Conditions and services
General medicine covers a wide range, and patients often do not know which kind of doctor a symptom belongs to. This is the full list of what is assessed and treated at Uttarbanga Clinic, with the Bengali term for each — so you can find yours before you decide whom to see.
কোন উপসর্গে কোন ডাক্তার দেখাতে হবে তা অনেক সময় বোঝা যায় না। কোচবিহারের উত্তরবঙ্গ ক্লিনিকে ডাঃ সৌম্য ঘোষ যে যে রোগ ও সমস্যার চিকিৎসা করেন, তার সম্পূর্ণ তালিকা নীচে বাংলা নামসহ দেওয়া হল।
Dr Soumya Ghosh, MBBS, MD (General Medicine), is a consultant physician at Uttarbanga Clinic, Sunity Road, Cooch Behar. The practice covers 71 named areas of internal medicine across 10 groups — diabetes and metabolic disease, blood pressure and cardiovascular risk, digestive and liver disease, fever and infection, adult vaccination, kidney disease, joint and back pain, neurological and sleep problems, anaemia and breathlessness, and preventive and coordinating care. Consultation fee ₹500. Monday to Saturday, 10:00–20:00.
Diabetes, weight and metabolism
ডায়াবেটিস, ওজন ও বিপাক
The largest single part of the practice, and the area where the newer medicine classes have changed most in the last decade.
Type 2 diabetes management
ডায়াবেটিস / সুগারের চিকিৎসা
Diagnosis, medicine selection and dose adjustment, HbA1c review every three to six months, and the annual eye, kidney, foot and lipid checks that prevent complications. Type 1 and gestational diabetes are also managed.
Insulin initiation and dose optimisation
ইনসুলিন শুরু ও ডোজ ঠিক করা
Structured start on insulin where tablets no longer control glucose: pen device technique, titration, recognising and treating hypoglycaemia, sick-day rules and storage.
Medical weight management
ওজন কমানোর চিকিৎসা
Weight treated as a clinical problem rather than a matter of willpower — baseline body composition, screening for thyroid and insulin-resistance contributors, a diet and activity plan, and medication where it is indicated.
GLP-1 and semaglutide therapy
সেমাগ্লুটাইড / জিএলপি-১ চিকিৎসা
Assessment of whether GLP-1 therapy is appropriate, structured dose titration, management of the gastrointestinal side effects that cause most people to stop, and monthly review. Prescription-only, and not suitable for everyone.
Body composition analysis
বডি কম্পোজিশন অ্যানালাইসিস
Measurement of body fat percentage, visceral fat, skeletal muscle mass, total body water and basal metabolic rate on an Accuniq BC380 analyser. Takes about two minutes; a printed report is given at each visit. Weight alone cannot distinguish fat from muscle.
Thyroid disorders
থাইরয়েডের চিকিৎসা
Hypothyroidism, hyperthyroidism, subclinical thyroid disease and thyroid nodules. Levothyroxine dose adjusted against TSH with re-testing after each change, which is the step most often missed.
Metabolic syndrome
মেটাবলিক সিনড্রোম
Central obesity, raised blood pressure, disordered lipids and raised glucose usually arrive together and share one mechanism. Managing them as one problem, under one doctor, avoids the contradictory prescriptions that come from treating each separately.
High cholesterol and lipid disorders
কোলেস্টেরল নিয়ন্ত্রণ
Lipid profile interpreted against overall cardiovascular risk rather than against the laboratory's reference range alone, with statin therapy and lifestyle change where the risk justifies it.
High uric acid and gout
ইউরিক অ্যাসিড ও গেঁটেবাত
Acute gout attacks treated, then the decision on long-term urate-lowering therapy — which depends on attack frequency, tophi, stones and kidney function, not on the uric acid number alone.
Vitamin D and B12 deficiency
ভিটামিন ডি ও বি১২ ঘাটতি
Tested before treating rather than after, because the dose and the duration depend on how low the level is, and because B12 deficiency with neurological signs is managed differently from a borderline result.
Heart, blood pressure and circulation
হৃদরোগ, রক্তচাপ ও সংবহন
Cardiovascular assessment within general medicine — evaluation, risk reduction and referral where a cardiologist is needed.
High blood pressure
উচ্চ রক্তচাপ / প্রেশার
Correct measurement technique first, then medicine selection, home monitoring, screening for a secondary cause where the pattern suggests one, and dose adjustment against a target agreed for that patient.
Hypertensive urgency assessment
রক্তচাপ হঠাৎ খুব বেড়ে গেলে
A very high reading is assessed for evidence of acute organ damage, which is what separates an urgency managed in clinic from an emergency that needs a hospital. Lowering blood pressure too fast is itself harmful.
