Not sure which specialty to consult?
I would like to ask, my father's complexion has not been good lately, and his speech sounds a bit weak.
He has also lost some weight recently.
He mentioned that he has been feeling dizzy and has a dry mouth, craving water.
My father has a history of hypertension and is on medication.
I would like to know which department we should take him to at the hospital.
Dai Mei, 30~39 year old female. Ask Date: 2015/08/08
Dr. Chen Qingbin reply Internal Medicine
Hello, regarding your father's issue, if he is regularly taking antihypertensive medication, it is recommended that he consult the prescribing physician for a detailed examination.
Thank you.
Reply Date: 2015/08/08
More Info
Given your father's symptoms, it would be advisable to take him to see a primary care physician first. This specialist can conduct a comprehensive evaluation of his overall health and determine if a referral to a specific specialist is necessary. Given that your father has a history of high blood pressure and is experiencing new symptoms such as dizziness, dry mouth, and weight loss, it is crucial to address these issues promptly.
The primary care physician will likely perform a physical examination and may order blood tests to check for various conditions, including electrolyte imbalances, kidney function, and blood sugar levels, especially considering the potential for diabetes-related complications. These tests can help identify any underlying issues that may be contributing to his current symptoms.
If the primary care physician suspects that your father's symptoms are related to his cardiovascular health, they may refer him to a cardiologist. A cardiologist specializes in diagnosing and treating heart-related conditions, which is particularly important given your father's history of high blood pressure. They can perform further tests, such as an electrocardiogram (ECG) or echocardiogram, to assess heart function and rule out any serious cardiac issues.
Additionally, if your father's symptoms are found to be related to dehydration or other metabolic issues, a nephrologist (kidney specialist) may be consulted. Given the dry mouth and increased thirst, it is essential to evaluate his hydration status and kidney function, as these can significantly impact overall health.
Moreover, if there are concerns about neurological symptoms, such as persistent dizziness, a referral to a neurologist may be warranted. Neurologists specialize in disorders of the nervous system and can evaluate for conditions that may cause dizziness, such as vestibular disorders or other neurological issues.
In summary, the best course of action is to start with a primary care physician who can assess your father's symptoms and medical history comprehensively. They will guide you on the appropriate next steps and referrals to specialists if needed. It is essential to address these symptoms promptly, as they could indicate underlying health issues that require immediate attention. Encourage your father to stay hydrated and maintain a balanced diet, as these factors can also influence his overall well-being.
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