General surgery clinic online

Specialist assessment of abdominal pain, hernias, gallbladder problems, skin lumps and post-operative follow-up — structured surgical advice.

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Appointments in Swedish, English and Arabic
Evidence-based care
Written plan after every visit

About the clinic

General surgery is less about operating than most people think. The most important clinical task is the judgement call: what can be followed over time, and what needs dealing with now? That question decides more for the patient's outcome than the operating technique itself — because unnecessary surgery and delayed surgery both carry real costs.

We give you a straight answer about where your condition falls in that judgement. Many of our appointments end with the reassuring news that something can be watched — which is just as important an answer as a referral for surgery.

Who we help

You with abdominal pain
You with a suspected hernia
You with gallstone problems
You with skin lumps or cysts
You who want a second opinion before surgery
You with questions after an operation
You with haemorrhoids or anal problems
You with long-standing abdominal problems
You with recurrent abscesses
You with wound problems after surgery
You who need help interpreting a scan
You who need follow-up after surgery

Symptoms

Conditions

Gallstones
Haemorrhoids
Inguinal hernia
Lipomas and soft tissue lumps
Abscess
Post-operative wound infection
Reflux disease — surgical assessment
Anal fissure
Diverticular disease
Acute abdomen — investigation support

Services and investigations

Surgical symptom assessment
Assessment of blood tests
Investigation of gallbladder and abdominal problems
Advice on wounds and surgical complications
Planning for a possible surgical referral
Second opinion before or after an operation

How it works

1Book and describe your main problem online.
2Upload previous results if you have them — test results, examinations, medication list.
3Video consultation — review of your history and targeted questions.
4A clear plan — next steps, any treatment, and a timeframe for follow-up.

What to prepare

A timeline of your symptoms (when it started, what triggers or relieves it)
Current medications and doses
Known allergies and previous illnesses
Previous test results and examinations, with dates if possible
Your three most important questions for the visit

Call your local emergency number immediately or go to the nearest emergency department if you have:

Severe or sudden abdominal pain
Repeated vomiting
A high fever together with abdominal symptoms, or a fever after an operation. If sudden confusion, violent shivering, rapid or laboured breathing, skin that has turned mottled, pale or bluish, or not having passed urine for a day comes with it, this can be sepsis from the abdomen or from the surgical site. Call your local emergency number. Fever does not have to be present for it to be sepsis.
Heavy bleeding from the back passage
Difficulty breathing
Loss of consciousness or confusion
Rapidly increasing swelling or wound infection

Digital care cannot replace emergency services. If unsure, seek care immediately.

Our doctors

See available doctors and book an appointment

Common questions

Can all surgical problems be assessed digitally?

Many can be assessed initially online, but some require a physical examination or imaging.

Can you interpret scan results?

Yes, we help explain the results and the possible next steps.

Do you offer a second opinion before surgery?

Yes, on diagnoses and proposed operations.

What do I do about acute symptoms?

We recommend urgent in-person care or an emergency department where needed — see the safety box.

Does a hernia always have to be operated on?

No, some hernias can be watched depending on symptoms and risk factors.

Can you follow up after an operation?

Yes.

What do I do about a fever or fluid from a surgical wound?

Do all hernias need surgery?

No. Symptom-free hernias can often be watched, particularly in older people. It is the symptoms and the risk of strangulation that decide.

How long does it take to recover after an operation?

It varies entirely with the procedure — we go through your particular operation and what is reasonable to expect.

Can you give a second opinion ahead of a planned operation?

Yes. Upload the earlier assessment and investigations and we will go through the alternatives, and what speaks for and against the procedure.

Fifteen common conditions

Gallstones

Typical age: Adults; more common with age.
Background: Stones forming in the gallbladder.
Symptoms: Pain under the right ribs, nausea, indigestion, often after fatty food.
What the doctor looks for: The pattern of symptoms.
Investigations: The clinical picture; ultrasound through in-person care.
Diagnosis: The imaging findings.
Management: Depends on the symptoms, from watchful waiting to surgery.
Follow-up: According to symptoms.
Prognosis: Good; many cases cause no symptoms.
What you can do yourself: Cut down on fat for a while; attacks are often triggered by fatty meals.
When should you book?: For recurrent attacks. With fever, jaundice or continuous pain — emergency care.

