Dr. Nihal Abdel Ghany El Said El Khouly – Family Doctor | Bolton, ON

Dr. Nihal Abdel Ghany El Said El Khouly is a Family Doctor. Practicing at London Health Sciences Centre in Bolton, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Nihal Abdel Ghany El Said El Khouly completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. She is fluent in English and also offers consultations in Arabic.

Dr. Nihal Abdel Ghany El Said El Khouly provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• 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).

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

• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common travel-related illnesses.
• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• Fungal, Viral & Bacterial Skin Infections: Effective remedies for bothersome infections of the skin, hair, and nails.
• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Diagnosing and treating common acute skin problems such as eczema flare-ups, contact dermatitis, acne exacerbations, shingles (herpes zoster), fungal infections (e.g., ringworm, athlete's foot), hives (urticaria), and insect bites/stings with significant reactions.

Note: This list highlights some of the key services offered by Dr. Khouly. 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 London Health Sciences 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. Khouly frequently works with patients towards goals such as:

• Managing their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being effectively is a priority for Dr. Khouly. The aim is benefiting from seamlessly and efficiently coordinated care, where she actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page, which helps patients get back to enjoying patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow.
• For patients where needing support to cope with a new diagnosis of a chronic illness for themself/themselves or a family member is a concern, Dr. Khouly focuses on plans that lead to feeling significantly less isolated, better understood, and more adequately supported in managing a rare, complex, or poorly understood health condition due to her unwavering commitment to their comprehensive care and willingness to learn alongside them, supporting their ability to simply and profoundly relaxing, completely unwinding, and thoroughly enjoying quiet, restorative moments of peace, mindfulness, and genuine contentment at home without being constantly plagued or interrupted by intrusive health worries, pain, or discomfort.
• Dr. Khouly's care for concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative is designed to result in seeing tangible and encouraging improvements in their important biomedical markers and lab results, such as normalized blood sugar levels (HbA1c), optimal LDL cholesterol and triglyceride profiles, well-controlled blood pressure readings, or improved kidney function tests, reflecting better disease management with her, so patients can resume activities such as actively participating in local civic life, serving on community boards, contributing to neighborhood associations, or engaging in grassroots advocacy groups with consistent energy, passion, and intellectual commitment with confidence.

Your personalized healthcare plan, developed in discussion with Dr. Khouly, 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. Khouly's practice at London Health Sciences Centre is situated in a family medical practice in the central Bolton neighborhood of Bolton. 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.

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. She is 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.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a ‘Find a Doctor’ tool or list on their website. 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. It may take time to find a doctor.

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

Generally, you do not need a referral to see a family doctor in Ontario if they are accepting new patients. However, finding a family doctor who is accepting new patients can be difficult. Resources like Health Care Connect in Ontario, or the College of Physicians and Surgeons of Ontario website may be helpful. A referral from a family doctor is usually required to see specialists.

How do I get a prescription refilled by Dr. Khouly?

For most prescription refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr. Khouly's office. Allow 2-3 business days for processing. For certain medications (e.g., narcotics) or if it has been a while since your last visit, an appointment will be needed. It is best to request refills proactively.

What should I bring with me to my appointment with Dr. Khouly?

Bring your valid Ontario Health Insurance Plan (OHIP) card. An up-to-date list of all medications (prescriptions, over-the-counter, vitamins, supplements) and their dosages is helpful. Relevant medical records, recent test results, or letters from other doctors are also useful, especially for new patients or complex issues. A written list of questions or concerns can help ensure you cover everything during your visit.

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 OHIP for eligible residents with a valid health card. Some services (e.g., cosmetic procedures, most travel medicine consultations) may not be covered and may have an associated fee. Confirm with London Health Sciences Centre if you have questions about specific services or fees.

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

The recommended frequency for check-ups varies based on your age, health, medical conditions, and risk factors. Generally, healthy younger adults may need check-ups less frequently (e.g., every 2-5 years), while children, older adults (e.g., annually over 65), or those with chronic conditions may need more frequent visits. Discuss your individual needs with Dr. Khouly to determine an appropriate schedule.

London Health Sciences Centre
Unit Suite E1 102, 206-170 McEwan Dr E, Division Of Emergency Medicine
Bolton, ON, L7E 4C8

Phone: (905) 857-3474

Dr. Nihal Abdel Ghany El Said El Khouly 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: 81880

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/El-Khouly-Nihal-Abdel-Ghany-El-Said/0216592-81880

Family doctors like Dr. Khouly 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.