Chest pain evaluation and ECG
বুকে ব্যথার কারণ নির্ণয় ও ইসিজি
Clinical assessment with ECG in the consultation, and troponin T on a one-hour protocol available locally, to separate cardiac chest pain from reflux, musculoskeletal pain and anxiety. Used for the stable patient presenting after symptoms have settled — crushing chest pain with sweating or breathlessness is an emergency, and means calling 108 rather than waiting for a result.
Palpitations and rhythm evaluation
বুক ধড়ফড় করার চিকিৎসা
ECG with thyroid function, haemoglobin, glucose and electrolytes, since anaemia, thyrotoxicosis and electrolyte disturbance account for a large share of palpitations that are assumed to be cardiac.
Cardiovascular risk assessment
হৃদরোগের ঝুঁকি নির্ণয়
Ten-year risk estimated from age, blood pressure, lipids, glucose and smoking, so that the decision to start a statin or aspirin rests on absolute risk rather than on a single abnormal value.
Stroke risk reduction
স্ট্রোক প্রতিরোধ
Blood pressure, glucose, lipid and rhythm assessment aimed at prevention, plus antiplatelet or anticoagulant therapy where indicated. Sudden one-sided weakness or slurred speech is an emergency — go directly to hospital.
Anticoagulation monitoring
রক্ত পাতলা করার ওষুধের ব্যবস্থাপনা
INR monitoring and warfarin dose adjustment, review of direct oral anticoagulant dosing against kidney function and weight, and management around procedures and dental work.
Leg swelling and oedema
পায়ে জল আসা / শরীর ফোলা
Cardiac, renal, hepatic, thyroid, venous and drug causes each produce a different pattern; assessment establishes which, rather than starting a diuretic empirically.
Stomach, liver and bowel
পাকস্থলী, লিভার ও অন্ত্র
Digestive complaints are among the commonest reasons people attend, and among the most often treated indefinitely without a diagnosis.
Fatty liver disease
ফ্যাটি লিভারের চিকিৎসা
Grading on ultrasound, liver function and metabolic assessment, fibrosis risk estimation, and a treatment plan built around weight and glucose rather than around a hepatoprotective tonic.
Chronic acidity and GERD
গ্যাস, বুক জ্বালা ও অ্যাসিডিটি
Assessment before escalation, and a plan to step down long-term proton pump inhibitor use where it is no longer needed — years of unsupervised PPI carry their own consequences for B12, magnesium and bone.
Helicobacter pylori infection
এইচ. পাইলোরি সংক্রমণ
Testing where the history warrants it, eradication therapy, and confirmation of cure afterwards — the confirmation step is frequently omitted.
Irritable bowel syndrome
আইবিএস / বারবার পেট খারাপ
Diagnosed positively against Rome IV criteria after red-flag features have been excluded, then managed with dietary modification, antispasmodics and attention to the sleep and stress components.
Abdominal pain
পেটে ব্যথার চিকিৎসা
Upper abdominal and generalised pain assessed within general medicine, with ultrasound where indicated and onward referral where the picture is surgical or gynaecological.
Acute gastroenteritis and food poisoning
খাবারে বিষক্রিয়া / বমি-পাতলা পায়খানা
Assessment of dehydration and electrolytes, rehydration, and a considered decision about whether an antibiotic is warranted — in most cases it is not.
Jaundice evaluation
জন্ডিসের কারণ নির্ণয়
Liver function, viral hepatitis serology, ultrasound and haemolysis screening to establish whether jaundice is pre-hepatic, hepatic or obstructive, which determines everything that follows.
Fever and infection
জ্বর ও সংক্রমণ
North Bengal has a distinct seasonal infection pattern, and the diagnostic approach follows it.
Acute fever assessment
জ্বরের পরীক্ষা ও চিকিৎসা
Systematic evaluation with blood count, malaria antigen, dengue NS1 and IgM, typhoid serology, urine analysis and chest imaging where indicated, rather than a blind antibiotic.
Dengue, malaria and monsoon infections
ডেঙ্গু, ম্যালেরিয়া ও বর্ষার সংক্রমণ
Same-day rapid testing during the monsoon season, platelet monitoring in dengue, species-directed treatment in malaria, and doxycycline where scrub typhus is suspected.
Prolonged fever of unknown origin
দীর্ঘস্থায়ী জ্বর
Fever beyond two weeks worked up in stages — cultures, inflammatory markers, autoimmune serology, imaging — looking specifically for tuberculosis, endocarditis, autoimmune disease and occult malignancy.