Haemorrhoids

Typical age: Adults.
Background: Widened blood vessels in the anal area.
Symptoms: Itching, pain, bleeding from the back passage.
What the doctor looks for: The symptom picture, and the pattern of bleeding.
Investigations: The clinical picture; a physical examination where there is doubt or the bleeding persists.
Diagnosis: The clinical picture.
Management: Lifestyle, over-the-counter treatment, sometimes a physical procedure.
Follow-up: If problems persist.
Prognosis: Good.
What you can do yourself: Fibre, fluids, and avoid straining or sitting on the toilet for long.
When should you book?: For blood in the stool — always, to rule out anything else.

Inguinal hernia

Typical age: All adult ages; more common in men.
Background: Abdominal contents pushing out through a weakness in the abdominal wall.
Symptoms: Swelling in the groin, sometimes pain on exertion.
What the doctor looks for: The character of the swelling, and symptoms on exertion.
Investigations: The clinical picture; a physical examination for a secure assessment.
Diagnosis: The clinical picture, with or without a physical examination.
Management: Depends on symptoms — follow-up or surgery.
Follow-up: According to how the symptoms develop.
Prognosis: Good; surgery where needed is often effective.
What you can do yourself: Note whether the hernia can be pushed back in — that is the single most important piece of information.
When should you book?: For increasing problems. For a hard, tender hernia that will not go back — emergency care.

A hernia that becomes painful and hard and cannot be pushed back in can be an emergency — see the safety box.

Lipomas and soft tissue lumps

Typical age: All adult ages.
Background: Benign lumps under the skin.
Symptoms: A soft, mobile lump, usually painless.
What the doctor looks for: The character, and how fast it is growing.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Follow-up, or surgical removal if it causes problems.
Follow-up: If it changes.
Prognosis: Good; benign in the great majority of cases.
What you can do yourself: Measure the lump and photograph it at regular intervals — the rate of growth is what matters.
When should you book?: For a lump that grows, becomes tender, or is fixed to the tissue beneath.

Abscess

Typical age: All ages.
Background: A local infection forming pus.
Symptoms: A painful, red, warm swelling.
What the doctor looks for: The size, and signs of spread.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Sometimes drainage, sometimes antibiotics.
Follow-up: If it does not improve.
Prognosis: Good with the right treatment.
What you can do yourself: Warm compresses can help at an early stage; never squeeze it.
When should you book?: For a growing, tender swelling, or a fever.

Post-operative wound infection

Typical age: All ages, after surgery.
Background: Infection in a surgical wound.
Symptoms: Redness, pain, fever, sometimes fluid from the wound.
What the doctor looks for: Signs of spread, or of serious infection.
Investigations: Clinical assessment from images.
Diagnosis: The clinical picture.
Management: Wound care, sometimes antibiotics.
Follow-up: Close until it has healed.
Prognosis: Good with early treatment.
What you can do yourself: Draw a line around the redness to see whether it is spreading.
When should you book?: For spreading redness, increasing pain or fever after surgery.

A high fever or rapidly increasing swelling after surgery requires urgent assessment — see the safety box.

Reflux disease — surgical assessment

Typical age: Adults.
Background: Stomach acid leaking up into the oesophagus, sometimes needing surgical assessment where problems are pronounced or resistant to treatment.
Symptoms: Heartburn, acid regurgitation.
What the doctor looks for: How severe the symptoms are, and the response to treatment.
Investigations: A review of previous treatment and investigations.
Diagnosis: The clinical picture, with or without previous investigation.
Management: Lifestyle, medication, and in selected cases surgery.
Follow-up: According to the treatment plan.
Prognosis: Good at the right level of treatment.
What you can do yourself: Raise the head of the bed and don't eat during the last three hours before bedtime.
When should you book?: When medication has not worked well enough after several months.

