Difficulty Swallowing or Dizziness: Which Specialist Should You See? - Family Medicine

More Info

---

When experiencing symptoms such as difficulty swallowing (dysphagia) and dizziness, it is essential to approach the situation methodically to determine the underlying causes and appropriate specialists to consult.
Difficulty Swallowing: The sensation of feeling like you might choke or having to slow down while drinking could indeed be classified as dysphagia. Dysphagia can manifest in various ways, including difficulty initiating swallowing, a sensation of food getting stuck in the throat, or coughing/choking during swallowing. Since you mentioned that this occurs primarily when drinking liquids and not when eating solids, it may indicate a specific issue with the esophagus or the swallowing reflex.
For dysphagia, the first specialist to consult would typically be a gastroenterologist. They can perform tests such as a barium swallow study or an endoscopy to evaluate the esophagus and identify any structural or functional abnormalities. If the gastroenterologist rules out esophageal issues, they may refer you to an otolaryngologist (ENT), who specializes in disorders of the throat and can assess for any anatomical problems or other conditions affecting swallowing.

Dizziness: Your dizziness, particularly in specific situations such as being in a closed space or after prolonged use of screens, could stem from various causes, including vestibular (balance) disorders, cardiovascular issues, or even anxiety-related symptoms. Given the complexity of dizziness, it is advisable to start with a primary care physician who can evaluate your symptoms and medical history. They may conduct a physical examination and basic tests to rule out any immediate concerns.
If the primary care physician suspects a vestibular issue, they might refer you to a neurologist or an otolaryngologist specializing in balance disorders. On the other hand, if there are indications of cardiovascular involvement, a referral to a cardiologist may be warranted.
Additional Symptoms: You mentioned experiencing cold extremities, irregular menstrual cycles, and a sensation of your heart racing or pounding, especially after physical exertion. These symptoms could indicate underlying issues such as anemia, hormonal imbalances, or even anxiety. The mention of "feeling your heart racing" and "ear ringing" (tinnitus) could also suggest a cardiovascular or neurological component that needs further investigation.

Given your symptoms of dizziness and swallowing difficulties, it would be prudent to undergo a comprehensive evaluation. This may include blood tests to check for anemia, thyroid function, and other metabolic conditions, as well as imaging studies if indicated.
In summary, the best course of action would be to start with a primary care physician who can guide you through the diagnostic process and refer you to the appropriate specialists based on their findings. It is essential to address these symptoms promptly, as they can significantly impact your quality of life and may indicate underlying health issues that require attention.