Which Medical Specialty Should I See for My Symptoms? - Family Medicine

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I'm not sure which specialty to see?


Since yesterday, I have been experiencing excessive saliva production and I don't know why.
Shortly after swallowing, I feel the need to swallow again.
Recently, I have also been feeling very tired and drowsy, and I have a slight headache when I want to eat.
My gastrointestinal system feels uncomfortable, and I feel like my memory is a bit impaired.
I'm not sure what the issue is.
Should I see a specialist or get a health check-up?

max, 20~29 year old female. Ask Date: 2017/12/17

Dr. Ye Qianyu reply Family Medicine


Hello, if your symptoms persist, it is recommended that you visit a neurology clinic.
Thank you for your inquiry, and I wish you a speedy recovery!

Reply Date: 2017/12/17

More Info


Based on the symptoms you've described, it would be advisable to consult with a primary care physician first. They can perform an initial evaluation and determine if you need to see a specialist. Your symptoms, which include excessive salivation, fatigue, dizziness, gastrointestinal discomfort, mild headaches, and memory issues, could be indicative of a variety of underlying conditions.

1. Primary Care Physician: This is usually the best starting point. They can assess your overall health, review your medical history, and conduct a physical examination. They may also order basic laboratory tests to check for common issues such as thyroid function, blood sugar levels, and electrolyte imbalances that could explain your symptoms.

2. Neurologist: If your primary care physician suspects that your symptoms may be related to neurological issues, such as memory problems or dizziness, they might refer you to a neurologist. Neurologists specialize in disorders of the nervous system, including the brain, spinal cord, and nerves. They can conduct more specialized tests, such as MRI or CT scans, to evaluate brain function.

3. Gastroenterologist: Given your gastrointestinal discomfort, if your primary care physician feels that your symptoms are primarily digestive, they may refer you to a gastroenterologist. This specialist can evaluate conditions such as gastroesophageal reflux disease (GERD), gastritis, or other gastrointestinal disorders that might be causing your symptoms.

4. Endocrinologist: If there are indications of hormonal imbalances, such as fatigue and changes in appetite, an endocrinologist may be consulted. They specialize in hormone-related conditions, including thyroid disorders and diabetes.

5. Psychiatrist or Psychologist: If your memory issues and fatigue are linked to stress, anxiety, or depression, a mental health professional may be beneficial. They can provide therapy and, if necessary, medication to help manage your symptoms.


Additional Considerations
- Health Check-Up: If you haven't had a comprehensive health check-up recently, it might be a good idea to schedule one. This can help rule out any systemic issues that could be contributing to your symptoms.

- Lifestyle Factors: Consider your lifestyle as well. Factors such as sleep quality, diet, hydration, and stress levels can significantly impact your overall health. Keeping a journal of your symptoms, diet, and daily activities can provide valuable information to your healthcare provider.

- Emergency Symptoms: If you experience severe symptoms such as extreme dizziness, fainting, severe headaches, or any other alarming signs, seek immediate medical attention.

In summary, starting with a primary care physician is the best approach. They can guide you through the process of diagnosis and treatment, ensuring that you receive the appropriate care for your symptoms. Remember, it's important to communicate all your symptoms clearly to your healthcare provider, as this will help them make a more accurate diagnosis.

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