Anal fissure

Typical age: All adult ages.
Background: A small tear at the anal opening.
Symptoms: Pain and bleeding on opening the bowels.
What the doctor looks for: The pattern of symptoms.
Investigations: The clinical picture.
Diagnosis: The clinical picture.
Management: Diet, topical treatment.
Follow-up: If problems persist.
Prognosis: Good; often heals within a few weeks.
What you can do yourself: Softening the stool matters most — the fissure will not heal if the strain continues.
When should you book?: For problems lasting more than a few weeks despite a change of diet.

Diverticular disease

Typical age: Adults; more common with age.
Background: Small pouches in the wall of the large bowel that can become inflamed.
Symptoms: Abdominal pain, often in the lower left abdomen, and a change in bowel habit.
What the doctor looks for: Where the pain is, and fever.
Investigations: The clinical picture, with imaging where problems are pronounced.
Diagnosis: The clinical picture, with or without imaging findings.
Management: Diet; sometimes antibiotics when inflamed.
Follow-up: For persistent or recurrent problems.
Prognosis: Good; manageable for most people.
What you can do yourself: A high-fibre diet between flare-ups; a lighter diet may be needed during an acute flare.
When should you book?: For recurrent flare-ups, or for fever with abdominal pain.

Acute abdomen — investigation support

Typical age: All ages.
Background: An umbrella term for sudden, significant abdominal pain that may require surgical assessment.
Symptoms: Severe abdominal pain, sometimes with fever and vomiting.
What the doctor looks for: The pattern of pain, and the general condition.
Investigations: Often requires urgent in-person assessment.
Diagnosis: Requires a physical examination for a secure diagnosis.
Management: According to the cause.
Follow-up: According to the diagnosis once established.
Prognosis: Varies greatly with the cause.
What you can do yourself: No self-care — avoid painkillers before the assessment, they can mask the picture.
When should you book?: This is emergency care, not a booked appointment.

Severe or sudden abdominal pain is always an emergency — see the safety box.

Lumps under the skin — when should they come out?

Typical age: All adult ages.
Background: Benign lumps — lipomas, sebaceous cysts, ganglions — are very common and usually need nothing done. What decides whether something should be looked at more closely is not the size but the rate of growth, how mobile it is, and whether it is tender.
Common symptoms: A soft or firm lump under the skin, usually painless.
What the doctor looks for: Whether the lump moves against the tissue beneath (a benign sign), how fast it is growing, and whether the skin over it has changed.
Investigations: Clinical assessment from images; ultrasound where there is doubt.
How the assessment is made: From the character of the lump and how it develops over time.
Management: Often none; surgical removal if it causes problems or where there is doubt.
Follow-up: If it changes.
Risk factors to know: Rapid growth, being firmly anchored to the tissue beneath, a size over five centimetres, sitting deep — each of these justifies closer investigation.
Common misconception: That every lump should be removed. Most are benign and can be left alone if they cause no trouble.
What you can do yourself: Photograph it next to a ruler every few months — growth is hard to judge from memory.
When should you book?: For a lump that grows, is tender, is fixed in place, or is more than five centimetres.
Prognosis: Very good — the great majority are benign.

Abdominal pain — where it sits means something

Typical age: All ages.
Background: Where the pain sits is surgery's single most useful clue, because the organs of the abdomen produce pain in characteristic areas. Being able to describe where it hurts — and whether the pain has moved — often changes the assessment completely.
Common symptoms: Pain in the upper or lower abdomen, on the right or left side, sometimes moving.
What the doctor looks for: Where the pain started, whether it has moved, and any connection with meals or opening the bowels.
Investigations: Clinical assessment; blood tests and imaging as needed.
How the assessment is made: Location plus the time course guides the direction of the investigation.
Management: Depends on the cause.
Follow-up: According to the findings.
Risk factors to know: Age, previous abdominal surgery, gallstones, inflammatory bowel disease.
Common misconception: That abdominal pain which moves means it is not serious. On the contrary, pain migrating from the navel towards the lower right abdomen is classic for appendicitis.
What you can do yourself: Point with one finger to where it hurts most — being able to point precisely is more informative than a vague description.
When should you book?: For abdominal pain lasting more than a few days. For severe, sudden pain — emergency care.
Prognosis: Good once the diagnosis is correctly located.

