Plan Phnom Penh Medical Access

Abstract

Public-source refresh on 2026-05-08 found/listed Biomed FOB/stool direct exam/calprotectin/CBC/iron rows and no public Biomed FIT, SIBO hydrogen-methane breath test, bile-acid diarrhea test, or JAK2/CALR/MPL rows. RPPH is the strongest local hospital route: official pages show 128-slice CT, cardiology/cath lab, sleep specialist care with PSG/HSAT, heart packages including echocardiogram and CTA Coronary, and a liver package poster listing FibroScan plus upper-abdominal ultrasound. Old 2024 RPPH papers also confirm historical local delivery of right-leg arterial Doppler and hip/pelvis radiology with a USD 464.90 outpatient bill. Exact CAC-vs-CCTA deliverables, plaque-report fields, standalone FibroScan access, and molecular hematology send-out options still require phone confirmation.

phnom-penh · cambodia · hospitals · cardiology · imaging · dental · logistics · costs · pharmacies · devices

Phnom Penh Medical Access Guide

Healthcare Infrastructure · Costs · Availability · Phnom Penh, Cambodia

This is the canonical local-logistics page. Specialty articles should link here for access/cost/call-script details rather than duplicating hospital notes that can go stale.

Key Hospitals in Phnom Penh

Royal Phnom Penh Hospital (RPPH)

Operator: BDMS Group (Bangkok Dusit Medical Services) — Thailand's largest private hospital chain
Cardiology: Cardiology Center with Thai cardiac specialists, Cardiac Catheterization Lab, Cardiac Care Unit. Performs percutaneous coronary intervention (PCI).
Historical personal paper trail: 2024-01-22 RPPH outpatient workup delivered right lower-extremity arterial Doppler, hip/pelvis radiology, cardiology/orthopedic review, and medication dispensing. Private archive ID rpph-2024-01-22-cardiology-orthopedic-papers.
Imaging: Official 128-slice CT scanner page plus an official “CT scan package for coronary screening.” The 2026 Heart Packages poster also lists CTA Coronary in Platinum. Treat RPPH as a real local coronary-CT route, but call before booking to confirm CAC vs contrast CCTA vs both, ECG gating, report fields, radiation dose, and package/standalone price (023 991 000 / 012 991 000).
Echocardiogram: Public 2026 Heart Packages poster lists echocardiogram in Gold and Platinum packages; this remains the priority local baseline route for Lp(a)-related aortic-valve screening.
Sleep apnea: Public RPPH sleep article describes sleep specialist consultation, in-lab polysomnography, and home sleep apnea testing (HSAT); use as Phnom Penh-first route if OSA triggers appear.
Endoscopy: Dedicated GI specialists offering gastroscopy and colonoscopy packages
Liver screening: Public RPPH Healthy Liver Screening Package poster lists FibroScan plus upper-abdominal ultrasound (liver/pancreas/gallbladder) and physician examination. The poster offer date expired on 2025-12-31; use this only as a service lead until phone confirmation of current availability, kPa/CAP reporting, and price.
Standards: JCI accredited. "Hospital of the Year – Cambodia" award.
Language: English-speaking staff

Khema International Hospital

Locations: Toul Kork (#18, St. 528, 099 667 066) and BKK1 (28, Street 294, +855 89 911 911)
Services: Cardiology, 24/7 emergency, ICU, advanced diagnostics. French-trained doctors (Dr. Sok, graduated in France).
CT scanner: Unconfirmed if they have cardiac-rated CT (128+ slice with ECG gating). General CT likely available but cardiac angiography requires specific capabilities. Call to ask.
Reputation: Listed in Australian Embassy medical providers. Solid facility but smaller than RPPH.

