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Predox

Predox

Ask a doctor about a prescription for Predox

5.0(1)
Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Predox

Package Leaflet: Information for the Patient

Predox, 50 mg, Coated Tablets

Itopride Hydrochloride

Read the Package Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

  • Keep this Package Leaflet, as you may Need to Read it Again.
  • In Case of any Doubts, Consult a Doctor or Pharmacist.
  • This Medication has been Prescribed to a Specific Person. Do not Pass it on to Others. The Medication may Harm Another Person, even if their Symptoms are the Same.
  • If the Patient Experiences any Adverse Reactions, including those not Listed in this Package Leaflet, Inform a Doctor or Pharmacist. See Section 4.

Package Leaflet Contents

  • 1. What is Predox and what is it Used for
  • 2. Important Information Before Taking Predox
  • 3. How to Take Predox
  • 4. Possible Adverse Reactions
  • 5. How to Store Predox
  • 6. Package Contents and other Information

1. What is Predox and what is it Used for

Predox belongs to a Group of Medications called Prokinetic Agents. Prokinetic Agents Improve or Stimulate and Enhance the Motility (Movement) of the Gastrointestinal Tract. Administration of these Medications Results in Accelerated Gastric Emptying and Passage of Food through the Small Intestine, as well as Increased Lower Esophageal Sphincter Pressure. Additionally, Predox has Antiemetic Properties.
Predox is Indicated for the Treatment of Symptoms Resulting from Delayed Gastric Emptying, such as Abdominal Bloating, Feeling of Excessive Fullness in the Stomach, Upper Abdominal Pain, Loss of Appetite, Heartburn, Nausea, and Vomiting in Gastrointestinal Disorders that are not Caused by Peptic Ulcer Disease or Organic Disease Affecting the Passage of Food through the Gastrointestinal Tract.
Predox is also Indicated for the Symptomatic Treatment of Gastroesophageal Reflux Disease as Monotherapy or as Add-on Therapy to Proton Pump Inhibitors (Medications that Reduce Stomach Acid Secretion).
Predox is Indicated for Use in Adults.

2. Important Information Before Taking Predox

When not to Take Predox

  • If the Patient is Allergic to Itopride or any other Ingredient of this Medication (Listed in Section 6).
  • If Accelerated Gastric Emptying may be Harmful, e.g., in Patients with Gastrointestinal Bleeding, Mechanical Obstruction, or Perforation of the Gastrointestinal Tract.

Predox is not Indicated for Use in Children and Adolescents under 18 Years of Age, Pregnant Women, and Breastfeeding Women.

Predox and other Medications

Inform a Doctor or Pharmacist about all Medications Currently being Taken or Recently Taken, as well as any Planned Medications.
Predox and other Concurrently Used Medications may Interact with each other.

  • Anticholinergic Medications (Used to Treat Asthma, Chronic Obstructive Pulmonary Disease, Diarrhea, Parkinson's Disease, or to Reduce Smooth Muscle Spasms, e.g., of the Urinary Bladder) may Decrease the Effect of Itopride.
  • Due to the Effect of Itopride on the Gastrointestinal Tract, it may Affect the Absorption of other Medications, especially those with a Narrow Therapeutic Index, Medications with Prolonged Release, or those Released in the Small Intestine.

Predox with Food and Drink

Predox should be Taken before a Meal.

Pregnancy and Breastfeeding

If the Patient is Pregnant, Breastfeeding, or Thinks she may be Pregnant, or is Planning to have a Child, she should Consult a Doctor or Pharmacist before Taking this Medication.
The Safety of Itopride during Pregnancy has not been Established. The Use of Itopride during Pregnancy can only be Considered if the Potential Benefits of Treatment Outweigh the Risks to the Mother and the Fetus.
The Use of this Medication is not Recommended in Breastfeeding Women, due to the Lack of Experience with Itopride during Breastfeeding.

