which dr specialist should my mom visit? cardiolog? internist? other specialist?

Question

Hello friends everywhere,

My mom has hypertension for 10years, and consume high blood pressure medication, although still quite high sometimes 170/100. During checkup, last year dr found arythmia on her heart. And few months back dr found thyroid nodule, but has been better after medication.

Now she will visit me in Singapore, which dr. specialist should she see first? Cardiolog? Internist? Any recommendation & reasons?

Thanks & regards.

Answer 1

I have no idea how the health care system works in Singapore or if it's necessary for your mother to see a doctor during her visit. However, I agree that a cardiologist would be the best choice because of her arrhythmia, which involves the heart, and her hypertension, which involves her vascular system and includes the heart. The hypertension may have caused the arrythmia. The thyroid nodule can wait. It's the very least of her worries. The uncontrolled hypertension and the damage it's doing to her heart, her arteries and her other organs is the most serious. I hope she's healthy enough to travel. If it's going to be a long flight, remind her to get up and walk around the plane at some point to prevent blood clots in the legs.

Answer 2

Although I agree that your Mother should see a cardiologist - that specialist will be focusing specifically on the issues having to do with cardiovascular care. It sounds as though your Mother may not be getting regular health care. If that is the case then a visit to a general internist is a good start.

Has she had a mammogram?
Has she been screened for colon CA?
Has she had a pelvic exam?
Is she at risk for diabetes?
How is her kidney function?
Bone density evaluation?

I also believe that getting the thyroid issue resolved will be very helpful to the cardiologist as an initial starting point in helping to control her blood pressure and addressing a possible secondary cause for her arrhythmia.

So in sum, I agree with her seeing a cardiologist, but if your Mother has not had general health screening/evaluation recently then she should go to an internist first - then to the cardiologist.

Good luck.

Answer 3

I think she should first visit cardiologist and then she should take advice of endo-crinologist who can deal with her thyroid nodule. Probably she might be having hyper-functioning thyroid nodule, which is causing her raised blood pressure. Ideally people on anti-hypertensives, with proper doses responds well on medication , but what i can see that her B.P is still quiet high on medicines.

Answer 4

Cardiologist at St Lukes hospital

Answer 5

Cardiologist. She needs to have that blood pressure under control first.

Answer 6

Cardiologist, since hypertension has to do with the heart.

Answer 7

An internist who will refer her to other specialists as needed.

Answer 8

cardiologist will benefit her. She has a history of high blood pressure and arrhythmia as well.

Answer 9

cardiologist. good luck and hope your mom gets better soon!