Viņa ir ne tikai lieliska gastroenteroloģijas ārste, bet arī izmanto holistisku pieeju aprūpei. Viņa dod saviem pacientiem laiku, uzmanīgi klausās, mudina mainīt dzīvesveidu un atzīst prāta un ķermeņa būtisko saikni.

DR. ZANE STRAUME
Certified internist, gastroenterologist, specialist in Gastrointestinal endoscopy
In this time of change, when a new order enters the world, our way of life must also change.
Doctors also need to be able to adapt, so the idea of a different way to communicate and
help their patients came up.
My concept is to look at each patient as a whole with all the diseases and lifestyle habits
inherited from the family and acquired during life. Often, a symptom or disease can help
answer a vague question and make it easier to find a digestive problem.
I am here for the health and wellness of your digestive system.
Specialisations: diagnosis, treatment and prevention of diseases of the oesophagus,
stomach, pancreas, liver, bile ducts, small intestine, colon and rectum.
10+
Years of Experience

SERVICES
Remote consultations
Remote consultations — convenient and safe.
Remote consultations — convenient and safe.
Consultations for patients from 16 years of age (with exceptions from 14)
Consultations for patients from 16 years of age (with exceptions from 14)
Healthy lifestyle, diet recommendations
Healthy lifestyle, diet recommendations
On-site consultation (on demand)
On-site consultation (on demand)

When a consultation with gastroenterologist is required:
- If you or your family have a history of gastrointestinal disease, oncological disease
- For all people over the age of 45
- If you have:
- Nausea, vomiting
- Taste changes
- Swallowing disorders
- Burning behind the sternum, reflux
- Stomachache
- Flatulence
- Abdominal disorders
- Exacerbation of known chronic diseases

Symptoms in acute gastroenterological patients
In the case of these symptoms, it is advisable to contact a general practitioner, therapist, gastroenterologist as soon as possible or to seek emergency medical help in the case of severe complaints.
- Sudden, acute abdominal pain
- Progression of swallowing disorders with / without pain during swallowing or inability to swallow completely (solid and / or liquid food), weight loss, progressive weakness
- Progressive nausea with vomiting that is not controlled with medication
- Vomiting with blood or coffee grounds
- Acute loose stools with / without fever and / or abdominal pain
- Primary admixture of blood and / or mucus in stool
- Sudden pronounced bloating, flatulence with / or without accompanying abdominal pain
- Abdominal pain with sudden abdominal disorders with / without vomiting
- Sudden jaundice (eyes, skin)
- Known diagnosis of gallstone disease with sudden pain in the abdomen, epigastric region, right hypochondriac region with / without nausea with / without fever
- Known diagnosis of pancreatitis (of any genesis) with sudden abdominal pain and / or loose stools with / without fever with / without jaundice
- Known intestinal diverticulosis with sudden abdominal pain with / without fever
- Known diagnosis of inflammatory bowel disease with sudden onset: fever, diarrhoea with blood or blood admixture, with / without abdominal pain, ulcerative colitis more common, uncommon Crohn’s disease)

CONSULTATION
Consultations can take place remotely or on-site depending on the prior agreement.
- Consultation can take place from any location
- Individually adjustable consultation time
- No need to wait in long lines and or a crowd in medical facilities
- Patients can receive the examination report faster and find out the answers to unclear questions (about examinations, medication use, diet, etc.)
How to prepare for a consultation?
Prior to the consultation, all previous examinations should be sent to the e-mail dr@zstraume-gastro.com including:
- Tests: blood tests, stool tests, other
- Endoscopy (capsule endoscopy, gastroscopy = EGDS, colonoscopy = FCS, rectoscopy) examination conclusion and histological exam results*
- Radiological examinations: abdominal ultrasonography, abdominal CT, abdominal MRI, X-ray examination of oesophagus small intestine, irrigoscopy, defecography, other
- Other important hospital excerpts, descriptions of operations and other information you consider important regarding your health status
- The consultation can be in English, Latvian or Russian
*usually ready in 1-2 weeks. it is received by the doctor who referred you to the examination.
“It is health that is the real wealth, and not pieces of gold and silver.”
Consultation Prices from 01.12.2025
In-person consultation:
90 EUR / 30 min / + 10 EUR for each additional 10 min
150 EUR / 60 min / + 10 EUR for each additional 10 min
Remote consultation:
80 EUR / 30 min / + 10 EUR for each additional 10 min
120 EUR / 60 min / + 10 EUR for each additional 10 min
You will receive the invoice for the consultation electronically.
Invoice payment is made online.
If needed, the consultation invoice can be submitted to your insurance company.
Viņa ir ne tikai lieliska gastroenteroloģijas ārste, bet arī izmanto holistisku pieeju aprūpei. Viņa dod saviem pacientiem laiku, uzmanīgi klausās, mudina mainīt dzīvesveidu un atzīst prāta un ķermeņa būtisko saikni.
Iesaku citiem 🙂
