Ther­a­pist answers the most press­ing health ques­tions. Check if you have dan­ger­ous symp­toms.



You need to enter the new year with­out debts and ill­ness­es. Check your health with a ther­a­pist and treat all chron­ic dis­eases. Endocrine patholo­gies are espe­cial­ly often hid­den behind a vari­ety of symp­toms. A con­sul­ta­tion with our doc­tor will help you check your health.

Rapid pulse

“What can cause a rapid heart rate? Some­times I can’t even sleep because of it. ECG is nor­mal.” Olga, by e‑mail

The rea­sons may vary depend­ing on gen­der, age, con­sti­tu­tion. In women under 45, the main caus­es of pal­pi­ta­tions (if there is no heart pathol­o­gy) are dis­or­ders of the auto­nom­ic ner­vous sys­tem (neu­ro­sis, neu­ro­sis-like con­di­tions), thy­roid dis­ease, dys­func­tion of the gyne­co­log­i­cal pro­file, pathol­o­gy of the tho­racic spine. After 45 years, this may be due to the begin­ning of the prepa­ra­tion of the body for the peri­od of menopause. At an old­er age, a rapid heart­beat can be explained by the for­ma­tion of ath­er­o­scle­rot­ic changes in the coro­nary ves­sels, against which the blood sup­ply to the car­diac sys­tem wors­ens.

weight loss - photo


Sudden weight loss

“I lost a lot of weight with a nor­mal lifestyle. Is this a rea­son to get checked for oncol­o­gy or could there be oth­er rea­sons? Vika, by e‑mail

If you find such a symp­tom, you should imme­di­ate­ly con­tact a ther­a­pist or endocri­nol­o­gist. Spe­cial­ists will pre­scribe the nec­es­sary exam­i­na­tions and tests. With­out them, it is impos­si­ble to say for sure what exact­ly caused the weight loss. Some­times this symp­tom can actu­al­ly be a sign of can­cer. But do not for­get that there are many dis­eases that can lead to such con­di­tions. These are patholo­gies of the gas­troin­testi­nal tract, and endocrine dis­or­ders, chron­ic infec­tions, kid­ney dis­eases, autoim­mune dis­eases.

mouth ulcer

“A sore has formed on the gum. It does not heal for a long time and caus­es dis­com­fort. How to get rid of it? Mila, by e‑mail

Try rins­ing with anti­sep­tic solu­tions (such as chlorhex­i­dine) or apply­ing wound-heal­ing, astrin­gent med­i­c­i­nal oint­ments or gels to the wound. If with­in 5 days there is no pos­i­tive dynam­ics, con­tact your den­tist, ther­a­pist and otorhi­no­laryn­gol­o­gist. It is nec­es­sary to exclude the source of chron­ic infec­tion of the oral cav­i­ty (caries), as well as patholo­gies of the gas­troin­testi­nal tract, aller­gies to food prod­ucts (includ­ing dyes, preser­v­a­tives), exac­er­ba­tion of chron­ic infec­tions of the upper res­pi­ra­to­ry tract and oth­er dis­or­ders.

fear anxiety


Increased anxiety

“I have high anx­i­ety. Every day I expect some­thing bad to hap­pen. I under­stand that there is no rea­son, but I can not pull myself togeth­er. Does this sit­u­a­tion require a vis­it to a doc­tor? Mari­na, by e‑mail

Of course, you need to con­tact a ther­a­pist or a neu­rol­o­gist. This form of anx­i­ety dis­or­der could be caused by exhaus­tion of the ner­vous sys­tem, non-com­pli­ance with the regime of work and rest, and impaired adap­ta­tion to dai­ly stress­ful sit­u­a­tions. Oth­er pos­si­ble caus­es include thy­roid dis­or­ders (such as hyper­func­tion), ele­vat­ed lev­els of the stress hor­mone cor­ti­sol, and defi­cien­cies in B vit­a­mins and mag­ne­sium.