Respiratory medicine

We examine and treat respiratory diseases such as asthma, COPD, pneumonia, lung cancer, and sleep apnea. If you are suffering from coughing symptoms, please visit a respiratory medicine specialist.

First visit

Please make a reservation in advance by phone and bring your health insurance card.

Revisit

Please make an appointment in advance by phone and bring your health insurance card and patient registration card.

Respiratory Medicine (Reservation Required)

The patients should be at least 16 years of age.

Specific care for each disease condition

Bronchial asthma

• These diseases.
  • It is a chronic disease in which inflammation of the airways causes them to narrow, resulting in difficulty breathing. Symptoms may worsen in fits and starts.
• Main symptoms
  • High-pitched ringing noise when breathing
  • Have shortness of breath or difficulty breathing
  •  Feeling pressure or heaviness in the chest
• Complications
  • Increased risk of developing respiratory infections
  • Long-term asthma causes respiratory function to decline
  • Recurrent severe asthma attacks
• Main treatment
  • 1. Control medication
    • Inhaled steroids: With regular use, they reduce inflammation in the airways and help control asthma.
  • 2. Fast-acting emergency medicine
    • Short-acting beta-2 agonists (SABAs): Used for rapid relief during attacks, they quickly open the airways.
  • 3. Allergy Treatment
    • Immunotherapy (allergen-specific immunotherapy): If allergies are the main trigger for asthma, treatment to reduce the allergic reaction may be recommended.

Chronic obstructive pulmonary disease

• These diseases.
  • This is a disease in which the bronchi and alveoli of the lungs become chronically inflamed due to smoking and air pollution, causing airway obstruction. Symptoms include difficulty breathing, coughing, and phlegm.
• Main symptoms
  • Persistent shortness of breath or difficulty breathing
  • Chronic cough, sometimes accompanied by phlegm
  • Increased sputum volume and changes in color and texture
• Complications
  • A gradual decline in lung function
  • Increased risk of developing infectious diseases
  • Complications such as pulmonary arterial hypertension and heart failure
• Main treatment
  • 1. Drug therapy
    • Inhaled bronchodilators: Available in long-acting and short-acting forms, these open the airways to make breathing easier. Examples include long-acting beta-2 agonists (LABAs), short-acting beta-2 agonists (SABAs), long-acting muscarinic antagonists (LAMAs), and short-acting muscarinic antagonists (SAMAs).
  • 2. Pulmonary rehabilitation
    • It is a comprehensive program that includes exercise planning, nutritional guidance, disease education and breathing exercise instruction to improve a patient's fitness and manage breathing difficulties.
  • 3. Oxygen Therapy
    • For people with severe COPD or hypoxemia, home oxygen therapy may be prescribed. Regular monitoring of symptoms and lung function tests will be performed, and treatment will be adjusted as needed.

Pneumonia

• These diseases.
  • It is a disease in which the lung tissue becomes infected with bacteria, viruses, fungi, etc., causing inflammation of the alveoli. Common symptoms include fever, cough, chest pain, and shortness of breath.
• Main symptoms
  • Increased body temperature and sweating
  • A persistent cough that produces phlegm
  • Pain or pressure in the chest
• Complications
  • Lung abscess and spread of infection
  • Possibility of worsening and reduced respiratory function
  • Recurrence or chronicity
• Main treatment
  • 1. Antibiotic therapy
    • In the case of bacterial pneumonia, antibiotics are prescribed. The drugs chosen vary depending on the causative bacteria of the pneumonia, but generally, macrolides (azithromycin, clarithromycin), penicillins (amoxicillin), ceftriaxone, levofloxacin, etc. are used.
  • 2. Oxygen Therapy
    • Oxygen therapy can help improve hypoxemia caused by pneumonia and return oxygen saturation to the normal range. It is often used in patients at risk of hypoxemia, such as those with severe pneumonia or elderly patients.
  • 3. Removal of excess liquid
    • If there are pulmonary infiltrates or pleural effusions associated with severe pneumonia, thoracentesis and/or chest drainage may be performed to remove the fluid.

Doctor’s Profile

Sayaka Mochizuki

Tokyo Midtown Clinic

Department in charge: Respiratory internal medicine

                       

Certifications and Affiliations

Board Certified Specialist in General Internal Medicine
Board Certified Specialist in Respiratory Medicine

Mizuki Fukuoka

Tokyo Midtown Clinic

Department in charge: Respiratory internal medicine

                       

Certifications and Affiliations

Japanese Respiratory Society Certified Respiratory Specialist and Instructor
Board Certified Specialist in General Internal Medicine by the Japanese Society of Internal Medicine
Bronchoscopist certified by the Japan Society for Respiratory Endoscopy
Japanese Board of Cancer Therapy Certified Cancer Therapy Physician

Other medical departments

A thorough inspection system

① Results of general blood tests are given to you on the same day

We have an in-house laboratory, and therefore, we can provide testing and explanation of general blood test results (hematology, liver function, lipids, metabolic system, renal function, etc.) on the same day.

②More precise examinations are also available with highly advanced medical equipment

We have a wide selection of high-precision medical equipment, including an 80-slice CT, 3.0 Tesla MRI, and 2D/3D mammography, and can provide detailed examinations if there are any doubtful findings during medical checkups.

• CT, MRI and ultrasound examinations require reservations.

Comprehensive support on one floor

We provide medical care in cooperation with other specialists depending on the patient's condition. On the same floor, you will also find Tokyo Midtown Dermatology and Plastic Surgery Noage, Tokyo Midtown Dental Clinic, health care shop TMMC Plus, and a dispensing pharmacy.