We offer diagnosis and treatment of patients by a team of geriatric doctors with expertise in various fields, who can diagnose and treat general geriatric diseases comprehensively, including providing consultation and promoting health prevention and promotion.
We offer diagnosis and treatment by a team of geriatric doctors and specialists in various fields.
• Diabetes Obesity & Endocrinology Clinic
• Nephrology Clinic
• Neurology Clinic
• Respiratory Clinic
• Hematology Clinic
• Mental health Clinic
What is Diabetes?
Diabetes mellitus (DM) is a group of diseases when your body cannot properly process and uses blood sugar (glucose) which is an important source of energy for cells and especially your brain. There are several types of diabetes and all leads to the condition of having excess blood sugar. Insulin, a hormone made by your pancreas, help facilitate bringing in glucose through cells and ultimately used as energy. If you have diabetes, either your pancreas do not produce insulin sufficiently (or not at all) or cells do not respond to insulin’s actions. Poorly controlled diabetes may lead to serious complications and may be life-threatening.
Common types of diabetes are as followed:
Complications which may be life-threatening include:
For Type 1 Diabetes
For Type 2 Diabetes
For Gestational Diabetes
Prediabetes: Lifestyle modifications recommended by doctor to prevent further progression and development into Diabetes
Type 1 Diabetes: Daily insulin intake with individualized dose
Type 2 Diabetes: Medications with several mechanism to maintain appropriate amount of blood glucose and lifestyle modifications as recommended by doctor
Gestational Diabetes: Diet modification and exercise where possible and recommended by doctor. Insulin and medications may be offered on individualized approach.
When to see a doctor?
If you think you have clear symptoms which may be diabetes or you have had too high blood sugar in your health check-up, consult your doctor to prevent further disease progressions which lead to serious complications.
High blood pressure
What is High Blood Pressure (Hypertension)?
High blood pressure or Hypertension is the condition where you have blood pressure higher than normal and rarely has any noticeable symptoms. The higher the blood pressure the more risk for other diseases such as heart disease, stroke, and kidney failure. If left untreated, life-long complications can set in and reduce quality of life with needs to receive more treatment.
Normal blood pressure is currently defined as 120/80 mm Hg (Systolic/Diastolic) and most major guidelines recommended diagnosis of hypertension when their blood pressure is beyond 140/90 mm Hg although The American College of Cardiology and the American Heart Association defined hypertension is a blood pressure reading of 130/80 mm Hg or higher in which the patient should receive early treatment.
For most people, there are no identifiable cause for high blood pressure. This type is called Primary or Essential Hypertension. High blood pressure can also resulted from other diseases and conditions called Secondary Hypertension.
High blood pressure is sometimes called a “silent killer” as the patient may not be aware of the danger, but damage has been progressing. Few people may experience headache, shortness of breath, and nosebleeds which are not specific to hypertension.
Treatment often starts with lifestyle modification then combine with medication therapy. Lifestyle modifications include:
Medication used to treat high blood pressure can be used as a single medicine or combination of drugs from different mechanisms, depending on your blood pressure and risk factors:
When to see a doctor
Blood pressure is checked when you visit a doctor. Your healthcare providers may recommend you for more frequent readings if you have high blood pressure and other risk factors. It is recommended for you to have annual health check-up to screen for high blood pressure and other underlying diseases to seek early treatment or you may be able to get a blood pressure reading from nearby healthcare provider for preliminary screening.
What is Migraine?
Migraine is usually a moderate to severe throbbing headache or a pulsing sensation on one side of the head that could interfere with your daily activities and decrease quality of life. It is a neurologic disorder that can last for hours or days. Migraine will likely get worse with physical activities, lights, sounds, or smells.
Common triggers include emotional stress, missing a meal, caffeine, hormonal changes around menstrual periods, light, changes to weather conditions, overly tired, changes to normal sleeping pattern, exposure to smoke or other odors.
Migraine has four stages in chronological order:
Migraine has no cure but there are many drugs that can treat or prevent them. Medications to relieve pain and headache include:
Medications can be used to prevent Migraine if needed:
What to see a doctor?
If you get migraine frequently and lifestyle modification did not help prevent it, make an appointment with your doctor to discuss about the headache and ways to manage it. You may be asked to keep record of your migraine attacks to see the patterns more clearly. Contact emergency room or your doctor immediately if you experience headache with fever, confusion, seizures, double vision, numbness or weakness in any part of body as this could be stroke.
What is Stroke?
Stroke is a life-threatening condition when the blood supply to your brain is interrupted or cut off resulting in brain tissue not getting oxygen and nutrients. The brain cells will eventually die within minutes and is irreversible. Early treatment is very essential to delay progression of brain damage and complications.
Complications can include paralysis, difficulty talking or swallowing, memory loss, emotional problems, pain, changes in behavior. This would be a life-changing condition and may require extra care from family members or caretakers.
Treatment depends on type of strokes the patient has. Medicines are usually used on emergency and maintenance phase and surgical procedures may be necessary to remove blood clots and brain swelling.
When to see a doctor
Bring the patient to emergency room immediately upon the signs and questionable signs of stroke as every seconds are precious. Remember the word FAST to identify stroke:
For more information, please contact
Medical Center, 1st floor Thonburi Bamrungmuang Hospital
Telephone; +66 2220 7999 ext. 81120 - 81123