Preparing for planned surgery

Typical age: All adult ages.
Background: What a patient does in the weeks before an operation affects the outcome more than many people think. Stopping smoking four weeks beforehand considerably lowers the risk of wound infection and lung complications — one of the most effective single measures there is.
Common symptoms: Not applicable — this is preparation.
What the doctor looks for: Medicines that need pausing, smoking, blood sugar control and physical fitness.
Investigations: A review of the medication list and other conditions.
How the assessment is made: From the scale of the procedure and the patient's risk profile.
Management: Not applicable — this is optimisation before the procedure.
Follow-up: Up until the date of surgery.
Risk factors to know: Smoking, poorly controlled diabetes, anticoagulant medication, excess weight, low physical activity.
Common misconception: That it is too late to stop smoking shortly before an operation. Four weeks without smoking has a measurable effect — it is never too late to start.
What you can do yourself: Stopping smoking, physical activity and good blood sugar control — all three have a documented effect on the risk of complications.
When should you book?: As soon as you have a date for surgery, to go through what you can do yourself.
Prognosis: A considerably lower risk of complications with good preparation.

Hernia after previous surgery (incisional hernia)

Typical age: All adult ages in people who have had abdominal surgery.
Background: An incisional hernia happens when the abdominal wall weakens at an old surgical scar. It is common — particularly after major abdominal surgery — and tends to grow over time, which means an early assessment often leaves more treatment options open than a late one.
Common symptoms: A bulge in or near a surgical scar, often clearer on exertion or coughing.
What the doctor looks for: The size, whether it can be pushed back in, and whether it causes symptoms.
Investigations: Clinical assessment; CT for larger hernias when planning.
How the assessment is made: From the size, the symptoms and the patient's general health.
Management: Observation for small, symptom-free hernias; surgery for symptoms or growth.
Follow-up: If it grows or new symptoms appear.
Risk factors to know: Excess weight, smoking, a wound infection after the first operation, repeated abdominal surgery, a chronic cough, heavy lifting too soon after an operation.
Common misconception: That small incisional hernias always grow and must be operated on straight away. Many can be watched — but they rarely get smaller.
What you can do yourself: Stopping smoking and losing weight reduces both the risk of growth and the risk of recurrence after surgery.
When should you book?: For a bulge in a surgical scar, particularly if it grows or is uncomfortable. For a hard, tender hernia — emergency care.
Prognosis: Good with planned surgery; worse with acute strangulation.

When surgery is not the right answer

Typical age: All adult ages.
Background: A considerable part of the development of surgery over recent decades has been about operating less, not more. Several conditions that were routinely operated on in the past are treated just as well or better today without surgery — and it is often in that discussion that a second opinion has the greatest value.
Common symptoms: Varies — this is about the choice of treatment.
What the doctor looks for: How severe the symptoms are, the expected benefit of surgery, and the risks in relation to the patient's general health.
Investigations: A review of the previous investigation and the proposed operation.
How the assessment is made: By weighing the expected gain in function against the risk and the alternatives.
Management: Conservative treatment where the evidence supports it.
Follow-up: According to the chosen strategy.
Risk factors to know: Older age, heart or lung disease, smoking, poorly controlled diabetes — each raises the threshold for surgery.
Common misconception: That a referral for surgery means an operation is the only option. There is almost always a choice, and you have a right to understand the alternatives.
What you can do yourself: Always ask: what happens if we wait? What are the alternatives? How likely is it that I will get better?
When should you book?: Ahead of a decision about planned surgery, for an independent review.
Prognosis: Often just as good with conservative treatment where the indication is right.

Contact

Book appointment info@medix7.com

The information on this page is general patient information and does not replace an individual medical assessment. Digital care has limitations and cannot handle emergencies — see the emergency box above. If you are unsure, contact healthcare services or your local emergency number.

About this content

This information draws on established Swedish clinical sources, primarily 1177 Vårdguiden, Internetmedicin and Läkemedelsboken. It is general patient information and does not replace individual medical assessment.