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Tirana Polyclinic

Diseases & Conditions

Clear, practical guides written by our specialists: what the condition is, symptoms, when to seek help, how it is diagnosed and treated.

Cardiology

Cardiac arrhythmias

Arrhythmias are disturbances of the heart's rhythm — too fast, too slow or irregular. Some are harmless; others, such as atrial fibrillation, need treatment to prevent complications.

Atrial fibrillation

An irregular and often fast heart rhythm. It increases the risk of clots and stroke, but is well treatable.

Aortic valve stenosis

Aortic stenosis is a narrowing of the valve through which blood leaves the heart for the body. Mild forms are followed with echocardiography; severe forms with symptoms are treated with valve replacement.

Left ventricular hypertrophy

Left ventricular hypertrophy (LVH) is thickening of the wall of the heart's main pumping chamber. It is most often caused by hypertension; controlling the cause can reduce it over time.

Arterial hypertension

Hypertension is a sustained rise in arterial blood pressure. It usually causes no symptoms, but over time it damages the heart, brain, kidneys and blood vessels. Accurate measurement is the first step.

Myocardial infarction

A myocardial infarction occurs when part of the heart muscle is damaged by lack of blood, usually because of a blockage in a coronary artery. It is an emergency — every minute counts.

Dyslipidemia

High cholesterol — especially LDL — contributes to atherosclerosis and increases the risk of heart attack and stroke. It causes no symptoms; it is detected with a blood test and treated according to individual risk.

Atherosclerosis of the carotid arteries

Carotid atherosclerosis is a build-up of plaques in the neck arteries that supply the brain. Treatment aims to reduce the risk of stroke — mainly by controlling cholesterol and blood pressure and stopping smoking.

Palpitations

Palpitations are the feeling that your heart is beating fast, hard or “skipping”.

Diabetes and heart disease

People with diabetes are at higher risk of heart attack, stroke and heart failure.

Diabetes and high cholesterol

In diabetes, cholesterol often follows a particular pattern: high LDL, low HDL and high triglycerides.

How to measure blood pressure accurately at home

Home measurement shows your real blood pressure, away from the anxiety of a visit.

Chest pain: when to see a cardiologist

Chest pain has many causes, most of them not from the heart, but some are emergencies.

Fast heart rate at rest

The resting pulse is usually 60–100 beats per minute.

Diabetes and high blood pressure

Diabetes and high blood pressure often occur together, and each adds to the other’s risk to the heart, brain and kidneys.

Coronary artery disease and angina pectoris

Coronary artery disease affects the arteries that supply the heart muscle with blood.

Heart failure

Heart failure means that the heart does not pump blood as it should for the body’s needs, or that it fills and relaxes poorly.

Premature heartbeats (extrasystoles)

Extrasystoles are premature heartbeats: an electrical impulse appears earlier than expected and the heart contracts ahead of time.

Heart valve disease

The heart valves direct the flow of blood in one direction only.

Hepatitis C

Hepatitis C is a liver infection caused by the HCV virus.

Elevated transaminases (ALT and AST)

The transaminases ALT and AST may come back elevated during a routine check-up, even without any symptoms.

Mitral valve stenosis

Mitral stenosis is a narrowing of the valve that separates the left atrium from the left ventricle, which makes it harder for blood to flow from the lungs into the rest of the heart.

Hyperthyroidism

Hyperthyroidism is a condition in which the thyroid produces more hormone than the body needs.

Type 1 diabetes in adults

Type 1 diabetes can appear at any age, including adulthood.

Prediabetes and insulin resistance

Prediabetes is a condition in which glycemia is higher than normal but does not reach the criteria for diabetes.

Overweight and obesity

Overweight and obesity are linked to excess accumulation of fatty tissue.

Polycystic ovary syndrome

Polycystic ovary syndrome, known as PCOS (in some newer sources also called polyendocrine metabolic ovarian syndrome), is a hormonal and metabolic condition that can affect ovulation, the menstrual cycle and long-term health.

Nutrition and home care for diabetes

Suitable nutrition is part of the treatment of diabetes and of reducing risk in prediabetes.

Thyroiditis

Thyroiditis covers several conditions that cause inflammation of the thyroid gland.

Diseases of the adrenal glands

The adrenal glands sit above the kidneys and produce hormones that affect blood pressure, metabolism and the response to stress.

Endocrine infertility

Hormonal disorders can affect ovulation, sperm production and reproductive function.

Endocrine tumors

Endocrine tumors develop in glands or cells that produce hormones.

Gastro-hepatology

Gastritis

Gastritis is inflammation of the lining of the stomach. The most common causes are Helicobacter pylori infection and certain medications, such as non-steroidal anti-inflammatory drugs.

Gastroesophageal reflux disease

Reflux occurs when stomach contents flow back into the esophagus and cause heartburn or regurgitation. When the complaints are frequent or cause complications, we speak of gastroesophageal reflux disease (GERD).