Bumrungrad Hospital Bangkok — Phnom Penh Office

Location: 4th floor, Building 19&20, EXCHANGE SQUARE, St. 106, Phnom Penh
Accreditation: JCI Accredited
Doctors: 1,200+ at main Bangkok hospital
Open: 9am-9pm
Role: Consultation/booking office for Bumrungrad Bangkok — can arrange referral, testing, and treatment in Bangkok
Relevance: Direct pathway to Bangkok for Repatha, advanced cardiac workup, or Lp(a) specialist referral

Rung Reung Heart Clinic

Specialized cardiac screening clinic in Chrouy Changvar, Phnom Penh
Cardiac screening: $50-$150
Good for basic cardiac assessment (ECG, echo) — may not have advanced imaging

KHMER-THAI HOSPITAL / Calmette Hospital

Calmette: Public teaching hospital with cardiology department (Dr. Youdaline Theng, cardiology specialist)
Lower cost but potentially more language barrier and longer wait times

Service Availability & Cost Estimates

Public-source snapshot (checked 2026-05-08)

Domain	Route	Public status	Source / verified date	Practical decision
Stool blood	Biomed FOB / Occult Blood / Stool Occult Blood	Listed, stool, 1 day, $7.50; duplicate tariff aliases appear	Biomed tariff page scrape, 2026-05-08	Usable cheap repeat bridge; not FIT-equivalent.
Stool microscopy	Biomed Stool Direct Exam	Listed, stool, 1 day, $2.00	Biomed tariff page scrape, 2026-05-08	Pair with FOB when repeating spontaneous stools.
FIT / quantitative FIT	Biomed	No public tariff row found for `FIT`	Biomed tariff page scrape, 2026-05-08	Ask counter about send-out only; do not assume available.
Calprotectin	Biomed Calprotectin / Stool	Listed, stool, 3-5 days, $65.00	Biomed tariff page scrape, 2026-05-08	Available if inflammatory relapse question returns.
CBC / iron	Biomed CBC/Hg, Hemogram/NFS, ferritin, iron, TIBC, transferrin, transferrin saturation	CBC $2.50; ferritin $7.50; iron $1.50; TIBC $7.75; transferrin $6.25; transferrin saturation $12.50	Biomed tariff page scrape, 2026-05-08	Local first-line monitoring route.
Peripheral smear	Biomed	Public row found only for malaria antigen + blood smear, not clinician-reviewed peripheral blood film/morphology	Biomed tariff page scrape, 2026-05-08	If CBC remains abnormal, ask hematology/RPPH for proper smear review rather than assuming Biomed routine CBC answers morphology.
JAK2/CALR/MPL	Biomed	No public tariff rows found	Biomed tariff page scrape + web search, 2026-05-08	Treat as hospital/referral/send-out question if platelet/WBC branch persists.
SIBO breath test	Biomed / public Phnom Penh search	No public hydrogen + methane SIBO breath-test route found	Biomed tariff + web search, 2026-05-08	Ask GI/RPPH only if symptom branch persists; Bangkok/lab-kit fallback is not first-line.
BAD/BAM testing	Biomed	No public SeHCAT, serum C4-for-BAD, FGF19, or fecal bile-acid rows found	Biomed tariff scrape, 2026-05-08	Drop unless watery urgency becomes recurrent; empirical binder trial is clinician-led only.
Coronary CT	RPPH	128-slice CT page; CT coronary-screening package page; Heart Package Platinum poster lists CTA Coronary	RPPH official pages/posters, 2026-05-08	Local coronary-CT route exists; phone must confirm CAC vs CCTA, contrast, gating, report fields, radiation, and price.
Echo	RPPH	Heart Packages poster lists echocardiogram in Gold and Platinum; cardiology center active	RPPH official poster/page, 2026-05-08	Reasonable local baseline aortic-valve route.
Lower-extremity arterial Doppler	RPPH	Historical personal bill/report: right lower-extremity arterial Doppler completed 2024-01-22; ultrasound/Doppler line items totaled about $252 within a $464.90 outpatient bill	Private paper archive, 2024-01-22	Confirms local route exists; treat price as historical, not current tariff.
Hip/pelvis X-ray/radiology	RPPH	Historical personal reports: pelvis AP and hip/frog-leg views completed 2024-01-22; diagnostic imaging line items about $72	Private paper archive, 2024-01-22	Confirms local routine radiology route; not a current price quote.
Sleep apnea	RPPH	Sleep specialist article lists in-lab PSG and HSAT	RPPH official sleep article, 2026-05-08	Phnom Penh-first route if BP/symptom/watch triggers appear.
FibroScan / liver ultrasound	RPPH	Healthy Liver poster lists FibroScan + upper-abdominal ultrasound. The poster offer date expired on 2025-12-31.	RPPH official poster, 2026-05-08	Service lead only until phone confirms current availability, kPa/CAP reporting, and price.

