患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 Gastroscopy (upper gastrointestinal endoscopy) Compared to conventional oral endoscopy We use nasal endoscopy, which places a much smaller burden on patients. 胃カメラ費用の目安 In case of 30% copayment 胃カメラのみの場合　　　　　　　　　　　５０００円程度。 胃カメラと病理検査の場合　　　　　　　　１００００円程度。 異物(アニサキス等)除去 を行った場合　　　 １５０００円程度。 Please note that the above fee is for the examination only and does not include consultation fees. Please check with your insurance company regarding medical insurance and cancer insurance coverage.

Major diseases 当院では下記の疾患について診察が可能です。すでに通院していただいている患者様はもとより、新規受診を考えてみえる患者様も気軽にご相談ください。常に内科専門医が対応するため生活習慣病などといった内科疾患で受診される患者様も安心して通院していただけます。お子様の発熱や風邪、アレルギー症状や、お腹の症状につきましても診察させていただきますので気軽にお問合せ下さい。 Internal medicine illness General medical diseases Cold, flu, covid -19 asthma Hyperuricemia gout arrhythmia influenza bronchitis pneumonia Chronic obstructive pulmonary disease (COPD) anemia Hay Fever Allergic rhinitis Lifestyle-related diseases High blood pressure If your systolic blood pressure is over 140mmHg or your diastolic blood pressure is over 90mmHg, or if you are worried about high blood pressure, please feel free to contact us. We will suggest lifestyle advice and drug treatment as necessary. Dyslipidemia If you have been diagnosed with an abnormality in your health checkup, or if you have a family member with the same disease, or if you are worried about it, please feel free to contact us. We will suggest lifestyle advice and drug treatment as necessary. Diabetes As the disease progresses, weight loss and dry mouth may appear, but there are few early symptoms. If you have been diagnosed with an abnormality in a health check, if there is someone in your family with the same disease, or if you are worried about diabetes, please feel free to contact us. We will suggest lifestyle advice and drug treatment as necessary. *From April 1, 2025, our hospital will be charging lifestyle-related disease management fees (II). About Liver Disease The liver is said to be a "silent organ," and even if you suffer from liver disease, there are almost no symptoms, and by the time you notice it, it is often too late. At our hospital, we aim to diagnose mild liver dysfunction or abnormalities in health checkups early, and to intervene in treatment as necessary. You can visit our hospital with peace of mind, as we always have a liver specialist on hand. Stomach ailments Main symptoms The main symptoms are stomach pain, vomiting, diarrhea, constipation, heartburn, hiccups, and abdominal bloating. If you have symptoms such as black stool, bloody stool, white stool, jaundice, or severe stomach pain Please see a doctor immediately . Endoscopy About gastroscopy It is done through the nose. If you have not eaten breakfast, or if it is not a busy time, we can do it on the same day if necessary. Please be sure to contact us by phone before visiting. About Colonoscopy Generally, you will be asked to take a laxative at home before your afternoon appointment . Polyps smaller than 1cm can be removed at our hospital. Polyps larger than 1cm or suspected to be cancer will be referred to Toyohashi Municipal Hospital. Once you have visited us, we will schedule an examination date for you. About Inflammatory Bowel Disease Our hospital works closely with Toyohashi Municipal Hospital to provide medical care. For ulcerative colitis, we provide temporary treatment with local steroids, LRG measurement in blood samples, and colonoscopy, so patients can feel at ease when visiting our hospital. 消化器疾患 Esophageal, stomach, duodenal and colon cancer Gastroesophageal reflux disease Stomach polyps Stomach ulcer Acute and chronic gastritis Atrophic gastritis Colon polyps Ulcerative colitis Crohn's disease Intestinal Behcet's Irritable bowel syndrome Hemorrhagic colitis Intestinal tuberculosis Diverticulosis of the colon Fatty liver Acute hepatitis Chronic hepatitis Cirrhosis Liver cancer Primary biliary cirrhosis Alcoholic Liver Disease Autoimmune hepatitis Drug-induced liver injury Hepatitis B and C Pancreatic cancer Acute pancreatitis Chronic pancreatitis Gallbladder cancer Cholecystitis Cholelithiasis Biliary tract cancer Common bile duct stones

