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Doctors for migraines

Online consultations with doctors for migraine assessment, symptom review, and clinical guidance.

3 doctors
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5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€80
5.0 (30)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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€60

Migraine care with a medical approach

How doctors assess migraines, symptoms, and recurring headache patterns

What migraines mean in clinical practice

What migraines mean in clinical practice

Migraines are a neurological condition characterised by recurrent headache episodes, often accompanied by symptoms such as nausea, light sensitivity, sound sensitivity, or visual disturbances. They are not simply severe headaches and require a medical approach to assessment and management.

Migraine symptoms can vary significantly between individuals and may change over time. Some people experience predictable patterns, while others report irregular or evolving symptoms. This variability makes clinical evaluation especially important.

During an online consultation, a doctor focuses on understanding the nature of the headaches, associated symptoms, frequency, and possible triggers. This helps place the migraine in a broader clinical context.

The goal of medical migraine assessment is to distinguish migraines from other headache types and identify factors that influence their course.

Why migraine assessment is done by a doctor

Why migraine assessment is done by a doctor

Migraine shares symptoms with other neurological and medical conditions, including tension-type headaches, cluster headaches, and secondary headaches linked to underlying causes. A doctor is trained to recognise warning signs and patterns that require careful evaluation.

Many people manage migraines on their own for years without medical input, often assuming headaches are unavoidable. Clinical assessment helps clarify whether symptoms are consistent with migraine and whether additional evaluation is needed.

Doctors consider medical history, current symptoms, and lifestyle factors together rather than in isolation. This reduces the risk of overlooking relevant clinical details.

Online consultations allow for structured medical discussion while maintaining accessibility.

How doctors approach migraine evaluation

How doctors approach migraine evaluation

Migraine evaluation focuses on symptom history rather than isolated episodes. Doctors ask about the onset of headaches, duration, intensity, and accompanying neurological or systemic symptoms.

Attention is also given to possible triggers such as stress, sleep disruption, hormonal changes, or dietary factors. Understanding these patterns helps explain why migraines may worsen or improve over time.

Doctors also assess how migraines affect daily functioning, work, and quality of life. This context is essential for determining appropriate clinical guidance.

The assessment process aims to build a coherent clinical picture rather than provide quick conclusions.

What is considered during migraine consultations

What is considered during migraine consultations

During a migraine consultation, doctors evaluate headache characteristics, associated symptoms, and any changes over time. This includes reviewing previous diagnoses, treatments tried, and responses to them.

Doctors also consider red flags that may indicate the need for further investigation. These are part of standard medical assessment and help ensure safety.

Lifestyle factors, stress levels, sleep patterns, and co-existing conditions are reviewed to understand how they interact with migraine symptoms.

This comprehensive view supports informed clinical decision-making.

Accuracy, safety, and realistic expectations

Accuracy, safety, and realistic expectations

Migraine care focuses on understanding and managing a recurrent condition rather than offering immediate solutions. Outcomes vary, and what works for one person may not work for another.

Medical evaluation helps set realistic expectations by explaining the nature of migraines and their possible triggers. This supports long-term symptom awareness rather than short-term fixes.

Doctors explain findings clearly and discuss appropriate next steps based on individual circumstances.

A structured medical approach helps people better understand their migraines and make informed decisions about ongoing care.

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Common questions about migraines and medical consultations

Answers to common questions about migraine assessment and medical consultations

What happens during a migraine consultation?
A migraine consultation involves a detailed discussion of headache history, symptoms, frequency, and associated features such as nausea or sensitivity to light and sound.

The doctor asks questions to distinguish migraines from other headache types and to understand how symptoms affect daily life.

The goal is to clarify the clinical picture, not to rush to conclusions.

Who should consider seeing a doctor for migraines?
People with recurring headaches, worsening symptoms, or migraines that interfere with daily functioning may benefit from medical evaluation.

Consultation is also relevant if headache patterns change or if symptoms become more intense or frequent.

A doctor can help determine whether symptoms are consistent with migraines or require further assessment.

Can migraines be assessed online by a doctor?
Yes. Migraine assessment can be carried out during online consultations. Symptom history and clinical discussion form the basis of evaluation and can be addressed effectively online.

Online consultations provide access to medical guidance without geographical limitations.

Are migraines the same as regular headaches?
No. Migraines are a neurological condition and differ from common tension-type headaches. They often involve additional symptoms beyond head pain.

Medical assessment helps clarify the type of headache and guide appropriate care.

What happens after a migraine consultation?
After the consultation, the doctor explains the clinical assessment and what it means. This may include discussing migraine patterns, triggers, or the need for further evaluation.

Next steps depend on individual findings and may vary from person to person.

The consultation is intended to provide clarity and guidance.

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