Cardiac Imaging

Test	Where	Public status / cost
ECG	RPPH, Rung Reung, Calmette	RPPH heart-package poster includes EKG; standalone price not public.
Echocardiogram	RPPH; likely Rung Reung	RPPH Gold/Platinum packages include echocardiogram; package prices shown elsewhere as Silver $299, Gold $399, Platinum $699, effective until Dec 31 2026.
Cardiac screening (basic)	Rung Reung	Prior public/clinic lead: $50-$150; re-confirm before relying on it.
CAC Score	RPPH coronary-screening route likely relevant but not text-confirmed	RPPH CT coronary package page has no readable inclusions/price; call. Bangkok Heart Hospital listed 5,200 THB on the prior pass.
CCTA / CTA Coronary	RPPH Platinum Heart Package; RPPH MI page also lists CT angiogram diagnostically	RPPH Platinum package poster lists CTA Coronary; call to confirm contrast CCTA protocol and report fields.
Stress test / Troponin	RPPH, Calmette	Heart package poster lists EST; Biomed hs-troponin T previously available at $15.

Source note (2026-05-08): RPPH official pages checked: 128-slice CT scanner, CT coronary-screening package, cardiology center, acute MI diagnostic page, Heart Packages posters, sleep-test article, and Healthy Liver poster. Biomed tariff was scraped directly from the live table; prices are subject to change.

GI Procedures

Procedure	Where	Est. Cost
Gastroscopy	RPPH (BDMS endoscopy packages)	$150-400
Colonoscopy	RPPH (BDMS)	$200-500
Bidirectional (gastro+colon)	RPPH	$300-700 estimate; verify current package/combined pricing directly

Liver / MASLD / Fibrosis Screening

Route	Public status	Use here
Biomed liver-function blood panel	Official Biomed service/tariff route; routine LFT components are publicly listed and cheap, but blood tests do not stage fibrosis	Cheap lab recheck if liver branch is triggered; does not detect steatosis/fibrosis by itself.
RPPH Healthy Liver Screening Package	Official RPPH poster checked 2026-05-08 lists Fatty Liver $189, Viral Liver $239, Premium Liver $299; all include FibroScan and upper-abdominal ultrasound. The poster offer date expired on 2025-12-31.	Treat as an official-but-expired service lead requiring phone confirmation. Ask whether FibroScan/VCTE can be booked standalone and whether the report includes liver stiffness in kPa plus CAP/steatosis score.
Abdominal ultrasound	RPPH poster explicitly lists upper-abdominal ultrasound for liver/pancreas/gallbladder	Useful for gallbladder/organ-size/steatosis clues when triggered; not a fibrosis-staging substitute.

Liver call-script: “I need liver fibrosis/steatosis risk stratification, not just routine LFTs. Can I book FibroScan/VCTE? Will the report include liver stiffness in kPa, IQR/median reliability, probe used, CAP or steatosis score, and physician interpretation? Can upper-abdominal ultrasound be added or separated from the package?”

Sleep Apnea Testing

Route	Public status	Use here
RPPH sleep consultation / sleep lab	Official RPPH pages describe sleep specialist care, in-lab polysomnography, and HSAT	First local route if sleep/BP triggers appear; ask for device type, AHI/ODI, oxygen nadir/time-below-90%, and physician interpretation
Roomchang Dental Hospital	Official dental page describes one-night home monitoring and oral appliance treatment	Consider mainly for snoring/oral-appliance pathway after diagnostic clarity; not first-line cardiovascular-risk workup
Bangkok Hospital WatchPAT	Official Bangkok page describes WatchPAT home testing	Fallback if Phnom Penh route is unavailable or unclear