Tuberculosis evaluation
যক্ষ্মা (টিবি) নির্ণয়
Sputum microscopy and CBNAAT, chest imaging and tuberculin testing, including assessment for extrapulmonary disease, with treatment coordinated through the national programme.
Seasonal outbreak management
মৌসুমী সংক্রমণের ব্যবস্থাপনা
During local outbreaks the clinic runs same-day testing for the organisms actually circulating that season, which shortens the interval between presentation and correct treatment.
Urinary tract infection
প্রস্রাবে জ্বালা ও সংক্রমণ
Culture-directed antibiotic rather than empirical choice in recurrent infection, with evaluation for an underlying cause where episodes repeat.
Animal and snake bite assessment
সাপে কামড় ও পশুতে কাটার চিকিৎসা
Wound assessment, tetanus status, and rabies post-exposure prophylaxis scheduling. Suspected venomous snakebite is a hospital emergency and needs antivenom under inpatient observation — go straight to hospital.
Vaccination
টিকাকরণ
Adult immunisation, decided from age, conditions, medicines and previous doses.
Adult immunisation assessment
প্রাপ্তবয়স্কদের টিকা পরামর্শ
A vaccination history is taken and a schedule built for the individual, then recorded so that second doses and boosters can be tracked across months and years.
Influenza vaccination
ইনফ্লুয়েঞ্জা / ফ্লু টিকা
Annual inactivated influenza vaccine, timed to the local season rather than to a northern-hemisphere calendar. Particularly relevant with diabetes, heart, lung, kidney or liver disease, in pregnancy, and over 60.
Pneumococcal vaccination
নিউমোকক্কাল / নিউমোনিয়ার টিকা
Pneumococcal conjugate vaccine, a single dose in adults not previously vaccinated. Previous PCV13 or PPSV23 changes the interval, which is why the history matters.
Shingles vaccination
শিংলস / হার্পিস জোস্টার টিকা
Recombinant zoster vaccine from age 50, and from 18 where a person is immunocompromised. Two doses, two to six months apart. Non-live, so it can be given to immunosuppressed patients.
Hepatitis A and B vaccination
হেপাটাইটিস এ ও বি টিকা
Hepatitis B as a three-dose series with pre- and post-vaccination serology where that is useful, and hepatitis A in two doses, which matters particularly where there is existing liver disease.
Tdap and tetanus booster
টিটেনাস ও টিড্যাপ বুস্টার
Tetanus–diphtheria–pertussis booster, including the dose given in each pregnancy at 27 to 36 weeks so that maternal antibody protects the newborn before infant vaccination begins.
HPV vaccination
এইচপিভি টিকা
Routine to age 26 for both sexes. Between 27 and 45 it is an individual decision rather than a default, because prior exposure reduces the expected benefit.
Typhoid vaccination
টাইফয়েড টিকা
Typhoid conjugate vaccine, relevant in an endemic area and before travel within India.
Travel vaccination and certification
ভ্রমণের আগে টিকা ও সার্টিফিকেট
Pre-travel assessment and vaccination, including the meningococcal ACWY certificate required for Hajj and Umrah. Yellow fever vaccination and its certificate can only be issued at a government-designated centre and is not available here.
Kidney, electrolytes and urinary
কিডনি, ইলেক্ট্রোলাইট ও মূত্রতন্ত্র
Most chronic kidney disease in this district arises from diabetes and hypertension, both of which are managed here.
Chronic kidney disease
কিডনির সমস্যা ও ক্রিয়েটিনিন
Staging on eGFR and urine albumin, blood pressure and glucose control aimed at slowing progression, identification and withdrawal of nephrotoxic medicines, and timely nephrology referral rather than late referral.
Electrolyte disturbance
ইলেক্ট্রোলাইট ভারসাম্যহীনতা
Sodium, potassium, calcium and magnesium abnormalities investigated for cause — commonly diuretics, vomiting, kidney disease or an endocrine cause — and corrected at a safe rate.
Recurrent urinary symptoms
বারবার প্রস্রাবের সমস্যা
Frequency, urgency and nocturia assessed across the possibilities that actually cause them: infection, diabetes, prostatic enlargement and overactive bladder.
Joints, bones and pain
গাঁট, হাড় ও ব্যথা
Pain that persists deserves a diagnosis. An analgesic prescribed indefinitely without one causes its own kidney and stomach damage.
