Which Medical Specialty Should I See for My Weight Loss and Swelling Issues?

I would like to ask which department I should visit?

I have been taking weight loss pills for a long time, but when I'm not taking them, my face really gets swollen, looking like a pig's head when I wake up.
I often feel fatigued and can sleep up to 18 hours a day for several consecutive days.
I'm wondering which specialty I should see if I experience swelling without the medication?

Tang Tang, 20~29 year old female. Ask Date: 2019/04/24

Dr. Ke Taiyuan reply Internal Medicine

Hello, thank you for your inquiry.
There are many causes of edema.
It is recommended to seek further evaluation at a general internal medicine or nephrology clinic.
The Chiayi Hospital of the Ministry of Health and Welfare cares about you!

Reply Date: 2019/04/24

More Info

When dealing with weight loss and swelling issues, it is essential to consult a healthcare professional who can provide a comprehensive evaluation of your condition. Given your symptoms of significant swelling, fatigue, and excessive sleep, it would be advisable to see a specialist in Internal Medicine or a Family Medicine practitioner first. These specialists can assess your overall health, review your medical history, and conduct necessary tests to determine the underlying causes of your symptoms.

Why Internal Medicine or Family Medicine?
1. Comprehensive Evaluation: Internists and family medicine doctors are trained to handle a wide range of health issues, including metabolic disorders, hormonal imbalances, and nutritional deficiencies, which could contribute to both weight gain and swelling.

2. Management of Medications: Since you mentioned taking weight loss medications, these specialists can evaluate the effects of these drugs on your body. Some weight loss medications can lead to side effects such as fluid retention or fatigue, and a doctor can help determine if your current regimen is appropriate or if adjustments are necessary.

3. Referral to Other Specialists: If your doctor suspects that your symptoms may be related to specific conditions such as heart issues, kidney problems, or hormonal disorders (like hypothyroidism), they can refer you to the appropriate specialists, such as a cardiologist, nephrologist, or endocrinologist.

What to Expect During Your Visit:
- Medical History Review: Be prepared to discuss your weight loss efforts, any medications you are taking, your diet, exercise habits, and the duration and severity of your swelling and fatigue.

- Physical Examination: The doctor will likely perform a physical exam to check for signs of fluid retention, assess your overall health, and evaluate your heart and lung function.

- Laboratory Tests: Blood tests may be ordered to check for electrolyte imbalances, kidney function, liver function, thyroid levels, and other markers that could explain your symptoms.

- Lifestyle Assessment: Your doctor may discuss your lifestyle, including diet and exercise, to identify areas for improvement that could help with weight management and overall health.

Additional Considerations:
- Nutrition: Consulting with a registered dietitian can also be beneficial. They can help you develop a balanced eating plan that supports weight loss while addressing any nutritional deficiencies that may contribute to fatigue and swelling.

- Hydration: Sometimes, swelling can be exacerbated by dehydration or excessive sodium intake. Your healthcare provider can guide you on proper hydration and dietary choices.

- Mental Health: If you are experiencing significant fatigue and emotional distress related to your weight and health, consider speaking with a mental health professional. They can provide support and strategies to cope with the psychological aspects of weight loss and body image.

In conclusion, starting with a visit to an Internal Medicine or Family Medicine specialist is a prudent step in addressing your weight loss and swelling concerns. They will provide a thorough evaluation and guide you toward the appropriate treatment and lifestyle modifications to improve your health. Remember, effective weight management is a multifaceted approach that includes medical, nutritional, and psychological support.

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