Unexplained Symptoms: When to Seek Medical Help for Your Health Issues - Family Medicine

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I've been feeling unwell and experiencing some unusual symptoms lately?


Hello doctor, I have been experiencing bloating, poor appetite, a feeling of heaviness in my abdomen, chest tightness and pain, left flank pain radiating to my ankle, body heat, easy fatigue, frequent urination, and a change in taste for about one to two weeks.
Yesterday while showering, I noticed many small white bumps around my breast areola.
Which specialty should I consult for these symptoms?

Tang Tang, 30~39 year old female. Ask Date: 2016/05/11

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your inquiry, the overall symptoms are quite nonspecific.
It is recommended to arrange for a self-paid health check evaluation.
Additionally, for breast issues, you may consult a breast surgeon for further examination at Changhua Hospital.
We care about you.

Reply Date: 2016/05/11

More Info


When experiencing unexplained symptoms such as bloating, loss of appetite, abdominal discomfort, chest pain, lower back pain radiating to the ankle, fever, fatigue, frequent urination, changes in taste, and the appearance of white bumps on the breast, it is crucial to seek medical attention. These symptoms can be indicative of various underlying health issues, and timely evaluation by a healthcare professional is essential for proper diagnosis and treatment.

Given the range of symptoms you are experiencing, it would be advisable to start by consulting a primary care physician or a family doctor. They can perform a comprehensive assessment, including a physical examination and necessary laboratory tests, to determine the underlying cause of your symptoms. Depending on their findings, they may refer you to a specialist for further evaluation.

For instance, the gastrointestinal symptoms such as bloating, loss of appetite, and abdominal discomfort could suggest gastrointestinal disorders like gastritis, peptic ulcers, or even irritable bowel syndrome. A gastroenterologist would be the appropriate specialist to consult if your primary care physician suspects a gastrointestinal issue.

The chest pain and back pain could be related to musculoskeletal issues, but they could also indicate more serious conditions such as cardiac problems, especially if accompanied by other symptoms like fatigue and fever. If your primary care physician deems it necessary, they may refer you to a cardiologist for further evaluation.

The white bumps on the breast could be a benign condition such as Montgomery glands or a sign of an infection or other breast-related issues. A visit to a gynecologist or a breast specialist would be recommended to assess these changes and determine if any further investigation, such as imaging or biopsy, is needed.

It is important to note that symptoms like fever and fatigue can be systemic and may indicate an infection or inflammatory process in the body. Therefore, it is essential to communicate all your symptoms clearly to your healthcare provider, including the duration and severity of each symptom, as this information will aid in forming a differential diagnosis.

In summary, the best course of action is to make an appointment with your primary care physician, who can guide you through the diagnostic process. They will help you navigate the healthcare system and ensure that you receive the appropriate referrals to specialists if needed. Remember, it is always better to err on the side of caution when it comes to unexplained health issues. Early intervention can lead to better outcomes and peace of mind.

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