Diagnostics internal medicine, gastroenterology and cardiology

Abdominal ultrasound

Abdominal ultrasound is an ultrasound examination of the organs inside the abdominal cavity. It is free of risks. We can examine the size and structure of liver, gall bladder, spleen, pancreas, kidneys and the aorta.
Abdominal ultrasound is carried out to examine:

  • stomachache
  • unclear nausea and vomiting
  • unclear loss of weight
  • anemia
  • potential aneurysms of the aorta


Colonoscopy is one of the most important examinations to detect colorectal cancer (also called bowel cancer or intestinal cancer) at an early stage. It is carried out to examine the causes of the following symptoms:

  • rectal bleeding or bloody feces
  • frequent diarrhea or persisting constipation
  • unclear loss of weight
  • frequent abdominal pain (stomach pain)
  • anemia

During colonoscopy, an endoscope is passed over the anus into the small intestine. It is possible to undergo this examination with a sedative prior to the examination at request. Colonoscopy is an outpatient procedure that last about 15-30 minutes. In case of suspicious areas, tissue samples are taken, and polyps are removed, which is generally painless.

Color Doppler echocardiography

Color Doppler echocardiography is an ultrasound examination of the heart that enables us to examine it non-invasively, lying on the left side of your body. You can evaluate the size and thickness of the walls of the two ventricles and two atria as well as the structure and motion of the heart valves. The flow of blood is shown in color, and its velocity can be measured at different points.

Color Doppler echocardiography is carried out to examine:

  • heart murmurs (abnormal sounds)
  • dyspnea (breathlessness)
  • chest pain
  • high blood pressure
  • the function of the heart within the scope of a physical performance check

ECG – ECG at rest and Exercise ECG

The abbreviation ECG stands for electrocardiography, carried out with an electrocardiograph (ECG device or ECG). The result of the examination is the electrocardiogram (ECG) that has to be interpreted by a physician.
Before the heart contracts, an electrical impulse is triggered by the sinoatrial node that is passed on to heart muscle cells. The change of the electrical voltage caused by this process can be measured by electrodes placed on the skin and depicted at the electrocardiogram in its temporal course.
On the one hand, the ECG can be undergone at rest while lying. At the other hand, the ECG is also possible at stress, a so-called exercise ECG, for example, while kicking the pedals of an ergometer. Here the stress is increased in order to get an overview of how the heart reacts while exercising. The blood pressure is also measured during exercise ECG.

Indication ECG: when is an ECG carried out?

Normally, the ECG is carried to examine if a heart disease is prevalent or to test heart efficiency. The ECG examines, for example,

  • heart frequency
  • heart rhythm
  • the heart‘s electrical axis
  • electrical activity of atrium and chamber of the heart
  • heart efficiency

How is the ECG carried out?

If the ECG takes place at rest, it does not necessitate any preparation. After placing electrodes on the skin, the ECG examination is done in a few seconds. If the exercise ECG is performed, it is recommended to eat and drink before the examination to prevent patients from collapsing and to ensure a sufficient energy supply. It can be comfortable to wear convenient clothes during the exercise ECG. The examination lasts about 10-20 minutes subject to individual training status.

Exercise ECG

The exercise ECG is one of the most important non-invasive examinations that helps check up on chest pain. It serves the evaluation of the blood circulation of the cardiac muscle (heart muscle), blood pressure and cardiac arrhythmia. It also delivers information about the heart performance for healthy patients, e.g., to estimate the correct training pulse.


Gastroscopy, also called esophagogastroduodenoscopy, is carried out to detect diseases of the gullet (esophagus), stomach (gaster) and first part of the small intestine (duodenum) and to examine the following symptoms:

  • dysphagia (difficulty in swallowing)
  • persistent or frequent heartburn
  • persisting nausea and vomiting
  • anemia
  • potential gastric ulcers and ulcers of the duodenum
  • helicobacter bacteria
  • unclear loss of weight

During gastroscopy, the throat is anesthetized and an endoscope is passed over the mouth to the duodenum. At request, you can get a sedative prior to the examination. Given suspicious areas, samples are taken, but you will not feel any pain.

Lung function test / pulmonary function testing

The lung function test, also called pulmonary function testing, enables us to evaluate the respiratory system. It is used to examine asthma, chronic bronchitis and the performance of the lung in sports medicine.

Thyroid ultrasound

Thyroid ultrasound is an easy and quick ultrasound examination of the thyroid gland, which can detect enlargements or thyroid nodules.

Vascular color Doppler ultrasound

The vascular color Doppler ultrasound is an ultrasound examination of the blood vessels that poses no risk at all. It creates images, on which veins and arteries can be evaluated.

Vascular color Doppler ultrasound is carried out to detect:

  • blood circulation disorder of brain-supplying arteries
  • blood circulation disorder of the leg veins (e.g., diabetes, smokers)
  • thrombosis of leg veins
  • the thickness of vascular walls to evaluate the risk of an apoplectic stroke