Departments
Please visit the outpatient clinic of the relevant department and consult with a doctor.
You cannot apply for a test directly to a testing laboratory (for example, an EEG would be done through the Department of Neurology, Neurosurgery, or Pediatrics, an ECG or cardiac ultrasound would be done through the Department of Internal Medicine, and an abdominal ultrasound would be done through the Department of Internal Medicine or Surgery).
Also, if you are currently receiving treatment at another medical institution, please ask them to write you a referral letter and bring it with you if possible.
Depending on your wishes,One-day medical checkup and one-day brain checkupYou can also take the test at the Health Checkup Department (phone: 06-6312-8841).
In addition to the presence, type, and severity of disease (pathological condition), test results are also affected by a number of factors, including diet, exercise, the date and time of blood collection (biological rhythm), posture (lying down or standing), medication, and more.
Therefore, in order to ignore as much as possible influences other than the pathological condition when interpreting test values, it is considered ideal to collect specimens (blood, urine, etc.) for most tests early in the morning, on an empty stomach, and in a resting state. However, this is merely ideal, and for most tests, eating does not immediately make the test meaningless or interfere with the diagnosis.
Additionally, for tests that show a clear rise in blood sugar, triglycerides, and other values after meals, even post-meal tests can be useful for diagnosis and treatment if you know when you last ate. Whether or not you should skip meals before having your blood drawn depends on the case, so please check with your doctor.
Generally speaking, it is not recommended to have your blood drawn immediately after eating a fatty meal or consuming a large amount of sugary drinks (some tests may not give accurate values if you have eaten a fatty meal and your blood fat levels have increased). However, if you have just had a light breakfast, there should usually be no problem. If you need to be tested on an empty stomach for diabetes, hyperlipidemia, etc., your doctor should have explained this to you.
Even if a test requires fasting blood, there is no rule that says you can't drink a drop of water, except in special cases. Unless you are instructed not to drink any fluids, it is okay to drink a little water or tea (without sugar, milk, or cream) when you feel thirsty.
Regarding medication, it is preferable to drink water before taking it in order to avoid any adverse effects on the test, but coming to the hospital from home without taking your medication may have adverse effects on your condition, so please check with your doctor. At Kitano Hospital, we advise patients to drink warm water or green tea before taking medication for heart disease or high blood pressure.
Fasting blood sampling usually means that blood is sampled in the morning after fasting for at least 12 hours since eating in the evening.
If your blood is taken at 9:00 AM, you should refrain from eating or drinking anything other than water or tea after 9:00 PM. (If you are taking insulin and your doctor has instructed you to eat a late-night snack, follow your doctor's instructions.)
If you skip lunch and have your blood drawn in the evening, it will be taken "before dinner" rather than "when you are fasting." If you can only come in for a blood draw in the evening due to work or other reasons, please consult with your doctor.
Drinking foods and drinks that do not contain sugar or fat, such as water, barley tea, Japanese tea, or black coffee, is fine. If you consume any other foods or drinks, your blood sugar and neutral fat levels may be higher than when you are fasting.
It depends on the amount, but if you are being treated for diabetes or hypertriglyceridemia, it is ideal to come in for blood collection on a different day if possible. (Note that cholesterol levels are not significantly affected by diet, but if you are being treated for hypercholesterolemia, blood sugar and triglyceride levels are often measured at the same time, so it is still best to have your blood drawn on an empty stomach.)
If it is absolutely impossible to have your blood drawn on a different day, you can have your blood drawn by informing the person in charge of the blood collection room that you have eaten after eating. However, at your next appointment, before receiving an explanation of the results, please tell your doctor what you have eaten and how much you have drunk, and how long it will have been since your blood was drawn, so that your doctor can correctly interpret the test results.
There is no problem if your diabetes treatment consists only of diet and exercise, but you need to be careful if you are taking blood sugar lowering medication or injecting insulin.
If you do not eat after taking these medications in the morning, you may experience hypoglycemia, a condition in which your blood sugar drops too low, causing various symptoms including excessive hunger and nausea, and in severe cases, you may even lose consciousness. Be sure to check with your doctor about what to do about your medication.
You will usually be instructed not to take any hypoglycemic drugs or insulin on the morning of the test, and you will be fasting. However, even if you do not take any medication that morning, there is no guarantee that hypoglycemia will not occur, so you should always carry some sugar with you so that you can deal with it immediately in the unlikely event that hypoglycemia occurs, and if you suspect something is wrong, take some sugar immediately, even before the test.
When you cough or, ahem, clear your throat, you may get a sticky liquid coming up from the back of your throat. This is phlegm.
