Miyakoshi Internal Medicine Clinic, located in Shiratoricho, Omihachiman City, Shiga Prefecture, is a specialized internal medicine clinic that also provides gastroenterology and gastrology services. The clinic focuses on gastroscopy, offering both transnasal and transoral endoscopy. Transnasal endoscopy, which is inserted through the nose, reduces patient burden, and upper gastrointestinal endoscopy is available. Services include Helicobacter pylori testing and treatment, as well as constipation consultations. Various examinations including health checkups are available, with a strong emphasis on preventive medicine. The facility has a parking lot and barrier-free accessibility, accommodating wheelchair users. English language services are provided, supporting multilingual healthcare environments. The clinic is closed on Thursdays and Sundays, as well as during year-end, New Year, and Obon holidays.