Which Medical Specialty to Consult for Autonomic Nervous System Disorders?

Q: Which Medical Specialty to Consult for Autonomic Nervous System Disorders?

Dear Xiaoming, Here are a few points in response： 1. The terms "neurology" and "neuropsychiatry" actually refer to the same specialty, which is neurology. Therefore, you can simply visit the neurology outpatient clinic. 2. Autonomic function testing is

Which specialty should one consult for autonomic nervous system disorders?

Hello Dr.
Lan,
After reviewing your academic and professional background, I learned that you have previously (or currently) practiced at Kaohsiung Medical University Hospital.
Due to issues with my gastrointestinal tract, a gastroenterology clinic has suggested that I undergo an autonomic nervous system evaluation to determine if there is a dysregulation of the autonomic nerves in my gut.
However, I inquired at Kaohsiung 802 Hospital and found that they do not have the necessary testing equipment.
I also researched online and found that Kaohsiung Medical University Hospital has departments for neurology, internal medicine, and brain neurology, but there is no specific "autonomic neurology" department.
Therefore, I would like to ask which department I should consult to evaluate for any dysregulation of the autonomic nervous system.
Thank you.

Xiao Ming, 30~39 year old female. Ask Date: 2012/02/02

Dr. Lan Shengxing reply Neurology

Dear Xiaoming,
Here are a few points in response:
1.
The terms "neurology" and "neuropsychiatry" actually refer to the same specialty, which is neurology.
Therefore, you can simply visit the neurology outpatient clinic.

2.
Autonomic function testing is divided into sympathetic and parasympathetic nervous systems, and both should ideally be tested together.

Wishing you a smooth consultation,
Lan Shengxing

Reply Date: 2012/02/02

More Info

When dealing with autonomic nervous system (ANS) disorders, it is essential to consult the appropriate medical specialty to ensure accurate diagnosis and effective treatment. The autonomic nervous system is a complex network that regulates involuntary bodily functions, including heart rate, digestion, respiratory rate, and more. Disorders of the ANS can manifest in various ways, including gastrointestinal issues, cardiovascular problems, and even psychological symptoms.

In your case, since you are experiencing gastrointestinal issues and have been advised to check for autonomic nervous system dysfunction, the best course of action would be to consult a neurologist or a specialist in autonomic disorders. Neurologists have the training and expertise to evaluate conditions related to the nervous system, including the autonomic nervous system. They can perform specific tests to assess autonomic function, such as tilt table tests, heart rate variability assessments, and sweat tests, which can help determine if there is a dysfunction in the autonomic pathways.

If you are unable to find a neurologist with a specific focus on autonomic disorders, you might also consider consulting a gastroenterologist who has experience in managing functional gastrointestinal disorders. Some gastroenterologists are well-versed in the interplay between the gastrointestinal system and the autonomic nervous system, especially in cases where gastrointestinal symptoms may be linked to autonomic dysfunction.

In addition to these specialists, it may also be beneficial to consult with a specialist in internal medicine, particularly one who has experience with complex cases involving multiple systems. They can provide a comprehensive evaluation and coordinate care among different specialties if needed.

It's important to note that autonomic nervous system disorders can sometimes be associated with other underlying conditions, such as diabetes, autoimmune diseases, or neurological disorders. Therefore, a thorough evaluation by the appropriate specialists is crucial to rule out any secondary causes of your symptoms.

In summary, for assessing autonomic nervous system disorders, you should consider consulting a neurologist, particularly one with experience in autonomic dysfunction. If that is not available, a gastroenterologist or an internist with a focus on complex cases may also be suitable. Be sure to communicate your symptoms clearly and ask about specific tests that can help evaluate your autonomic function. This approach will help you receive the most accurate diagnosis and appropriate treatment for your condition.

Similar Q&A

Should You See a Specialist for Autonomic Nervous System Disorders?

I was referred to a family medicine doctor by a friend, who diagnosed me with autonomic nervous system dysfunction. I was prescribed Mirtazapine, and while I've seen some improvement, I still don't feel well. Some people say that autonomic nervous system dysfunction sho...

Dr. Lin Zhebin reply Family Medicine
Hello: Autonomic nervous system disorders are mostly caused by changes in lifestyle and stress, leading to physical and mental discomfort. Typically, there is no specific organ damage involved. The primary role of medication is to alleviate your discomfort. To achieve a complete ...

Understanding Autonomic Nervous System Disorders: When to See a Psychiatrist

Hello Doctor: I would like to ask why autonomic nervous system dysfunction is treated by psychiatrists and not by neurologists? Can autonomic nervous system issues resolve on their own? Is medication absolutely necessary for treatment? Will autonomic nervous system dysfunction ca...

Dr. Liang Sunyuan reply Psychiatry
The autonomic nervous system refers to the part of the nervous system that cannot be easily controlled by conscious thought. Relaxation training and lifestyle adjustments can help stabilize the autonomic nervous system, which is why it is recommended to seek consultation with a p...

Understanding the Differences Between Autonomic Nervous System Disorders and Anxiety Disorders

I would like to ask the doctor what the difference is between autonomic nervous system dysfunction and anxiety disorders such as pathological lying anxiety disorder. How can a doctor differentiate between these two? Can autonomic nervous system dysfunction be diagnosed through ph...

Dr. Chen Wenyu reply Psychiatry
Hello, Sky: In response to the two letters regarding autonomic nervous system disorders and neuroasthenia, it is important to note that these conditions often involve some degree of depression or anxiety, and thus, these terms are no longer commonly used in psychiatry. What makes...

Choosing Between Neurology and Psychiatry for Anxiety Treatment: Key Insights

Dear Dr. Yeh, I have a few questions to ask. 1. Both neurology and psychiatry encompass the treatment of "anxiety disorders." In your expert opinion, which specialty should one consult to avoid misunderstanding and mistakenly visiting the wrong department, thus wasti...

Dr. Ye Boshou reply Neurology
1. Mild anxiety disorders can be easily managed by either neurology or psychiatry, but severe anxiety that disrupts daily life should be addressed by a psychiatrist, and psychological counseling may be necessary. 2. Whether personality traits and psychological states evolve into ...