Diabetes and blood sugar
ডায়াবেটিস / সুগার চিকিৎসা
New diagnosis, uncontrolled sugar, insulin initiation and dose adjustment, HbA1c-guided therapy, diabetic foot screening, and complication monitoring for the eyes, kidneys, nerves and heart. Pre-diabetes management aimed at remission. Diabetes in pregnancy.
Obesity and weight management
ওজন ও মেদ কমানোর চিকিৎসা
Medically supervised weight management including GLP-1 receptor agonist therapy where clinically appropriate, body composition analysis measuring fat percentage, muscle mass, visceral fat and metabolic age, and structured monthly review. PCOS-related weight gain and metabolic syndrome. More on the weight clinic.
Heart and circulation
হার্ট ও রক্তসঞ্চালনের সমস্যা
Chest pain assessment, heart failure management, follow-up after a heart attack, palpitations and irregular heartbeat, ECG interpretation, cardiac risk scoring and cholesterol management. Echocardiography, angiography and a cardiologist's opinion are referred, and the report is reviewed with you at follow-up.
Gastric, liver and digestion
গ্যাস, অম্বল, লিভার ও হজমের রোগ
Long-standing acidity and reflux, bloating, irritable bowel syndrome, peptic ulcer, and fatty liver disease, graded on an ultrasound arranged locally. Jaundice assessment, abdominal pain workup, persistent vomiting, constipation and chronic diarrhoea. H. pylori testing, hepatitis B and C screening. Fatty liver guide.
Breathing and lungs
শ্বাসকষ্ট, অ্যাজমা ও ফুসফুসের রোগ
Asthma with inhaler technique training and a written action plan, COPD, chronic cough, breathlessness on exertion, and pneumonia. Chest imaging and spirometry arranged where indicated — and episodic bronchospasm looked for on the history, because the chest is usually clear by the time you reach the clinic. Persistent symptoms after COVID. Smoking cessation support.
Joint pain, arthritis and bone health
হাঁটু ব্যথা, গাঁটের ব্যথা, বাত ও হাড়ের রোগ
Knee, back, neck and shoulder pain, rheumatoid arthritis, osteoarthritis, gout and raised uric acid, and screening for ankylosing spondylitis. Separating inflammatory from degenerative causes, with imaging arranged where an effusion needs confirming. Osteoporosis risk and vitamin D management.
High blood pressure
উচ্চ রক্তচাপ নিয়ন্ত্রণ
Blood pressure that stays high despite two or three medicines, resistant hypertension workup, adjusting treatment to reduce side effects, and screening younger patients for secondary causes. Blood pressure measured on a validated digital monitor (Rossmax X9 PARR PRO), with guidance on home monitoring and how to take a reading correctly. Blood pressure guide.
Thyroid disorders
থাইরয়েডের সমস্যা
Underactive thyroid presenting as weight gain, tiredness, hair loss and cold intolerance; overactive thyroid with weight loss, tremor and palpitations; Hashimoto's thyroiditis. Where there is a nodule, a thyroid ultrasound is arranged and its report used to decide who needs FNAC and who needs monitoring. Thyroid in pregnancy. Thyroid guide.
Kidney and urinary problems
কিডনি ও প্রস্রাবের সমস্যা
Kidney function monitoring with creatinine, eGFR and urine albumin, and early detection of diabetic kidney disease. Recurrent urinary infection, kidney stones and electrolyte disturbance. Renal ultrasound arranged where hydronephrosis or kidney size needs checking. CKD staging and nephrology referral.
Fever and infection
জ্বর ও সংক্রামক রোগ
Prolonged fever of unknown origin, recurrent fever, malaria, dengue with platelet monitoring, typhoid, scrub typhus, tuberculosis both pulmonary and extra-pulmonary, and HIV screening. Chest imaging and abdominal ultrasound arranged where fever passes a week, following ICMR staged testing.
Anaemia and blood disorders
রক্তশূন্যতা ও রক্তের রোগ
Iron deficiency anaemia investigated for its underlying cause rather than treated with iron alone. B12 and folate deficiency, anaemia of chronic disease, thalassaemia trait counselling, unexplained high or low blood counts, and easy bruising or bleeding.
Headache and nerve problems
মাথা ব্যথা, মাইগ্রেন ও স্নায়ুর সমস্যা
Recurrent headache, migraine prevention, tension headache, dizziness and vertigo, numbness and tingling from peripheral neuropathy, diabetic neuropathy, and follow-up care after a stroke. Screening for red-flag features that need urgent imaging or neurology referral.
Weakness, tiredness and body ache
দুর্বলতা, ক্লান্তি ও শরীরে ব্যথা
Persistent tiredness, generalised body pain, muscle weakness and low energy, investigated systematically for anaemia, thyroid disease, diabetes, vitamin D and B12 deficiency, depression, fibromyalgia and other treatable causes.
Allergy and immune problems
অ্যালার্জি ও রোগ প্রতিরোধ সংক্রান্ত সমস্যা
Drug and food allergy assessment, chronic urticaria, angioedema, and anaphylaxis prevention planning. Recurrent infection suggesting immune deficiency. Autoimmune disease screening, with referral where skin or joint involvement needs a specialist.
Adult vaccination
প্রাপ্তবয়স্কদের টিকাকরণ
Yearly influenza vaccine; pneumococcal vaccine for people with diabetes, COPD and older adults; hepatitis B for healthcare workers and patients with kidney disease; typhoid; HPV; herpes zoster from age 50; and Tdap boosters. Schedule set against your own risk factors. Travel vaccination advice.
Care of older adults
বয়স্কদের স্বাস্থ্য পরিচর্যা
Medication review for patients on six or seven tablets, falls risk assessment, memory and cognitive concerns, osteoporosis screening and nutrition. Managing three or four conditions together on as few medicines as safely possible. Support for family carers.
লাইফস্টাইল ও বিপাকজনিত রোগ
Raised cholesterol, metabolic syndrome combining central obesity with raised sugar, blood pressure and lipids, pre-diabetes, fatty liver and raised uric acid. Liver fat graded on ultrasound arranged locally. Dietary advice built around Bengali food habits rather than generic meal plans.
Preventive health check
প্রতিরোধমূলক স্বাস্থ্য পরীক্ষা
Annual screening covering blood sugar, HbA1c, lipids, liver and kidney function, thyroid, full blood count, vitamin D and B12, and urine. Cardiac risk assessment, cancer screening guidance, body composition analysis, and an abdominal ultrasound arranged where fatty liver or gallstones are in question. Set to your age, sex and risk profile.
Follow-up after hospital discharge
হাসপাতাল থেকে ছাড়ার পর ফলো-আপ
Structured review after a hospital stay — medication reconciliation, lab tracking and readmission prevention. Rehabilitation after intensive care, medical management after surgery, and recovery after dengue, malaria or COVID.
Complex and undiagnosed problems
জটিল ও অনির্ণীত রোগ
Symptoms that have not been explained, treatment that has not helped, unexplained weight loss, recurrent fever or problems involving several organ systems at once. MD General Medicine training is specifically training in differential diagnosis — working through the possibilities methodically. Second opinions welcome.
Adult vaccination
প্রাপ্তবয়স্কদের টিকাকরণ
Influenza annually, pneumococcal conjugate vaccine, hepatitis B, recombinant zoster vaccine from 50, Tdap and HPV — chosen from age, existing conditions, current medicines and previous doses rather than read off a list. Pre-travel vaccination including the meningococcal certificate required for Hajj and Umrah. Read the vaccination guide.