Joint pain and arthritis
গাঁটে ব্যথা ও বাতের চিকিৎসা
Rheumatoid factor, anti-CCP, uric acid, inflammatory markers and ANA used to separate rheumatoid arthritis, gout, osteoarthritis and connective tissue disease, because the treatments differ entirely.
Back pain
কোমর ব্যথার চিকিৎসা
Screened first for red flags — leg weakness, bladder or bowel disturbance, fever, night pain — which point to spinal tuberculosis, disc prolapse or malignancy. Most back pain settles without imaging.
Neck pain and cervical spondylosis
ঘাড় ব্যথা ও সার্ভাইক্যাল স্পন্ডাইলোসিস
Clinical assessment for nerve root compression, imaging where it changes management, and treatment with analgesia, posture correction and physiotherapy referral.
Widespread pain and fibromyalgia
সারা গায়ে ব্যথা
Treatable causes — hypothyroidism, vitamin D deficiency, polymyalgia rheumatica, early inflammatory arthritis — excluded before a diagnosis of fibromyalgia is settled on.
Osteoporosis and bone health
হাড় ক্ষয় ও অস্টিওপোরোসিস
Fracture risk assessment, calcium and vitamin D status, and treatment where bone density or fracture history warrants it — particularly after menopause and with long-term steroid use.
Nerves, brain and sleep
স্নায়ু, মস্তিষ্ক ও ঘুম
Neurological presentations assessed within general medicine, with referral where specialist input is needed.
Migraine and chronic headache
মাথা ব্যথা ও মাইগ্রেনের চিকিৎসা
Migraine, tension-type and secondary headache distinguished clinically, with preventive therapy where attacks are frequent, and imaging where the pattern raises concern.
Vertigo and dizziness
মাথা ঘোরার চিকিৎসা
Positional testing for benign paroxysmal positional vertigo — which responds well to a repositioning manoeuvre — with assessment for anaemia, postural hypotension and central causes.
Peripheral neuropathy
হাতে-পায়ে ঝিনঝিন / অবশ ভাব
Tingling and numbness investigated for the causes that are treatable: uncontrolled diabetes, B12 deficiency, hypothyroidism and nerve root compression.
Tremor evaluation
হাত-পা কাঁপার চিকিৎসা
Essential tremor, drug-induced tremor, thyrotoxicosis and parkinsonian tremor separated clinically, since each is managed differently.
Insomnia and sleep problems
অনিদ্রা ও ঘুমের সমস্যা
The underlying cause looked for — thyroid disease, anxiety, sleep apnoea, reflux, medication effect — in preference to an indefinite hypnotic prescription.
Blood, chest and general
রক্ত, বুক ও সাধারণ
The presentations that do not sort neatly into one system, which is precisely what general medicine is for.
Anaemia
রক্তশূন্যতার চিকিৎসা
Typed before it is treated — iron deficiency, B12 or folate deficiency, thalassaemia trait and anaemia of chronic disease need different treatment, and iron given blindly can do harm.
Chronic fatigue and weakness
দীর্ঘস্থায়ী ক্লান্তি ও দুর্বলতা
A defined panel — blood count, iron studies, thyroid, vitamin D, B12, HbA1c, kidney and liver function — rather than a tonic. Persistent fatigue usually has a finding behind it.
Asthma, COPD and breathlessness
শ্বাসকষ্ট ও হাঁপানির চিকিৎসা
Chest imaging, ECG and spirometry to separate airway disease from cardiac breathlessness, with inhaler therapy and — importantly — inhaler technique taught and checked.
Unintentional weight loss
অনিচ্ছাকৃত ওজন কমা
Loss of more than about 5% of body weight in six months is investigated systematically for malignancy, tuberculosis, uncontrolled diabetes, thyroid disease and malabsorption.
Autoimmune disease screening
অটোইমিউন রোগ নির্ণয়
ANA, inflammatory markers and organ-specific testing where the presentation suggests systemic lupus, vasculitis or connective tissue disease, with rheumatology referral once the pattern is established.
Systemic evaluation of itching
দীর্ঘস্থায়ী চুলকানির কারণ নির্ণয়
Persistent itch without a rash is investigated for liver, kidney, thyroid, haematological and diabetic causes — itching can precede jaundice by weeks. Primary skin disease is referred to a dermatologist.
Complex diagnosis and second opinion
কঠিন রোগনির্ণয় ও সেকেন্ড ওপিনিয়ন
For symptoms that have not been explained after several consultations: the history is retaken from the beginning, previous records and investigations are read in full, and testing is planned rather than repeated.
Alcohol-related health problems
মদ্যপান-সম্পর্কিত স্বাস্থ্য সমস্যা
Assessment of liver, pancreatic, neurological and nutritional consequences, management of withdrawal risk, and referral for dependence treatment. Discussed without judgement.
