Gastrologist in Kutno

Abdominal ultrasound is usually the first step in the diagnostic imaging of the digestive system. The doctor assesses the liver, the gallbladder and biliary tract, the pancreas, the spleen, the kidneys, the urinary bladder, and the abdominal aorta. The examination allows for the detection of, among other things, biliary stones, fatty liver disease, focal changes, and dilation of the biliary tracts.

The test is performed on an empty stomach – for at least six hours before the appointment, you should not eat anything, and two hours earlier it is advisable to drink a glass of still water and not urinate. It takes about twenty minutes, is painless, and does not require recovery time. We discuss the result immediately, and if the test has already been performed before, bring the report with you – comparing the results over time is more valuable than a single image.

Reflux disease involves the reflux of stomach contents back into the esophagus, which causes heartburn, a burning sensation in the throat, a sour taste in the mouth, and sometimes a hiccup and chronic cough. Ulcerative disease, in turn, causes pain in the upper abdomen, often dependent on meals, and is often associated with Helicobacter pylori infection or the chronic use of painkillers.

We begin by determining the cause: an interview, an evaluation of the previous treatment, and, if indicated, a diagnosis of Helicobacter pylori and an endoscopic examination. Treatment includes pharmacotherapy and specific recommendations regarding meals, eating times, and alcohol consumption. During follow-up visits, we assess the effectiveness of the therapy and decide whether to continue or modify it.

Irritable bowel syndrome is diagnosed after ruling out other causes – symptoms such as bloating, abdominal pain, alternating diarrhea and constipation can also be caused by celiac disease, lactose or fructose intolerance, bacterial overgrowth of the small intestine, or inflammatory bowel diseases. Therefore, the first step is always diagnosis, not another elimination of foods from the diet.

We determine the scope of the tests, interpret the results, and select symptomatic treatment and dietary recommendations tailored to the diagnosis. We also discuss the role of stress and meal timing, as these conditions are of real importance. Regular check-ups are essential because the symptoms come in waves, and treatment requires adjustments.

Elevated liver enzymes are one of the most common reasons for gastroenterological consultations. The causes include fatty liver disease, medications and supplements taken, viral infections, metabolic disorders, or alcohol consumption – and determining which of these is responsible for the result requires a structured diagnostic approach.

During the visit, we analyze the test results and perform an abdominal ultrasound scan that allows us to assess the structure of the liver, the presence of gallstones in the gallbladder, and the width of the biliary tract. Based on this information, we determine the scope of further tests and treatment: dietary recommendations, treatment of co-existing diseases, or surgical consultation if the gallstone requires surgical treatment.

Celiac disease, non-specific inflammatory bowel disease, chronic reflux disease, or chronic pancreatitis require not one-time advice, but a plan that extends over several years. The severity of symptoms, the effectiveness of medications, and the need for follow-up examinations all change, and periods of remission are interspersed with exacerbations.

During follow-up visits, we assess the course of the disease, verify the treatment, establish the schedule of examinations, and respond to exacerbations. You return to the same doctor who knows your history – you don’t have to explain the history to them from scratch every time or fill out documentation for the next facility.