Dental / Periodontal Care

Route	Public status	Use here
Roomchang Dental Hospital	Official site lists a large dental hospital, English/Khmer service, autoclave sterilization, phone 023 211 338 / 011 811 338, and a dentist with diploma in periodontology plus focus on periodontal disease treatment	First high-capacity local route for periodontal charting, dental X-rays if needed, scaling/root planing, and referral inside the clinic if deeper periodontal disease is found.
Malis Dental Clinic	Official periodontitis page lists periodontal treatment, recommends cleaning every 3-6 months, and gives English/Japanese/Khmer contact numbers	Practical second route for routine check/cleaning and periodontitis management.
Pagna Dental Clinic	Official periodontal-treatment page lists gum-disease warning signs: bleeding gums, red/swollen/tender gums, unpleasant taste, chewing pain, recession, mobile/drifting teeth, and pus	Useful symptom checklist and local lead; verify exact periodontal charting/treatment capability when booking.

Dental call-script: “I want a periodontal screening because blood markers are persistently inflammatory. Please record pocket depths, bleeding on probing, gum recession/attachment loss, tooth mobility, furcation if relevant, and whether X-rays show bone loss or abscess. If periodontitis is present, can you do scaling/root planing and give a maintenance interval?”

Source note (2026-05-04): Roomchang homepage/staff pages (https://roomchang.com/, https://roomchang.com/m/meet-our-staff/), Malis periodontitis page (https://malis-dental.com/en/dental-care/periodontitis), and Pagna periodontal-treatment page (https://pagnadental.com/periodontal-treatment/). Treat public pages as service leads; exact clinician/treatment plan still needs booking confirmation.

SIBO / Hydrogen-Methane Breath Testing / Bile-Acid Diarrhea

Local availability remains unconfirmed after 2026-05-08 public-source refresh. No official Phnom Penh source was found that clearly advertises hydrogen/methane SIBO breath testing, SeHCAT, serum C4-for-BAD, FGF19, or fecal bile-acid testing.
Biomed tariff scrape on 2026-05-08 found no FIT, SeHCAT, BAD-specific C4, FGF19, fecal bile-acid, hydrogen/methane, or SIBO rows; do not treat Biomed as a BAD/SIBO-testing route unless the counter confirms a send-out.
RPPH has a GI Center and lists gastroscopy/colonoscopy, but not breath or BAD testing on its public GI page.
Khmer Medical lists Phnom Penh gastroenterologists who can review bloating/SUDD/SIBO/BAD-like symptoms, but public listings do not confirm test access.
Call-script: “Do you offer hydrogen and methane breath testing for SIBO/IMO, using glucose or lactulose substrate, and do you report methane as well as hydrogen? If repeated stool logs show chronic watery urgency, can you test bile-acid diarrhea with SeHCAT, fasting serum C4, or 48-hour fecal bile acids, or would treatment be only empirical?”

Home Monitoring Devices / Pharmacy Delivery

Preferred ordering path: Grab Mart search across UCare and other major pharmacy/home-care merchants, then verify the exact model before buying. UCare itself is an officially registered Cambodian pharmacy network and offers delivery through multiple apps; GrabMart search results also index UCare and home-care equipment merchants in Phnom Penh.
BP monitor rule: buy a validated upper-arm cuff with the correct cuff circumference. Confirm model number and cuff range in cm from the listing or pharmacy chat before ordering.
Good search terms: Omron blood pressure, Microlife blood pressure, A&D blood pressure, upper arm blood pressure monitor, plus the exact model (for example HEM-7361T).
Validation check: look up the exact model in STRIDE BP or ValidateBP. Brand alone is not enough; validation is model-specific.
Current sourcing note (2026-05-03): Omron Cambodia/Asia pages list upper-arm connected models including HEM-7361T, HEM-7156T, HEM-7143T1, HEM-7142T1, and HEM-7141T1. STRIDE BP confirms HEM-7361T; HEM-7143T1/M2 Intelli IT variants appear in STRIDE BP home-device lists. HEM-7141T1/7142T1 were found on Omron pages but not confirmed in STRIDE/PubMed during this pass.
Avoid as first choice: generic CK-A156 devices indexed on GrabMart/home-care pages unless the seller can provide validation evidence. Search found device listings and FDA-clearance-style material, but not STRIDE BP / ValidateBP confirmation.

