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

Web booking Alternatively, please make a reservation in advance by phone and bring your health insurance card.

Revisit

Web booking Alternatively, please make an appointment in advance by phone and bring your health insurance card and patient registration card.

Respiratory Medicine (Reservation Required)

This clinic is for people aged 16 and over.

A thorough inspection system

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

We have a clinical testing room within the hospital, and can explain the results of common blood tests (peripheral blood tests, liver function, lipids, metabolic system, renal function, etc.) on the same day as the test.

②Secondary inspection is also possible using high-precision inspection equipment

We are equipped with high-precision testing equipment, such as an 80-slice CT, 3.0 Tesla MRI, and 2D/3D mammography, and are able to provide a variety of tests if findings are found during medical checkups and health examinations.

• 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.

Main responses by disease

Bronchial asthma

• This is such a disease.
  • 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
• Future risks
  • 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

• This is such a disease.
  • 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
• Future risks
  • 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

• This is such a disease.
  • 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
• Future risks
  • 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 introduction

Sayaka Mochizuki

Tokyo Midtown Clinic

Part-time/Respiratory Medicine Doctor

Certifications

Japanese General Internal Medicine Specialist
Japanese Respiratory Medicine Specialist

Kensuke Nakagawara

Tokyo Midtown Clinic

Part-time/Respiratory Medicine Doctor

Certifications

Board Certified Member of the Japanese Respiratory Society

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