Which Specialist Should You See for Persistent Dizziness and Pain? - Neurology

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Which specialty should I see?


Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head.
My breathing is not as smooth as before, and I feel like I am breathing more frequently...
I'm not sure which specialist I should see.

San ge xiao hai de ma, 40~49 year old female. Ask Date: 2022/11/23

Dr. Cai Zongzhang reply Neurology


Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.

Reply Date: 2022/11/23

More Info


If you are experiencing persistent dizziness and pain, particularly localized in the right back of your head, it is essential to seek medical attention promptly. Given your symptoms, the first step would be to consult 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, to determine the underlying cause of your symptoms.

Based on the findings from your primary care visit, they may refer you to a specialist. Here are a few specialists you might consider seeing, depending on the results of your initial evaluation:
1. Neurologist: If your dizziness and head pain are suspected to be related to neurological issues, a neurologist would be the appropriate specialist. They can assess for conditions such as migraines, tension headaches, vestibular disorders, or even more serious conditions like a stroke or brain tumor.

2. Otolaryngologist (ENT): If your dizziness is accompanied by ear-related symptoms (like ringing in the ears or hearing loss), an ENT specialist may be necessary. They can evaluate for inner ear disorders, which can often cause dizziness and balance issues.

3. Pulmonologist: Since you mentioned that your breathing feels different and more labored, a pulmonologist may be needed to assess your respiratory function. They can evaluate for conditions such as asthma, chronic obstructive pulmonary disease (COPD), or other lung-related issues that could contribute to your symptoms.

4. Cardiologist: If there are concerns about your heart function, especially if you experience palpitations or chest pain along with dizziness, a cardiologist may be appropriate. They can perform tests to assess your heart's health and rule out any cardiovascular issues.

5. Physical Therapist: If your dizziness is related to balance issues or vestibular problems, a physical therapist specializing in vestibular rehabilitation can help. They can provide exercises and strategies to improve your balance and reduce dizziness.

In the meantime, it is crucial to monitor your symptoms closely. If you experience any worsening of your condition, such as severe headache, vision changes, weakness, or difficulty speaking, seek emergency medical care immediately. These could be signs of a more serious condition that requires urgent attention.

Additionally, maintaining a symptom diary can be helpful. Note when the dizziness occurs, its duration, any associated symptoms, and any potential triggers. This information can assist your healthcare provider in making a more accurate diagnosis.

In summary, start with a visit to your primary care physician, who can guide you on the next steps based on your symptoms. Early intervention is key to addressing any underlying health issues effectively.

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