Various medical examinations and medical certificates ・Cancer screening ( stomach cancer, colon cancer, lung, prostate ) ・Specific health examination ・General health check ・Preparing various medical certificates

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 We put the patient first and provide safe, secure and painless testing. We aimed to achieve both. 胃カメラ (上部消化管内視鏡検査) Compared to conventional oral endoscopy We use nasal endoscopy, which places a much smaller burden on patients. About gastroscopy Direct observation of the mucosa of the stomach, esophagus, and duodenum. This is an essential test for early detection, diagnosis, and biopsy. If you have symptoms such as stomach pain, indigestion, heartburn, or black stools, you should undergo a gastroscopy. There are oral and nasal endoscopies, but our hospital uses the nasal endoscopy in consideration of the burden on patients. [Benefits of nasal gastroscopy] -Vomiting reflex is unlikely to occur Hard to feel pain ・Testing can be done while talking 【経鼻胃カメラのデメリット】 ・鼻出血のリスクがある ・鼻腔の形状などにより挿入できない場合がある ・処置については困難な場合がある。 Inspection process Gastroscopy cost This is usually done before the start of morning consultations (9:00am). *Consultation is required for same-day testing. Colonoscopy (lower gastrointestinal endoscopy) To make things a little easier, use something with a smaller diameter Even safer carbon dioxide gas supply About Colonoscopy This is an examination in which an endoscope is inserted through the anus to directly observe parts of the large intestine (rectum to ascending colon) and small intestine (terminal ileum and cecum). It is useful for diagnosing colon cancer, polyps, and enteritis such as ulcerative colitis, and it is also possible to perform biopsies of abnormal findings and, in some cases, resection (same-day surgery). This is a very useful examination , as removing colon polyps can also help prevent colon cancer . Please contact our clinic if you are concerned about colon diseases, have bloody stools, positive occult blood in stools, diarrhea, constipation, or a family history of colon cancer or polyps. [Uses an endoscope with a smaller diameter than usual] There must be many patients who feel pain during colonoscopy. In order to reduce the burden on patients as much as possible, our hospital uses a small-diameter endoscope. [Uses carbon dioxide gas supply] When observing the large intestine, air is blown in to make it easier to see. Conventionally, air was blown in, but our hospital uses carbon dioxide gas, which reduces abdominal bloating after the examination. Inspection process Colon examination costs 鎮静(眠くなる薬)を希望される場合、診察時にお伝えください。 ※最短で受診翌日の検査が可能です Ultrasound examination (abdomen and neck) A test that places very little burden on patients That's why you can feel at ease knowing that a specialist will be watching you closely. About Ultrasound Examination Ultrasound examination is an examination that uses high-frequency sound waves that cannot be heard by the human ear. It places very little burden on the patient and can be performed in a short time. It is possible to evaluate the size and condition of organs, masses, etc. We perform abdominal and cervical ultrasound examinations. Abdominal ultrasound examination evaluates: liver, gallbladder, pancreas, kidneys, spleen, aorta, etc. What is evaluated by carotid ultrasound examination: Evaluation of the progression of arteriosclerosis, carotid artery stenosis, and plaque [Features of ultrasound examinations at our hospital] The disadvantage of ultrasound examinations is that it depends largely on the equipment and the individual's procedural skills, but at our hospital, we introduced state-of-the-art equipment at the same time as opening our new clinic, and by having specialists perform analysis, we are able to provide patients with appropriate information.

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 スタッフ募集 * Except for scheduled examinations, patients will generally be seen in the order in which they arrive. 問い合わせ先　hotta.naika0532@gmail.com

