Confused About Which Specialist to See for My Symptoms? - Family Medicine

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Unsure which specialty to consult?


Frequent dizziness or headaches, mild anemia (but it's been a year since I started medication), palpitations, shortness of breath, sore throat, irregular menstrual cycle with low flow, abdominal pain, nausea, constipation, low blood pressure, and I fainted two days ago.
Someone suggested I get my thyroid checked at the end of August.
What tests should I undergo?

vivian, 10~19 year old female. Ask Date: 2017/09/17

Dr. Ye Qianyu reply Family Medicine


Hello! I recommend that you first visit a family medicine or general internal medicine clinic.
Thank you for your inquiry!

Reply Date: 2017/09/17

More Info


It sounds like you're experiencing a range of concerning symptoms, including dizziness, palpitations, difficulty breathing, throat pain, menstrual irregularities, abdominal pain, nausea, constipation, and low blood pressure. Additionally, you mentioned fainting, which is particularly alarming. Given the complexity and variety of your symptoms, it's essential to approach this situation methodically.

First and foremost, it’s crucial to consult a healthcare professional who can conduct a thorough evaluation. Since your symptoms are multifaceted, starting with a primary care physician (PCP) would be a good first step. Your PCP can perform an initial assessment, including a physical examination and a review of your medical history. They can also order necessary laboratory tests, such as blood tests to check for anemia, thyroid function, and other potential underlying conditions.

Given that you mentioned having low blood pressure and a history of fainting, it’s essential to rule out any cardiovascular issues. Your doctor may recommend an electrocardiogram (ECG) to assess your heart's rhythm and function. If necessary, they might refer you to a cardiologist for further evaluation.

Since you also mentioned symptoms like throat pain and difficulty breathing, it might be worthwhile to see an ear, nose, and throat (ENT) specialist. They can evaluate any potential issues related to your throat and respiratory system, which could be contributing to your symptoms.

Additionally, considering your menstrual irregularities and abdominal pain, consulting a gynecologist would be beneficial. They can assess whether there are any reproductive health issues that need to be addressed, such as hormonal imbalances or other gynecological conditions.

You mentioned that someone suggested checking your thyroid function. This is a wise consideration, as thyroid disorders can lead to a variety of symptoms, including fatigue, menstrual irregularities, and changes in weight. Your PCP can order thyroid function tests to evaluate this.

In summary, here’s a suggested approach:
1. Visit a Primary Care Physician (PCP): Start with a comprehensive evaluation, including blood tests and a physical examination.


2. Cardiologist Referral: If your PCP finds any cardiovascular concerns, they may refer you to a cardiologist for further testing.

3. ENT Specialist: If throat pain and breathing difficulties persist, an ENT specialist can help identify any issues.

4. Gynecologist: For menstrual irregularities and abdominal pain, a gynecologist can provide specialized care.

5. Thyroid Function Tests: Ensure that your thyroid function is assessed, as this could be a contributing factor to your symptoms.

It's important to communicate openly with your healthcare providers about all your symptoms, their duration, and any other relevant medical history. Keeping a symptom diary may also help you track when symptoms occur and any potential triggers, which can be valuable information for your doctors.

Lastly, if you ever feel that your symptoms are worsening or if you experience severe symptoms like chest pain, shortness of breath, or severe dizziness, seek emergency medical attention immediately. Your health and safety are paramount, and timely intervention can make a significant difference.

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