Which Specialist Should You See for Your Health Concerns? - Family Medicine

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Are you sick? Which specialty should you see?


Hello Doctor: This year I have encountered some health issues and would like your assistance in determining what avenues I should pursue to address my discomfort.

1.
I received my first dose of the Moderna vaccine on November 15.
Initially, I had no issues, but five days later, I began experiencing frequent dizziness, difficulty concentrating, and even blurred vision accompanied by a sensation of eye tremors.
What could be causing these symptoms?
2.
This year, the nail on my left thumb has become thinner and has taken on a wavy appearance.
What could be the underlying cause of this change?
3.
My tongue coating has thickened and turned very dark.
What could be causing this condition?
I appreciate your time and look forward to your response.
Thank you.

Xiao Rou, 30~39 year old female. Ask Date: 2021/11/26

Dr. Cai Dongqi reply Family Medicine


Hello, Xiaorou: 1.
Please visit the neurology department for a consultation.
2.
For trauma, lung, or liver diseases, please see a dermatologist first.
3.
I don't know.

Reply Date: 2021/11/26

More Info


Hello,
Thank you for reaching out with your health concerns. It’s understandable to feel anxious when experiencing multiple symptoms, especially after receiving a vaccination. Let’s address each of your concerns one by one and discuss the appropriate specialists you might consider consulting.

1. Dizziness and Visual Disturbances Post-Vaccination: After receiving the Moderna vaccine, experiencing dizziness, difficulty concentrating, and visual disturbances such as blurred vision and eye tremors can be concerning. While these symptoms can occur as side effects of vaccinations, they may also indicate other underlying issues. It’s essential to consult a neurologist or a primary care physician first. They can evaluate your symptoms, conduct necessary tests, and determine if these issues are related to the vaccine or if there’s another cause, such as vestibular dysfunction or neurological conditions.

2. Changes in Nail Appearance: The changes you described in your left thumb's nail—thinning and a wavy appearance—could be due to several factors, including nutritional deficiencies, fungal infections, or underlying health conditions such as psoriasis or eczema. A dermatologist would be the most appropriate specialist to evaluate your nails. They can perform a thorough examination and may take a sample for further analysis if needed.

3. Thick and Dark Coated Tongue: A thick, dark coating on the tongue can result from various factors, including poor oral hygiene, dehydration, smoking, or certain medical conditions. It can also be a sign of an overgrowth of bacteria or fungi in the mouth. A dentist or an oral health specialist can help assess your oral hygiene practices and determine if there’s an underlying condition that needs to be addressed. If necessary, they may refer you to a gastroenterologist if they suspect that the issue is related to digestive health.


Additional Considerations
Given the interconnectedness of bodily systems, it’s crucial to approach your symptoms holistically. Here are some additional tips:
- Keep a Symptom Diary: Document when your symptoms occur, their severity, and any potential triggers. This information can be invaluable for your healthcare providers.


- Stay Hydrated and Maintain Good Nutrition: Sometimes, symptoms like dizziness and changes in nail health can be exacerbated by dehydration or nutritional deficiencies. Ensure you are drinking enough water and consuming a balanced diet rich in vitamins and minerals.

- Mental Health: Given your concerns and the anxiety that can accompany health issues, consider speaking with a mental health professional. They can provide strategies to manage anxiety and help you cope with health-related stress.

- Follow-Up: After your initial consultations, ensure you follow up on any recommended tests or treatments. Keeping an open line of communication with your healthcare providers is key to managing your health effectively.

In summary, I recommend starting with a primary care physician for your dizziness and visual disturbances, a dermatologist for your nail concerns, and a dentist for your tongue issue. They can guide you through the necessary evaluations and referrals to ensure you receive comprehensive care. Remember, it’s essential to address your health concerns promptly and not hesitate to seek help.

Take care, and I wish you the best in your journey toward better health.

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