Which Specialist Should I Consult for Health Issues from Unknown Herbal Medicine?

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Hello, I have psoriasis and a family history of lupus in my mother.
For certain reasons, I have been taking unknown traditional Chinese medicine for six months.
Now, if I want to know whether this medication has had any adverse effects on my health, which medical specialty should I consult for examination? Thank you.

Xiao Jun, 20~29 year old female. Ask Date: 2006/04/10

Dr. Zhan Deqin reply Family Medicine

You can start with a general physical examination at a family medicine clinic, primarily to check for any abnormalities in liver and kidney function.
For further evaluation, you may need to visit a toxicology department; however, most general hospitals do not have a toxicology department, which is typically available at medical centers like Taichung Veterans General Hospital.

Reply Date: 2006/04/10

More Info

When dealing with health issues arising from the use of unknown herbal medicine, particularly after a prolonged period of consumption, it is crucial to consult a specialist who can provide a comprehensive evaluation of your health status. Given your specific situation—having psoriasis and a family history of lupus erythematosus—there are several steps you can take to ensure you receive the appropriate care.

1. Consult a Dermatologist: Since you have psoriasis, your first point of contact should be a dermatologist. Dermatologists specialize in skin conditions and can assess the current state of your psoriasis. They can also evaluate any potential skin reactions or exacerbations that may have arisen from the herbal medicine. They will be able to conduct a thorough examination and may suggest tests to determine if there are any adverse effects on your skin or overall health.

2. Visit a Rheumatologist: Given your family history of lupus, it may also be prudent to consult a rheumatologist. Rheumatologists specialize in autoimmune diseases, including lupus, and can evaluate whether there are any signs of autoimmune activity in your body. They can perform blood tests to check for markers of autoimmune diseases and assess any symptoms you may be experiencing that could indicate a flare-up or the onset of a related condition.

3. Seek a Toxicologist's Opinion: If you have concerns about the specific herbal medicine you have been taking, consulting a toxicologist may be beneficial. Toxicologists specialize in understanding the effects of substances on the body, including potential toxicities from herbal medications. They can provide insights into the safety of the herbal ingredients and any possible interactions with your existing health conditions.

4. General Practitioner (GP): Before seeing specialists, it might be helpful to start with your general practitioner. They can perform an initial assessment, review your medical history, and refer you to the appropriate specialists based on your symptoms and concerns. Your GP can also help coordinate care among different specialists to ensure a comprehensive approach to your health.

5. Laboratory Tests: Regardless of which specialist you choose to see first, it is likely that they will recommend laboratory tests. These tests may include blood work to check for liver function, kidney function, and any signs of inflammation or autoimmune activity. They may also test for specific markers related to lupus or other autoimmune conditions.

6. Document Your Symptoms: When you consult with any healthcare provider, it is essential to document your symptoms, the duration of herbal medicine use, and any changes in your health. This information will help your healthcare provider make informed decisions regarding your diagnosis and treatment plan.

In conclusion, addressing health issues stemming from unknown herbal medicine requires a multi-faceted approach. Start with a dermatologist for your psoriasis, consider a rheumatologist due to your family history of lupus, and possibly consult a toxicologist for concerns about the herbal medicine. Your general practitioner can help guide you through this process. It is vital to act promptly and seek professional medical advice to mitigate any potential health risks associated with the herbal medicine you have been taking.

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