Dr. Ambalangoda Gurunnanselage Anusha Renu Perera

Dr. Ambalangoda Gurunnanselage Anusha Renu Perera provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Adult Common Health Issues

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.

Preventative Health Topics

• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Perera. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Comprehensive primary care for patients with various thyroid conditions, including initial investigation of thyroid abnormalities and coordination with endocrinology if needed.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.
• Primary Care for Overuse & Repetitive Strain Injuries: Helping patients recover from repetitive strain conditions and prevent recurrence through education and targeted interventions.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Creating a safe, non-judgmental, and supportive healthcare environment for teenagers to discuss their health concerns, receive accurate information, and develop healthy decision-making skills.
• Osteoporosis Screening, Prevention & Management: Helping patients reduce their risk of fragility fractures through comprehensive bone health management.

Note: This list highlights some of the key services offered by Dr. Perera. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At South Walkerville Medical Centre, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Perera frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr. Perera about wishing to discuss advance care planning, making a living will, or appointing a healthcare proxy is to achieve successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under Dr. Perera's diligent, meticulous care and important follow-up monitoring. This success paves the way for them to re-engage with proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations.
• Struggling with concerns about exposure to an infectious disease like measles or chickenpox? Dr. Perera helps patients target having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Perera, making a return to activities such as wholeheartedly enjoying a diverse range of seasonal outdoor activities such as cross-country skiing or snowshoeing in winter, beachcombing or lake swimming in summer, vibrant apple picking or leaf-peeping hikes in autumn, and early spring gardening more achievable.
• Patients experiencing it being time for their regular comprehensive health check-up and physical exam often seek Dr. Perera's help to improve their quality of life. A key goal is their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Perera, supporting their return to activities like confidently, independently, and effectively managing their diagnosed chronic health conditions (like diabetes, asthma, or hypertension) on a daily basis with minimal disruption to their desired lifestyle and activities, feeling in control.
• If a persistent itchy scalp or dandruff that's not improving has put proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina on hold, Dr. Perera works with patients toward successfully managing a challenging perinatal period, including issues like gestational diabetes or postpartum mood disorders, with the integrated medical, emotional, and practical support provided by Dr. Perera, helping them regain their previous level of function.

Your personalized healthcare plan, developed in discussion with Dr. Perera, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Perera practices at South Walkerville Medical Centre, a family medical practice in a central St Thomas neighborhood of St Thomas. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with South Walkerville Medical Centre if you have questions about specific non-insured services or potential fees.

Does Dr. Perera at South Walkerville Medical Centre offer virtual (video) or phone appointments?

Yes, Dr. Perera at South Walkerville Medical Centre offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Perera if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with South Walkerville Medical Centre regarding any potential fees for uninsured virtual services.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

The College of Physicians and Surgeons of ON often has a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor who is accepting new patients can be challenging and may take time.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral from another doctor to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging, and provincial resources (like Health Care Connect in Ontario) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

What should I do if I have an urgent medical issue when South Walkerville Medical Centre is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until South Walkerville Medical Centre reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with South Walkerville Medical Centre or Dr. Perera during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(226) 210-3773] may also provide instructions or resources for after-hours care.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Perera?

Your first appointment with Dr. Perera is an important opportunity to establish care. She will likely review your detailed medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. She will also want to discuss your current health concerns, any medications you are taking (prescription, over-the-counter, supplements), and your lifestyle habits (diet, exercise, smoking, alcohol use). A basic physical examination may be performed. This visit is also a chance for you to ask questions about Dr. Perera's practice style and for her to explain clinic policies (e.g., booking appointments, prescription refills, communication). The main goal is to gather comprehensive baseline information to provide you with the best possible ongoing care.

How often should I see Dr. Perera for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Perera can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Perera follows. It's best to discuss your individual needs with Dr. Perera to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

South Walkerville Medical Centre
1-294 Talbot St
St Thomas, ON, N5P 4E3

Phone: (226) 210-3773

Dr. Ambalangoda Gurunnanselage Anusha Renu Perera is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 103246

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Perera-Ambalangoda-Gurunnanselage-Anusha-Renu/0294953-103246

Family doctors like Dr. Perera are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.