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General medicine doctors online in Spain

Book an online consultation with General medicine doctors. Discuss your symptoms or follow up on your treatment online.

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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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General medicine doctors for adult health assessment and ongoing medical care

What general medicine covers, which symptoms are commonly assessed, and when specialist care is needed

What general medicine focuses on

What general medicine focuses on

General medicine is a medical specialty focused on the assessment and management of a wide range of health concerns in adults. It often serves as the first point of contact when symptoms are unclear, new, or affect multiple body systems.

General medicine doctors evaluate overall health rather than isolated organs. This approach helps identify patterns, contributing factors, and possible underlying conditions.

Consultations may involve acute symptoms, ongoing complaints, or questions about long-term health management.

General medicine is suitable when symptoms do not clearly point to a specific specialty.

The goal is to provide structured medical assessment and determine next steps.

Common reasons to see a general medicine doctor

Common reasons to see a general medicine doctor

Fatigue, weakness, fever, unexplained pain, or general discomfort are common reasons for consultation.

Patients often seek help for headaches, dizziness, chest discomfort, shortness of breath, or digestive symptoms.

Changes in blood pressure, blood sugar, or laboratory results are frequently assessed in general medicine.

General medicine doctors also evaluate symptoms that involve more than one system, such as combined physical and functional complaints.

New or worsening symptoms without a clear cause are appropriate reasons to seek consultation.

Chronic conditions and ongoing health management

Chronic conditions and ongoing health management

General medicine plays an important role in the management of chronic conditions such as hypertension, diabetes, thyroid disorders, and metabolic issues.

Doctors monitor symptoms over time, assess treatment effectiveness, and adjust care plans when needed.

Many patients consult general medicine doctors for long-term follow-up rather than isolated visits.

Care often includes reviewing medications, monitoring test results, and addressing lifestyle-related factors.

Structured follow-up supports continuity and safety.

Diagnostic assessment and coordination of care

Diagnostic assessment and coordination of care

General medicine consultations often focus on diagnostic clarification. This may include reviewing medical history, symptoms, and available test results.

Doctors decide whether additional tests are needed or whether referral to a specialist is appropriate.

General medicine helps avoid unnecessary referrals by narrowing down the likely causes first.

When specialist care is needed, general medicine provides context and coordination.

This role is especially important for patients with complex or overlapping symptoms.

When general medicine may not be enough

When general medicine may not be enough

Some situations require urgent medical attention rather than a scheduled consultation. Severe chest pain, sudden neurological symptoms, difficulty breathing, or high fever require immediate care.

General medicine doctors also identify when symptoms clearly fall within a specialist domain, such as cardiology, neurology, or gastroenterology.

Not all conditions can be managed within general medicine alone.

Recognising these boundaries is part of responsible care.

Knowing when to seek routine assessment and when to seek urgent help is essential.

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General medicine doctors: frequently asked questions

Answers to common questions about general medical assessment and care

What conditions do general medicine doctors treat?
A broad range of adult health concerns, including acute symptoms, chronic conditions, and unexplained complaints affecting overall health.
When should I see a general medicine doctor?
When symptoms are new, unclear, involve multiple systems, or require an initial medical assessment.
Is general medicine the same as family medicine?
No. General medicine focuses on adult care and internal medical assessment, while family medicine typically includes care for all ages.
Can general medicine doctors manage chronic conditions?
Yes. Long-term management and monitoring of chronic conditions are a core part of general medicine.
Do general medicine doctors refer to specialists?
Yes. Referrals are made when specialist evaluation is necessary.
Can general medicine help with unclear or multiple symptoms?
Yes. This is one of the main roles of general medicine.
Are general medicine consultations suitable for follow-up care?
Yes. Many patients use general medicine for ongoing monitoring and review.
When is urgent care needed instead of a consultation?
Severe pain, breathing difficulty, sudden weakness, confusion, or other acute symptoms require immediate medical attention.
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