Driving and Operating Machinery

No Effects of the Medication on the Ability to Drive and Operate Machinery have been Observed; however, Impaired Concentration cannot be Ruled out. Dizziness may Occur. If such Symptoms Occur, the Patient should not Drive or Operate Machinery.

Predox contains Lactose

If the Patient has been Diagnosed with Intolerance to some Sugars, the Patient should Consult a Doctor before Taking the Medication.

3. How to Take Predox

This Medication should always be Taken as Directed by a Doctor or Pharmacist. In Case of Doubts, Consult a Doctor or Pharmacist.
For Functional Gastrointestinal Disorders not Associated with Peptic Ulcer Disease, the Recommended Daily Dose for Adults is 1 Tablet Three Times a Day before Meals for up to 8 Weeks.
For Gastroesophageal Reflux Disease, the Recommended Daily Dose for Adults is 1 Tablet Three Times a Day before Meals for up to 6 Weeks when Predox is Used as Monotherapy and up to 12 Weeks when Predox is Used as Add-on Therapy to Proton Pump Inhibitors (PPIs).
The Dose may be Reduced Depending on the Patient's Age and Disease Progression. The Exact Dosage of Predox and the Duration of Treatment will be Determined by a Doctor.

Patients with Liver or Kidney Impairment and Elderly Patients

Patients with Liver or Kidney Impairment, as well as Elderly Patients, will be Closely Monitored by a Doctor. If any Adverse Reactions Occur, the Patient should Consult a Doctor. The Doctor may Recommend a Dose Reduction or Discontinuation of the Medication.

Taking more than the Recommended Dose of Predox

In Case of Taking more than the Recommended Dose of Predox or Accidental Ingestion by a Child, Consult a Doctor or Pharmacist.

Missing a Dose of Predox

In Case of Missing a Dose of Predox, Continue Taking the Medication as Scheduled. Do not Take a Double Dose to Make up for the Missed Dose.

Stopping Predox Treatment

If the Patient Stops Taking Predox too Early, Symptoms may Worsen. Before Stopping the Medication, Consult a Doctor.
In Case of any Further Doubts about the Use of this Medication, Consult a Doctor or Pharmacist.

4. Possible Adverse Reactions

Like all Medications, Predox can Cause Adverse Reactions, although not Everybody gets them.
Stop Taking Predox and Inform a Doctor Immediately:

  • If Swelling of the Hands, Feet, Face, Lips, or Throat Occurs, Causing Difficulty in Swallowing or Breathing. A Rash and Itching may also Occur. These may be Symptoms of an Allergic Reaction.

During Treatment with Predox, the Following Adverse Reactions may Occur:
Uncommon(may Affect up to 1 in 100 People)

  • Diarrhea
  • Constipation
  • Abdominal Pain
  • Excessive Salivation
  • Headache
  • Irritability
  • Sleep Disorders
  • Dizziness
  • Fatigue
  • Chest or Back Pain
  • Increased Prolactin Levels
  • Changes in Blood Test Results (Decreased White Blood Cell Count, Increased Urea and Creatinine Levels)

Rare(may Affect up to 1 in 1,000 People)

  • Skin Rash, Redness, and Itching

Unknown(Frequency cannot be Estimated from the Available Data)

  • Increased Blood Test Values (ASAT, ALAT, GGTP, Alkaline Phosphatase, Bilirubin)
  • Decreased Platelet Count (which may Result in Bruising and Increased Bleeding)
  • Tremors
  • Nausea
  • Jaundice
  • Male Breast Enlargement

If Galactorrhea (Milk Production and Secretion not Associated with Breastfeeding) or Gynecomastia (Male Breast Enlargement) Occurs, Treatment with this Medication should be Discontinued or Stopped.

Reporting Adverse Reactions

If any Adverse Reactions Occur, including those not Listed in this Package Leaflet, Inform a Doctor or Pharmacist. Adverse Reactions can be Reported Directly to the Department of Pharmacovigilance of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: +48 22 49 21 301
Fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl
Adverse Reactions can also be Reported to the Marketing Authorization Holder.
Reporting Adverse Reactions will Help Gather more Information on the Safety of the Medication.

