Which Specialist Should I See for My Neurological and Heart Symptoms?

Q: Which Specialist Should I See for My Neurological and Heart Symptoms?

Hello： If you are experiencing left arm numbness and chest tightness, it is advisable to consult a cardiologist to rule out any heart-related issues. <br>Thank you!

Which department should I see?

Doctor, I previously experienced some pain on the left side of my head and face.
Later, I developed discomfort in my left neck and my entire left arm, which felt very sore and uncomfortable, making it difficult to sleep.
Additionally, I had numbness in my hand once or twice, and I also experienced chest pain.
Currently, the pain in my left face has subsided, but the issues with my heart seem to be worsening.
I'm unsure if it's related to heart pain.
Now, even standing and turning my head to the right causes discomfort, as if something is pressing down, and it even radiates pain to my right chest.
Which specialist should I see? By the way, my left arm still feels sore.
Thank you.

Xiao Xiang, 20~29 year old female. Ask Date: 2007/03/24

Dr. Ye Boshou reply Neurology

Hello: If you are experiencing left arm numbness and chest tightness, it is advisable to consult a cardiologist to rule out any heart-related issues.
Thank you!

Reply Date: 2007/03/24

More Info

Based on your symptoms, it sounds like you are experiencing a complex interplay of neurological and cardiovascular issues. Given the variety of symptoms you’ve described, including pain in the left side of your head and face, neck and arm discomfort, heart pain, and a sensation of pressure, it is essential to approach this situation methodically.

First and foremost, it would be prudent to consult a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. Your symptoms of left-sided pain and numbness, particularly in your arm, could indicate a neurological issue, such as a pinched nerve or even a more serious condition like a transient ischemic attack (TIA) or stroke. A neurologist can perform a thorough evaluation, which may include imaging studies like an MRI or CT scan, as well as nerve conduction studies to assess the function of your nerves.

In addition to seeing a neurologist, it is also crucial to consult a cardiologist. Your description of heart pain and discomfort, especially if it is worsening, should not be overlooked. Cardiologists specialize in heart conditions and can conduct tests such as an electrocardiogram (ECG), echocardiogram, or stress tests to evaluate your heart's function and structure. Given that you have mentioned heart pain and discomfort that radiates to your chest, it is vital to rule out any serious cardiac conditions, including angina or other heart diseases.

It is also worth noting that your symptoms could be related to anxiety or panic disorders, which can manifest as physical symptoms, including chest pain and discomfort. If you have a history of anxiety or panic attacks, it may be beneficial to consult a psychiatrist or a psychologist. They can help you explore whether your symptoms are exacerbated by anxiety and provide appropriate treatment options, which may include therapy or medication.

In summary, I recommend that you schedule appointments with both a neurologist and a cardiologist as soon as possible. It is essential to address both the neurological and cardiovascular aspects of your symptoms to ensure a comprehensive evaluation and appropriate treatment. Additionally, if you feel overwhelmed or anxious about your symptoms, seeking support from a mental health professional can also be beneficial.

Lastly, keep a detailed record of your symptoms, including when they occur, their intensity, and any potential triggers. This information will be invaluable to your healthcare providers in diagnosing and treating your condition effectively. Remember, timely intervention is key in managing health issues, especially when they involve the heart and nervous system. Take care, and I hope you find relief soon.

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