一般健康診断とは 現在の健康状態を確認し、病気の予防や早期発見を目的として行う健康診断です。 就職・転職時の雇用時健康診断や、会社で年1回行う定期健康診断に対応しています。 その他各種健康診査、診断書にも対応可能です。 Various medical examinations and medical certificates ・Cancer screening ( stomach cancer, colon cancer, lung, prostate ) ・Specific health examination ・General health check ・Preparing various medical certificates Lifestyle-related disease management fees Lifestyle-related disease management fee (I)/(II) This program is for patients who have agreed to receive medical guidance regarding hypertension, dyslipidemia, and diabetes. As part of measures to combat the increasing number of lifestyle-related diseases, the Ministry of Health, Labour and Welfare has instructed that on June 1, 2024, it will revise medical fees, abolish the "specific disease management fee" that has been calculated by clinics until now, and switch to a "lifestyle-related disease management fee" that provides more specialized and comprehensive treatment management based on individual treatment plans. In line with this revision, from June 1, 2024, in accordance with the guidelines of the Ministry of Health, Labour and Welfare, patients whose main illness is hypertension, dyslipidemia, or diabetes and who have been billed for the "specific disease management fee" will be switched to the "lifestyle-related disease management fee." As a result of this revision, we will be requiring patients to sign a "Treatment Plan" that includes individual goal setting, specific instructions regarding blood pressure, weight, diet, and exercise, and test results. We appreciate your cooperation in this matter. Depending on the patient's condition, and at the doctor's discretion, refills may be prescribed or medication may be prescribed for longer periods of time than 28 days.

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 Colonoscopy (lower gastrointestinal endoscopy) 細いスコープと炭酸ガス、 眠ってできる やさしい大腸カメラを目標に Estimated cost of colonoscopy In case of 30% copayment A colonoscopy alone will cost around 7,500 yen. A colonoscopy and pathology test costs around 10,000 yen. If polyps are removed, it will cost around 21,000 yen. The above fee is for the examination only. Please note that it does not include consultation fees. Please check with your insurance company regarding medical insurance and cancer insurance coverage.

新院長挨拶 皆様、こんにちは。 2025年4月より新しく医院を継承した、堀田尋紀です。 この度、当院は創立42周年を迎えることができました。これもひとえに、地域の皆様の温かいご支援とご愛顧のおかげです。心より感謝申し上げます。 今までは東海地区最大級の内視鏡検査数を誇る総合病院にて、内視鏡医、消化器内科医として癌などの治療を中心に研鑽して参りました。 肝疾患指定医療機関、 消化器疾患の難病指定病院に指定されており、潰瘍性大腸炎、自己免疫性肝炎、原発性胆汁性胆管炎等を含む指定難病の患者様も積極的に受け入れております。潰瘍性大腸炎については近隣の豊橋市民病院と地域連携を行っております。地域の健康を支えるかかりつけ医として、皆様の信頼に応えられるよう努力していく所存です。 今後とも、堀田内科をどうぞよろしくお願い申し上げます。 理念 2025年4月から医院を継承し、地域の患者様に寄り添った医療の提供を目指しています。炎症性腸疾患・消化器疾患・肝疾患の治療経験を活かし、癌の早期発見や予防にも力をいれていきます。癌死ゼロを目標に、少しでも皆様のお役に立てればと思っております。 堀田内科　院長　堀田　尋紀 資格・所属学会等 日本内科学会専門医 日本肝臓学会専門医 日本消化器内視鏡学会認定医 日本医師会認定産業医 愛知県難病指定医 緩和ケア研修修了 豊橋医師会胃がん健診委員 日本内科学会 日本肝臓学会 日本消化器病学会 日本消化器内視鏡学会 富士見小学校学校医 富士見幼稚園園医 富士見台幼稚園園医 豊南保育園園医

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 ビタミンCサプリ・化粧水 * Except for scheduled examinations, patients will generally be seen in the order in which they arrive. * Except for scheduled examinations, patients will generally be seen in the order in which they arrive.

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。 Gastroscopy (upper gastrointestinal endoscopy) Estimated cost of gastroscopy In case of 30% copayment If only the gastroscopy is done, it will cost around 5,000 yen. A gastroscopy and pathology test will cost around 10,000 yen. If foreign objects (such as anisakis) are removed, the cost will be approximately 15,000 yen. Please note that the above fee is for the examination only and does not include consultation fees. Please check with your insurance company regarding medical insurance and cancer insurance coverage.