5. How to Store Predox

Keep the Medication out of Sight and Reach of Children.
Store in a Temperature below 25°C.
Do not Use this Medication after the Expiration Date Stated on the Packaging.
The Expiration Date refers to the Last Day of the Specified Month.
The Entry on the Packaging after the Abbreviation EXP Indicates the Expiration Date, and after the Abbreviation Lot/LOT Indicates the Batch Number.
Medications should not be Disposed of via Wastewater or Household Waste. Ask a Pharmacist how to Dispose of Unused Medications. This will Help Protect the Environment.

6. Package Contents and other Information

What Predox Contains

  • The Active Substance of the Medication is Itopride Hydrochloride. Each Coated Tablet Contains 50 mg of Itopride Hydrochloride.
  • Other Ingredients are: Lactose Monohydrate, Corn Starch, Carmellose, Magnesium Stearate, Colloidal Silica. Coating: Hypromellose 2910, Macrogol 6000, Talc, Titanium Dioxide (E 171).

What Predox Looks like and what the Packaging Contains

Predox is a White, Round, Biconvex Coated Tablet with a Diameter of 7 mm.
The Packaging Contains 40, 90, or 100 Coated Tablets, Packaged in PVC/PVDC/Aluminum Blisters.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder

Polpharma S.A.
Pelplińska 19, 83-200 Starogard Gdański
Phone: +48 22 364 61 01

Manufacturer

Medochemie Ltd - Central Factory
1-10 Constantinoupoleos Street, 3011, Limassol, Cyprus

Date of the Last Update of the Package Leaflet:

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Alternative to Predox in Spain

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Online doctors for Predox

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Predox – subject to medical assessment and local rules.

5.0(14)
Doctor

Jonathan Marshall Ben Ami

Family medicine8 years of experience

Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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5.0(1)
Doctor

Lina Travkina

Family medicine12 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Antonio Cayatte

General medicine43 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Anna Biriukova

General medicine5 years of experience

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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Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Doctor

Dmytro Horobets

Family medicine6 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Karim BenHarbi

General medicine8 years of experience

Dr. Karim Ben Harbi is a licensed general practitioner based in Italy. He provides online consultations for adults and children, combining international clinical experience with evidence-based medicine. His care approach is focused on accurate diagnosis, preventive care, and personalised health guidance.

Dr. Ben Harbi received his medical degree from Sapienza University in Rome. His training included hands-on experience in diverse settings — tropical medicine, rural healthcare, and urban outpatient practice. He also conducted clinical research in microbiology, exploring the role of the gut microbiome in chronic gastrointestinal issues.

You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
  • Medication guidance, treatment adjustments, prescription review.
  • Paediatric concerns — fever, infections, general well-being.
  • Lifestyle optimisation: stress, sleep, weight, and diet counselling.

Dr. Ben Harbi offers reliable, accessible medical support through online consultations, helping patients make informed decisions about their health with a clear, structured, and compassionate approach.

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Khrystyna Habrykevych

Gastroenterology6 years of experience

Dr Khrystyna Habrykevych is a gastroenterologist providing online consultations for adults with digestive and abdominal health concerns. She helps patients understand the causes of their symptoms, interpret test results, and choose appropriate next steps – whether it’s further investigation, treatment, or lifestyle adjustments.

Common reasons for consultation include:

  • abdominal pain, cramps, discomfort, painful bowel movements
  • heartburn, acid reflux, burping, bitter taste in the mouth
  • bloating, excessive gas, nausea or vomiting
  • diarrhoea, constipation, difficulty passing stool
  • unexplained changes in weight or appetite
  • concern about gut health or long-term digestive issues
  • changes in lab results, questions about test interpretation
  • digestive system cancer screening and prevention
  • general digestive check-ups and health assessments
Dr Habrykevych follows evidence-based medical standards and adapts each consultation to the patient’s individual situation. The online format allows for timely medical support without the need for an in-person visit.
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