Stomach and duodenal ulcer

A peptic ulcer is a sore in the lining of the stomach or duodenum. The two main causes are Helicobacter pylori and non-steroidal anti-inflammatory drugs.

Helicobacter pylori infection

Helicobacter pylori is a bacterium that lives in the stomach and can cause chronic gastritis and ulcers. It is diagnosed with simple tests and treated with a combination of medicines, followed by a test of cure.

Fatty liver disease

Hepatic steatosis (fatty liver) is the accumulation of fat in the liver. The most common form, MASLD, is linked to overweight, diabetes and cholesterol. What matters most is the degree of fibrosis.

Hepatitis B

Hepatitis B is an infection of the liver caused by the HBV virus. It can be acute or chronic; the chronic form, if not followed up, can lead to cirrhosis and liver cancer. The vaccine prevents it very effectively.

Liver cirrhosis

Cirrhosis is the advanced stage of chronic liver damage, in which normal tissue is replaced by fibrous tissue. Treating the cause and regular follow-up can slow the disease and prevent complications.

Esophageal varices

Esophageal varices are dilated veins in the esophagus, usually as a result of portal hypertension in cirrhosis. They cause no symptoms until they bleed — which is why detecting them and preventing bleeding are vitally important.

Gallstones (cholelithiasis)

Gallstones are hardened deposits that form in the gallbladder. Many people have no symptoms; when they cause pain (biliary colic), the most common treatment is laparoscopic removal of the gallbladder.

Esophageal cancer

Esophageal cancer develops in the tube that carries food from the mouth to the stomach. The main warning sign is progressive difficulty swallowing, which should be assessed without delay.

Bowel and anorectal conditions

Diarrhea

Diarrhea is stools that are more watery or more frequent than usual. Most acute episodes pass within a few days; the main risk is dehydration.

Constipation

Constipation includes hard stools, straining, infrequent bowel movements or a feeling of incomplete emptying. Most cases improve with fiber, fluids, exercise and, when needed, suitable laxatives.

Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a disorder of gut–brain interaction, with recurrent abdominal pain and changes in bowel habits. It does not damage the bowel and does not increase the risk of cancer.

Ulcerative colitis

Ulcerative colitis is a chronic inflammatory disease of the large intestine, usually starting in the rectum. With regular treatment, most patients achieve long periods without symptoms.

Crohn's disease

Crohn's disease is a chronic inflammatory disease that can affect any part of the digestive tract, most often the end of the small intestine and the colon. Treatment aims to control inflammation and prevent complications.

Colon polyps

Polyps are small growths on the lining of the colon or rectum. Most are benign, but some types can turn into cancer over the years — so detecting and removing them during colonoscopy matters.

Hemorrhoids

Hemorrhoids are normal vascular structures of the anal canal. When they enlarge or protrude, they cause bleeding, itching or swelling — hemorrhoidal disease. Most are treated with simple measures.

Anal fissure

An anal fissure is a small tear in the skin of the anal canal that causes sharp pain during bowel movements and bright red blood. Most heal with conservative treatment.

Endocrinology

Type 2 diabetes mellitus

A chronic disease in which the body does not use insulin well and blood sugar rises. Good control prevents complications.

Hypothyroidism

The thyroid gland produces fewer hormones than it should. It causes fatigue, sensitivity to cold and weight gain; it is easily treated.

Thyroid nodules

Formations within the thyroid gland, very common. The vast majority are benign, but they need to be assessed.

Diabetes and heart disease

People with diabetes are at higher risk of heart attack, stroke and heart failure.

Diabetes and high cholesterol

In diabetes, cholesterol often follows a particular pattern: high LDL, low HDL and high triglycerides.

Diabetes and high blood pressure

Diabetes and high blood pressure often occur together, and each adds to the other’s risk to the heart, brain and kidneys.

Hyperthyroidism

Hyperthyroidism is a condition in which the thyroid produces more hormone than the body needs.

Type 1 diabetes in adults

Type 1 diabetes can appear at any age, including adulthood.

Prediabetes and insulin resistance

Prediabetes is a condition in which glycemia is higher than normal but does not reach the criteria for diabetes.

Overweight and obesity

Overweight and obesity are linked to excess accumulation of fatty tissue.

Polycystic ovary syndrome

Polycystic ovary syndrome, known as PCOS (in some newer sources also called polyendocrine metabolic ovarian syndrome), is a hormonal and metabolic condition that can affect ovulation, the menstrual cycle and long-term health.

Nutrition and home care for diabetes

Suitable nutrition is part of the treatment of diabetes and of reducing risk in prediabetes.

Thyroiditis

Thyroiditis covers several conditions that cause inflammation of the thyroid gland.

Diseases of the adrenal glands

The adrenal glands sit above the kidneys and produce hormones that affect blood pressure, metabolism and the response to stress.

Endocrine infertility

Hormonal disorders can affect ovulation, sperm production and reproductive function.

Endocrine tumors

Endocrine tumors develop in glands or cells that produce hormones.

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