the skin, including blood vessels, nerves, muscles, internal organs, joints, tendons, as well as identify abnormalities such as tumors, cysts, stones, areas of inflammation, thickened tissues, tears, and symptoms of fluid accumulation, among others.

Ultrasound scans play a crucial role in diagnosing tears in muscles, tendons, or ligaments. They also facilitate monitoring the healing process of wounds in tissues and the resorption of fluids. It is recommended to undergo an ultrasound scan if you have any palpable skin or subcutaneous lesions in any part of your body. Notably, palpable lesions or lumps in the neck or breasts may be indicative of underlying diseases. This examination enables the doctor to determine the nature of the lesions or lumps and can even facilitate an ultrasound-guided biopsy.

An ultrasound scan is a significant diagnostic tool in gynaecology and obstetrics. Prenatal ultrasound scans are routinely performed on all pregnant women during their pregnancy. This safe procedure is used to measure the size of the fetus, examine its anatomy, assess the level of amniotic fluid, determine the position of the placenta, and detect any congenital anomalies. In the case of multiple pregnancies (with two or three babies), ultrasound scans are usually conducted on a monthly basis or even more frequently.

Ultrasound scans are also widely used in the diagnosis of gynaecological diseases. In gynaecology, an ultrasound scan can be ordered during routine check-ups as well as in cases of pelvic pain, irregular periods, or bleeding between periods. During this test, the doctor evaluates the position of the uterus, its size, any abnormalities within the endometrium and uterine muscles, and examines the ovaries. If a patient has an intrauterine coil, the doctor will assess its position. If the exam detects any uterine fibroids (myoma), the doctor will evaluate their size and location. Subsequent ultrasound scans will monitor their growth patterns. In the case of ovarian cysts, the doctor will examine markers that help determine whether they are benign or malignant. Additional tests may be ordered by the doctor for an accurate diagnosis. Ultrasound scans also serve as a reliable tool in diagnosing endometrial polyps, which are changes in the uterine lining. It is recommended to have this test performed after menstruation when the endometrium is at its thinnest, allowing for the detection and diagnosis of even minor changes.

The ultrasound specialists at Northway Medical Centres would like to remind patients that routine check-ups should include an ultrasound scan once every two years, even if there are no complaints or diagnosed conditions. In the case of detecting abnormalities or changes during the examination, it should be repeated every 6-12 months depending on the nature of the findings.

An endoscopy is a diagnostic tool commonly used to diagnose disorders of the stomach, gastrointestinal tract, and large bowel. It involves the use of a flexible optical device to examine the lining of internal organs, detect abnormalities in the mucous lining, and assess its condition. If necessary, a doctor may take a biopsy during the endoscopic exam to obtain results indicating the presence or absence of cancer. Endoscopy can also be used to stop bleeding, remove polyps, or foreign bodies. Additionally, an endoscopic exam can serve as a tool to evaluate abnormalities during the course of treatment.

At Northway Medical Centre, our specialists perform various types of endoscopic exams, including upper gastrointestinal endoscopy (or upper endoscopy), colonoscopy of the large bowel, and others.

Upper gastrointestinal endoscopy (or gastroscopy) is recommended for individuals experiencing symptoms such as stomach pain or discomfort, unexplained nausea and vomiting, digestive disorders, bloating, bleeding, anemia, weight loss, or loss of appetite.

A Colonoscopy may be indicated for patients with symptoms such as rectal bleeding, bloody or non-bloody diarrhea, anemia, bowel evacuation disorders (such as constipation or recurring diarrhea), blood in stool, a feeling of incomplete bowel movement, or weight loss. In the event of detecting any pathological abnormalities (such as inflammation, polyps, tumors, etc.), the doctor may take a biopsy and conduct a microscopic examination of the tissue. This examination may also be performed to diagnose bowel cancer.

How to prepare for the examinations

Effective patient preparation is crucial for ensuring the quality of the examination outcome. Failure to follow the provided preparation instructions may result in the postponement of the examination, as the doctor will be unable to perform it properly. To ensure the most accurate outcome and avoid the need for repeat procedures, we have compiled a list of instructions prepared by our medical specialists. By following these instructions, you can be confident in obtaining the best possible results.

How to prepare for an X-ray

• There is no need for special preparation for an X-ray examination. However, during an X-ray, patients may be asked to remove certain clothing or jewellery that could obstruct normal visualization.

How to prepare for an ultrasound scan

• If you are an adult undergoing an ultrasound scan, it is recommended that you refrain from eating or drinking for 6 hours prior to the procedure. The evening before the exam, have a light meal and avoid consuming foods known to cause flatulence, such as pickled foods or foods containing flour. For children, eating should be avoided for 4 hours before the procedure, although they can drink up to 100 ml of still water up to 2 hours prior.
• For a kidney and bladder ultrasound, it is important to drink approximately 1.5 litres of still water 2 hours before the procedure and arrive with a full bladder. If maintaining a full bladder is challenging, you may choose to arrive at the clinic early (30 minutes prior) to consume the water, but make sure to inform your doctor.
• For pelvic ultrasounds or kidney and bladder ultrasounds, fasting is required for 6 hours before the procedure. However, you can drink up to 1.5 litres of still water 1-2 hours prior and should arrive with a full bladder for the examination.
• For a renal artery ultrasound, fasting from both food and drink is required for 6 hours before the procedure. The evening before the exam, have a light meal and avoid consuming foods known to cause flatulence.
• Prior to a transrectal ultrasound, it is advisable to drink fluids and maintain a full bladder.
• If you are preparing for a gynaecological ultrasound scan performed through the abdominal wall, it is recommended to consume liquids and ensure that your bladder is full.