Repatha (Evolocumab) — PCSK9 Inhibitor

Legacy access notes below require direct refresh before use; PCSK9 escalation logic is owned by Prevention Status + CVD Burden and Lp(a) Therapy Watchlist.

Not found available in Cambodia directly — no online pharmacy or hospital listing for Repatha in Phnom Penh
Bangkok source: Repatha is available in Thailand at BDMS hospitals (Bangkok Hospital, Bumrungrad, etc.)
Legacy Thailand cost estimate: verify current hospital/pharmacy price before relying on it. Prior rough note: Repatha 140mg autoinjector estimated THB 3,000-6,000/month ($85-170/month).
Access strategy: Use Bumrungrad Phnom Penh office (Exchange Square, St.106) to arrange supply or visit Bangkok for prescription
Can also arrange Repatha supply through RPPH (BDMS network) — they may be able to source from Thailand

IV Iron (Ferinject/Ferric Carboxymaltose)

Available at major private hospitals with infusion capability
RPPH has the infrastructure for IV infusion
Cost: estimated $50-150 per infusion session (varies by dose)
If oral iron (bisglycinate) fails after 8 weeks or a clinician recommends IV repletion, IV iron is likely a hospital/hematology route; verify directly before relying on RPPH availability, formulation, dose, and price.

Lp(a) Specialist Referral

For comprehensive Lp(a) management and advanced testing:

Bangkok (closest high-end option):
- Siriraj Hospital (Mahidol University) — Division of Cardiology, has published Lp(a) research on Thai populations
- Heart Center, Bangkok Hospital Pattaya — offers ApoB, Lp(a), sdLDL testing and management
- H.U.M. Clinic Bangkok — specialized in ApoB, Lp(a), cardiovascular risk assessment

Phnom Penh (local baseline):
- RPPH cardiology team (Thai specialists) can handle basic workup and order Lp(a) testing

Key Takeaways

RPPH (Royal Phnom Penh Hospital, BDMS group) is the strongest local workup hub: 128-slice CT, cardiology/cath lab, heart packages with echo and CTA Coronary, GI endoscopy packages, sleep testing/consultation, and liver package poster with FibroScan + upper-abdominal ultrasound.
CCTA/CAC: public evidence is now stronger than “maybe” because RPPH lists CTA Coronary in Platinum and a CT coronary-screening page exists, but the booking question is still exact content: CAC, contrast CCTA, or both; ECG gating; stenosis/plaque fields; radiation dose; and price.
Echocardiogram: RPPH Heart Packages list echo in Gold/Platinum; use this as the Phnom Penh-first baseline aortic-valve route.
Biomed stool-blood logistics: FOB/occult blood is listed at $7.50 and Stool Direct Exam at $2; FIT/quantitative FIT is not public, so ask counter about send-out but do not treat it as available.
Biomed CBC/iron logistics appear cheap and practical as of the 2026-05-08 public tariff scrape; clinician-reviewed peripheral smear and JAK2/CALR/MPL are not public Biomed rows and belong to hospital/hematology/send-out confirmation if triggered.
SIBO and bile-acid testing remain unconfirmed locally; ask GI/RPPH only if logs make the branch actionable.
Liver/FibroScan: RPPH poster lists a service lead and legacy package prices ($189/$239/$299), but the poster offer date expired on 2025-12-31; use this only as a service lead until phone confirmation of current availability, kPa/CAP reporting, and price.
Dental/periodontal source check remains locally feasible; Roomchang is the highest-capacity first lead, with Malis/Pagna as practical alternatives. Ask for periodontal charting rather than just cosmetic cleaning.
Home BP devices: order through Grab Mart/UCare-style pharmacy channels when possible, but verify exact model/cuff size/validation first; generic unvalidated monitors are not good enough for medical decision-making.