患者様に優しい検査を心掛けています。経鼻胃カメラ、細い径の大腸カメラを使用しています。場合により当日検査も可能です。

Major diseases 高齢者の定期予防接種は、高齢者が感染症にかかるリスクを減らし、重症化を防ぐために、国や自治体が推奨・実施しているワクチン接種です。 Stomach ailments Main symptoms The main symptoms are stomach pain, vomiting, diarrhea, constipation, heartburn, hiccups, and abdominal bloating. If you have symptoms such as black stool, bloody stool, white stool, jaundice, or severe stomach pain Please see a doctor immediately . Endoscopy About gastroscopy It is done through the nose. If you have not eaten breakfast, or if it is not a busy time, we can do it on the same day if necessary. Please be sure to contact us by phone before visiting. About Colonoscopy Generally, you will be asked to take a laxative at home before your afternoon appointment . Polyps smaller than 1cm can be removed at our hospital. Polyps larger than 1cm or suspected to be cancer will be referred to Toyohashi Municipal Hospital. Once you have visited us, we will schedule an examination date for you. ※上記の対象者に該当しない患者様は任意接種になります。　　 ※ 任意接種 の場合は、 　当院では効果が高いとされるキャップバックスのみ採用しています。 ※上記の対象者に該当しない患者様は自費料金での接種になります。　　 Endoscopy About gastroscopy It is done through the nose. If you have not eaten breakfast, or if it is not a busy time, we can do it on the same day if necessary. Please be sure to contact us by phone before visiting. About Colonoscopy Generally, you will be asked to take a laxative at home before your afternoon appointment . Polyps smaller than 1cm can be removed at our hospital. Polyps larger than 1cm or suspected to be cancer will be referred to Toyohashi Municipal Hospital. Once you have visited us, we will schedule an examination date for you. 費用(自己負担金)：ビゲン(生ワクチン)　　　　　　　　3500円 　　　　　　　　　　　　 シングリックス (不活化ワクチン)18000円(２回分の料金) Endoscopy About gastroscopy It is done through the nose. If you have not eaten breakfast, or if it is not a busy time, we can do it on the same day if necessary. Please be sure to contact us by phone before visiting. About Colonoscopy Generally, you will be asked to take a laxative at home before your afternoon appointment . Polyps smaller than 1cm can be removed at our hospital. Polyps larger than 1cm or suspected to be cancer will be referred to Toyohashi Municipal Hospital. Once you have visited us, we will schedule an examination date for you. ※上記の対象者に該当しない患者様は自費料金での接種になります。　　 ※豊橋市の50歳以上の患者様はワクチン接種の助成（ビケンは4,000円、シングリックスは1回につき10,000円）を 受けることができます。 ※潰瘍性大腸炎、クローン病、関節リウマチ、悪性治療中の患者様。 ステロイド/免疫抑制剤/抗リウマチ薬/抗がん剤治療などを使用中の患者様は生ワクチンの接種ができないため、シングリックスのみ接種可能です。 Major diseases 高齢者の定期予防接種は、高齢者が感染症にかかるリスクを減らし、重症化を防ぐために、国や自治体が推奨・実施しているワクチン接種です。 Stomach ailments Main symptoms The main symptoms are stomach pain, vomiting, diarrhea, constipation, heartburn, hiccups, and abdominal bloating. If you have symptoms such as black stool, bloody stool, white stool, jaundice, or severe stomach pain Please see a doctor immediately . ※1 令和8年4月1日からキャップバックス を採用しています。従来のワクチンと異なり、 一生のうち1回接種するだけ で生涯免疫を獲得できるとされています。他の肺炎球菌ワクチンを接種している場合、1年以上間隔が空いていれば接種可能です。 ※2豊橋市の50歳以上の患者様はワクチン接種の助成（ビケンは4,000円、シングリックスは1回につき10,000円）の助成を 受けることができます。 ※3 4価のガーダシル®を採用しておりましたが、ガーダシル®の販売終了を受け、 令和８年1月1日以降 は9価のシルガード®9 を採用し、順次シルガード®9へ切り替えていきます。 Major diseases 子供の定期予防接種は、国が定めたスケジュールに従って無料または一部負担で受けられるワクチン接種です。日本では、予防接種法に基づき、乳幼児期から学齢期までに行うさまざまなワクチンが定期接種の対象となっています。 当院では各種ワクチンを取り扱っております。HPVワクチンについてはシルガード9(9価)を採用しています。 豊橋市子供の予防接種一覧 子宮頸がんワクチンの接種制度 ※インフルエンザワクチン については一律3500円です。 本年度分は終了しました。