How to prepare for endoscopic examinations

• For a gastrointestinal endoscopy (fibrogastroscopy), it is important not to eat or drink anything for 7–8 hours prior to the examination. If the procedure will be performed under sedation, it is necessary to refrain from eating and drinking throughout the entire day. If you are taking medication for blood pressure control, please take them in the morning with some water.
• In preparation for proctology exams such as rectoscopy or anoscopy, it is necessary to use 4 micro-enemas before the examination. Two micro-enemas should be used in the evening, and the remaining two should be used 2 hours before the exam. Micro-enemas can be purchased at a pharmacy. Additionally, it is important to abstain from eating or drinking (except water) for 6 hours before the exam.
• When undergoing a colonoscopy, proper bowel preparation is crucial for optimal procedure outcomes, as emphasized by medical specialists. Incomplete bowel cleansing may hinder the detection of abnormalities.
  • It is imperative to follow the doctor’s instructions and adhere to a special diet for 3-7 days prior to the procedure. This preparation is necessary to ensure accurate results, diagnose pre-cancerous polyps, remove them, and prevent the development of bowel cancer.
  • On the day preceding the procedure, a special formula must be consumed to clear the bowel. If the colonoscopy is scheduled in the morning (8.00-12.00 a.m.), the preparation formula should be consumed on the previous night. For afternoon appointments, it is recommended to consume half of the formula in the evening and the other half in the early morning of the exam day. In the case of an evening colonoscopy, the entire preparation formula can be consumed in the morning of the exam day. It is essential to complete the consumption of the formula at least 6 hours before the examination. In instances of constipation, the doctor may suggest performing the bowel preparation procedure a few days prior to the exam.
  • For 2-3 days before the procedure, it is advisable to consume low-fiber foods. It is recommended to avoid seeds, nuts, whole grains, cereals, red/purple-colored food, and drinks. On the day before the procedure, a light breakfast and clear fluids are permitted. Eating or drinking is not allowed on the day of the procedure. If you need to take any medication on the exam day, you can do so in the morning with some water.

• If intravenous anesthesia is scheduled for the endoscopy, it is necessary for the patient to be accompanied by a companion. Please be aware that driving any form of transportation after the examination will not be permitted.

The post Instrumental Examination appeared first on NORTHWAY.

Magnetic Resonance Imaging (MRI, MR) is one of the most advanced, safe, and comprehensive diagnostic methods. It is a non-invasive procedure that uses a strong magnetic field and radio waves to produce high-resolution images of internal organs and soft tissues. No harmful ionising radiation is emitted during the procedure. Magnetic resonance imaging examines various areas and organ systems of the body. Namely the musculoskeletal and joint systems, head, spine, abdominal organs, kidneys, urinary tract, and the small pelvis.

Features and benefits of MRI

One of the most advanced diagnostic systems on the market, the Philips MR500 1.5T, is characterized by its accuracy, testing speed, and exceptional comfort. At our centers in Vilnius and Klaipėda, magnetic resonance imaging (2D and 3D) is performed up to 50% faster, and an integrated special audiovisual system allows the patient to fully relax during the examination.

• Testing is up to 50% faster;
• Ultra-high resolution 2D and 3D images;
• An immersive audio-visual system calms and guides patients through MR exams;
• A lower noise level and a special mattress allow the patient to relax even more during the examination.

MRI examination safety

Magnetic resonance imaging is a painless and non-invasive examination that does not cause any known associated side effects.

Before undergoing an MRI examination, please consult your treating physician or a staff member of the diagnostic center, specifically a radiologic technologist, if you are pregnant or suspect that you might be, or if you have recently had surgery.

MRI examination cannot be performed if the patient has the following items in his/her body:

• Heart pacemaker, implantable cardioverter defibrillator, or artificial heart valves;
• Metal clips or metal plates in the skull after neurosurgery procedures;
• Vascular, eye and ear implants;
• Metal implants, bullet residues that contain iron, nickel or cobalt;
• Drug infusion pumps (morphine, insulin delivery, and other drugs);
• Other foreign bodies, such as shrapnel, other unspecified electronic, mechanical, or magnetic implants;
• Pregnancy as relative contraindication (the first 12 weeks);
• Women with a contraceptive coil should consult a gynaecologist before the test to ensure that the coil is compatible with the MRI machine.

An MRI scan may be performed if you have fillings or other dental implants.

MRI procedure steps

You will be asked to lie down on a special mattress on the machine’s table. A special button will be placed in your hand, which you can press to summon a member of staff. During the test, you will be guided by a radiologic technologist. If you have a fear of enclosed spaces (claustrophobia), you can stop the test by pressing a special button. To obtain high-quality images, you should lie still during the examination. You will hear various sounds during the test, but don’t be afraid; these are the normal sounds of the device.

Getting prepared for an MRI exam

Unless otherwise stated, an MRI scan requires no special preparation. You can eat and drink normally and take your regular medication before the test. Before your procedure, you will be asked to fill in a special questionnaire to check for any contraindications to the test. It is also important to remove any metal objects (jewellery, belts, etc.) before the test, and you may need to change out of the clothes you are wearing and into disposable clothing, which is available for purchase at our Centre.

The post Magnetic Resonance Imaging (MRI) appeared first on NORTHWAY.