Breathing Difficulties: Which Specialist Should You Consult? - Pulmonology

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I am a senior student who has less than a month left before the university entrance exam.
Recently, I often feel like something is choking my neck, making it hard to breathe, along with slight chest tightness, dizziness, and symptoms of hypoxia.
I also frequently experience headaches.
Which medical specialty should I consult for these symptoms?

Yan, 10~19 year old female. Ask Date: 2021/12/27

Dr. Zhang Ziyan reply Pulmonology


Hello Ms.
Yan, based on the description of your symptoms, it is often the case that physiological conditions are triggered by emotional stress.
I recommend that you first consult a general internist to rule out any vital sign issues, and then consider seeking care from a psychosomatic or psychiatric specialist.
This is from the Department of Pulmonary Medicine at Changhua Hospital, Ministry of Health and Welfare, expressing our concern for you.

Reply Date: 2021/12/27

More Info


If you are experiencing breathing difficulties, a sensation of tightness around your neck, chest discomfort, dizziness, and headaches, it is crucial to seek medical attention promptly. These symptoms can be indicative of various underlying conditions, and consulting the right specialist is essential for accurate diagnosis and effective treatment.

Given the nature of your symptoms, the first step would be to visit a primary care physician or a general practitioner. They can perform an initial evaluation, including a physical examination and a review of your medical history. Based on their findings, they may refer you to a specialist if necessary.

1. Pulmonologist: If your symptoms are primarily respiratory, a pulmonologist, who specializes in lung and respiratory disorders, would be the appropriate specialist to consult. They can conduct tests such as pulmonary function tests, chest X-rays, or CT scans to assess your lung health and determine if any respiratory conditions, such as asthma, chronic obstructive pulmonary disease (COPD), or pulmonary embolism, are present.

2. Otolaryngologist (ENT Specialist): If the sensation of tightness around your neck is more pronounced, it may be beneficial to see an otolaryngologist. This specialist focuses on conditions affecting the ear, nose, and throat, and they can evaluate if there are any obstructions or issues in your throat or airway that could be contributing to your breathing difficulties.

3. Cardiologist: Given that you are experiencing chest discomfort and dizziness, it may also be wise to consult a cardiologist. They specialize in heart-related issues, and symptoms like chest pain and dizziness can sometimes be linked to cardiac conditions. A cardiologist can perform tests such as an electrocardiogram (ECG), echocardiogram, or stress tests to rule out any heart-related problems.

4. Neurologist: If your headaches and dizziness are severe or persistent, a neurologist may be necessary to rule out any neurological conditions that could be causing these symptoms. They can perform neurological examinations and imaging studies to assess brain function and structure.

5. Psychiatrist or Psychologist: Lastly, if your symptoms are exacerbated by stress or anxiety, which is common during exam periods, consulting a mental health professional may be beneficial. Anxiety can manifest physically, leading to sensations of tightness in the chest or throat, dizziness, and headaches. Cognitive-behavioral therapy (CBT) or other therapeutic approaches can help manage anxiety and improve your overall well-being.

In summary, start with a primary care physician who can guide you through the process and refer you to the appropriate specialists based on your symptoms. It is essential to address these symptoms promptly, especially as they can significantly impact your daily life and academic performance. Remember to communicate openly with your healthcare provider about all your symptoms and concerns to ensure you receive comprehensive care.

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