Which Specialist Should I See for Dizziness and Bruising Symptoms? - Cardiology

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Which department should I see?


The doctor said that I have been experiencing frequent dizziness and chest tightness.
I have a family history of thalassemia and also have hepatitis B, for which I am currently taking medication.
Recently, I have been noticing frequent bruising and pinpoint red spots on my lower limbs that appear and disappear.
Additionally, I sometimes feel a warm sensation on the outer side of my thigh.
Which specialty should I consult for this?

Yu, 10~19 year old female. Ask Date: 2019/05/11

Dr. He Dongjin reply Cardiology


Hello, please visit the Rheumatology Department for an examination at Changhua Hospital.
We care about your health.

Reply Date: 2019/05/11

More Info


Given your symptoms of dizziness, chest tightness, frequent bruising, and the presence of red pinpoint spots, it is essential to approach your healthcare concerns with a comprehensive strategy. Considering your family history of Mediterranean anemia and current treatment for hepatitis B, it would be prudent to consult with a hematologist first. A hematologist specializes in blood disorders and can evaluate your symptoms in the context of your known conditions, such as Mediterranean anemia, which can lead to various complications, including issues with blood clotting and bruising.

Dizziness and chest tightness can be multifactorial. They may stem from cardiovascular issues, hematological conditions, or even anxiety. A thorough evaluation by a hematologist can help determine if your bruising and red spots are related to your blood condition or if they indicate another underlying issue. They may conduct blood tests to assess your platelet count, clotting factors, and overall blood health.
Additionally, given your history of hepatitis B, it would also be wise to consult a hepatologist or a gastroenterologist who specializes in liver diseases. They can evaluate whether your current treatment for hepatitis B is contributing to your symptoms or if there are any liver-related complications that need to be addressed.
If your dizziness persists or worsens, it may also be beneficial to see a neurologist. They can rule out any neurological causes of dizziness, especially if you experience other symptoms such as headaches, visual disturbances, or changes in coordination.

In summary, the best course of action would be to start with a hematologist to address your bruising and red spots, while also keeping your hepatologist informed about your symptoms related to hepatitis B. If necessary, they can refer you to other specialists based on their findings.
It is crucial to communicate all your symptoms clearly during your consultations, including the frequency and duration of your dizziness, the characteristics of your bruising, and any other associated symptoms. This information will help your healthcare providers make an accurate diagnosis and develop an appropriate treatment plan.
Lastly, while waiting for your appointments, ensure you maintain a healthy lifestyle, stay hydrated, and avoid any activities that could lead to injury, given your tendency to bruise easily. If you experience severe symptoms, such as significant chest pain, shortness of breath, or neurological changes, seek immediate medical attention.

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