Preventive, procedural and coordination
প্রতিরোধ, পরীক্ষা ও সমন্বয়
Assessment done before something goes wrong, and the work of holding a patient's care together across several other doctors.
Health check-up and preventive screening
হেলথ চেক-আপ
Screening chosen for the individual's age, sex, family history and risk factors rather than bought as a package, with every result explained in person and an actionable plan given.
Pre-operative medical fitness
অপারেশনের আগে মেডিকেল ফিটনেস
Assessment before elective surgery: cardiac and respiratory risk, glucose and blood pressure control, and clear instructions on which medicines to stop, continue or bridge.
Post-hospitalisation follow-up
হাসপাতাল থেকে ছাড়ার পরে ফলো-আপ
Discharge summary reviewed, medicines reconciled against what was taken before admission, recovery monitored, and findings sent back to the treating specialist. The weeks after discharge are when avoidable readmissions happen.
Polypharmacy and drug interaction review
একাধিক ওষুধের পর্যালোচনা
Every medicine, supplement and over-the-counter preparation listed and checked for interaction, duplication and doses that no longer suit current kidney or liver function. Frequently the most useful single consultation an older patient has.
Care of older adults
বয়স্কদের চিকিৎসা
Multiple conditions and multiple medicines managed together, with attention to falls risk, cognition, nutrition, continence and vaccination — and to stopping the medicines that are no longer helping.
Diabetic foot assessment
ডায়াবেটিসে পায়ের পরীক্ষা
Monofilament sensation testing, pulse examination, wound assessment and foot-care education. Early detection of neuropathy is the single most effective step against later amputation.
Diabetic eye screening coordination
ডায়াবেটিক চোখ পরীক্ষার সমন্বয়
Annual retinal screening arranged and tracked, and results incorporated into diabetes management. Retinopathy is asymptomatic until it is advanced, which is why it is scheduled rather than waited for.
Gestational diabetes management
গর্ভকালীন ডায়াবেটিসের চিকিৎসা
Diagnosis on the oral glucose tolerance test, glucose monitoring, dietary and insulin management, and postpartum re-testing — done jointly with the obstetric service, since gestational diabetes carries a substantial later risk of type 2 diabetes.
Specialist referral and prescription review
রেফারেল ও প্রেসক্রিপশন পর্যালোচনা
Referral to cardiology, nephrology, neurology, gastroenterology and oncology services in Siliguri and Kolkata where a condition needs them, and review of specialist prescriptions locally so that routine follow-up does not require the journey.
What is not treated here
- Children under 12 — referred to a paediatrician.
- Skin, hair and nail disease as a primary problem — referred to a dermatologist.
- Obstetric and gynaecological care — referred to an obstetrician or gynaecologist.
- Surgical and orthopaedic procedures, and inpatient or intensive care.
- Upper GI endoscopy — not available at present. A dedicated endoscopy and abdominal ultrasound service is planned at the clinic for 2027; until then, endoscopy is referred.
- Ultrasound of any kind, including point-of-care ultrasound at the consultation — not available at present. Scans are arranged at an imaging centre in Cooch Behar and the report reviewed at follow-up, which is not charged within 10 days. What a bedside scan can and cannot answer.
- Yellow fever vaccination and its certificate, which by law may only be issued at a government-designated centre.
- Emergencies. Chest pain with sweating, sudden one-sided weakness or slurred speech, breathlessness at rest, or a suspected venomous snakebite need a hospital, not an appointment. Call 108.
Written and medically reviewed by Dr Soumya Ghosh, MBBS, MD (General Medicine)
Consultant Physician (Internal Medicine), Uttarbanga Clinic, Cooch Behar · Assistant Professor, Dept. of General Medicine, MJN Medical College & Hospital, Cooch Behar
West Bengal Medical Council Reg. No. 67751 — verify on the Indian Medical Register · ORCID 0009-0004-1686-5540 · Last reviewed
Consultation with Dr Soumya Ghosh
Uttarbanga Clinic, Sunity Road, near Police Line Chowpathi, Ward 20, Cooch Behar 736101. Monday to Saturday, 10:00–20:00. Walk-in or book ahead.
This page is general health information written and reviewed by a registered medical practitioner. It is not medical advice, does not create a doctor–patient relationship, and is not a substitute for consultation with a doctor who has examined you. Diagnosis and treatment are individualised after clinical assessment. Medicines mentioned here are prescription-only and must be taken under medical supervision. See the editorial and medical review policy. Last reviewed .