Many people think that "spit" and phlegm are the same thing, but "spit" comes from the mouth, while phlegm comes from the lungs and bronchi; they are completely different things. Testing "spit" is meaningless when you have a lung or bronchial disease, so be sure to cough up phlegm.
No. When testing sputum or stool, abnormalities may not be found in a single test, so it is often necessary to test multiple times on different days.
The rate of missing an abnormality is lower if samples are taken on different days than if they are taken on the same day, so we ask that you take the samples on different days and submit them.
An electrocardiogram records the electrical current generated by the heart from the surface of the body. It does not send electrical current from the outside, so you will not feel anything at all.
Also, if you tense up and become stiff, worrying about receiving an electric shock, the electricity from your muscles will mix with the electrocardiogram and the electrocardiogram will not record properly, so please relax and release all tension from your entire body during the test.
Electroencephalograms (EEGs) are records of electrical activity (action potentials) generated by brain nerve cells. As an index of cerebral function, they are useful in diagnosing epilepsy, brain tumors, encephalitis, head trauma, cerebrovascular disorders, etc.
Recently, sustained flat brain waves have become important as one of the grounds for determining brain death. While it is possible to infer to some extent from brain waves whether a person is thinking or relaxed, it is not possible to know what a person is thinking, nor can it be used to determine whether a person is intelligent or not.
Echo (ultrasound tomography) examination involves sending ultrasound waves (high-pitched sounds that are too high for the human ear to hear) into the body, and then using a machine to assemble and observe cross-sectional images of internal organs such as the heart, liver, and gallbladder from the reflections. Depending on the device, blood flow can also be observed.
However, it is difficult to see clearly in obese people or those with a lot of gas in the stomach. It is also not good at detecting diseases of the stomach, intestines, or lungs.
There is no particular problem, but please inform the person in charge that you are pregnant.
When the bladder is full, not only can the bladder itself be seen clearly, but the prostate, uterus, and other pelvic organs can also be observed through the enlarged bladder. During an abdominal ultrasound examination, the pelvic organs are also examined, so if you absolutely cannot hold it in, there is no choice, but please try to hold your urine as much as possible to allow for a better examination.
Also, when you are ordered to undergo an abdominal ultrasound examination at a urology clinic, the main subjects of the examination will be the bladder and prostate, so when you make your appointment, we ask you to drink one or two cups of water or tea 30 minutes to an hour before the examination and to try to hold your urine afterwards.Please note that if you are unable to hold your urine sufficiently, we may ask you to drink plenty of water and then repeat the examination about 30 minutes later.
For abdominal ultrasound, we ask that you have a bowel movement on the morning of the examination, as it is easier to observe if there is little gas or stool in the abdomen, but please rest assured that the examination will not be impossible if you have not had a bowel movement.
Drinking tea or similar will not cause any problems. However, carbonated drinks can increase gas in the stomach, making it difficult to see, and consuming milk or food can shrink the gallbladder, making it difficult to observe properly.
This is generally possible, depending on the availability of reservations.
However, you need to be careful about the order in which you undergo the tests, and as a general rule, you should undergo an abdominal ultrasound first. If you undergo an endoscopic examination (gastroscope, colonoscopy, etc.) or a gastrointestinal fluoroscopy (gastric fluoroscopy, barium enema fluoroscopy, etc.) before an abdominal ultrasound, a large amount of gas that reflects ultrasound will enter the stomach and intestines, making the abdominal ultrasound very difficult.
If you are planning or wish to have an endoscopic or fluoroscopic examination on the same day, please be sure to let us know when making your reservation.
If you take medication on the morning of the test, it will be difficult to observe the inside of your stomach, so as a general rule, you should refrain from taking any medication from the time you wake up on the morning of the test until about an hour after the test is completed.
However, there may be cases where you need to take oral medication, such as heart medication, even on the day of the test, so please consult with your doctor.
If you just feel like you have a cold, there is no problem, but if you have a severe cough or sore throat, or a fever, it is better to postpone the test unless there is a specific reason to rush into the test.
It is usually possible, but depending on the person, it may be somewhat taxing on the body, so be sure to consult with your doctor. Also, care must be taken with the medication used in the test, so when you come to the hospital for the test, be sure to tell the nurse first that you are pregnant.
Generally, this is not a problem, but depending on the medication you take before the test, it may be difficult to focus your eyes for a while after the test. If you work in a job that requires frequent use of your eyes or drive a car, be sure to tell the nurse first when you come for the test.
Furthermore, this is a fasting test, and after the test, you will not be able to eat or drink for about an hour until the anesthesia in your throat wears off. It is best not to schedule anything too restrictive.
Also, if you undergo a biopsy, which involves extracting cells from the mucous membrane, you should avoid strenuous physical labor as it will put a strain on your body.