Which doctor should i contact with vascular problems

A vessel doctor sooner or later is required by almost every person.

The fact is that poor ecology, a violation of nutrition, and mainly stresses and bad habits, directly affect the occurrence of problems with the vascular system of the body.

However, the cardiovascular system is a very complex mechanism, therefore it is not surprising that doctors of special, “narrow specialties” work in this direction.

As a rule, the presence of a brain disease is diagnosed by a therapist who is referred to by a patient complaining of headaches, tinnitus, fatigue, dizziness and fainting. But the brain vessels are examined and treated by a neurologist whose main task is to restore impaired blood circulation and eliminate the consequences of the disease.

Atherosclerosis of the cerebral vessels occurs among the diseases of this plan most often. Along with a headache, a person experiences serious memory problems, which, in turn, arise due to increased cholesterol and plaque deposits on the walls of blood vessels, and, as a consequence, impaired blood flow.

If you ignore these symptoms, encephalopathy may develop – a violation of the functioning of the parts of the brain due to changes in the structure of tissues in it.

In case of suspicion of atherosclerosis, you should contact not only a neurologist, but also undergo an ultrasound of the intracranial vessels, computed tomography of the brain, and donate blood to determine the level of cholesterol and its fractions (lipid spectrum).

In this case, medical care should be provided immediately, first by the resuscitation team, then by a neurologist based on the results of magnetic resonance imaging. A patient who has had a stroke must visit a neurologist, since there is a high probability that he will experience post-stroke vascular dementia.

This is a mental and mental disorder caused by a disturbance in brain activity. But, as a rule, after being discharged home, the patient is on a dispensary account with a neurologist.

VVD – vegetative-vascular, neurocirculatory dystonia, or impaired functioning of the autonomic nervous system, is a disease that is characterized by impaired pressure, shortness of breath, nausea, heartburn, dizziness, and other adverse manifestations from all life systems. Usually a person goes to a neurologist if these manifestations are constant and interfere with normal life. Additional consultation with the endocrinologist and therapist may be required.

The first place among diseases of the veins is varicose veins of the lower extremities. The true reason for it is not fully understood, however, doctors are sure that the negative factors that provoke the disease are:

  1. Long stay on legs;
  2. Congenital weakness of the walls of the veins;
  3. Violations of the valve veins;
  4. Endocrine diseases;
  5. Inheritance.

Symptoms of varicose veins are swollen veins in the legs, swelling, pain, vascular “nets” and even small sores mainly on the legs. Venous blood stasis begins to gradually “burst” the veins, provoking another disease – thrombophlebitis – blockage of the vein with a blood clot, followed by inflammation.

If you notice these signs in yourself, then you should know that a narrow-field doctor phlebologist treats varicose veins. To begin with, a vein doctor performs a dopplerography of the vessels of the legs to measure blood flow in the vessels, computed tomography to detect blood clots, and also checks the blood for clotting.

Many people know that the heart is treated by a cardiologist, so if there is pain in the heart, shortness of breath, sweating, it makes sense to contact him for an ECG and a comprehensive examination.

The most common problems that this specialist solves are arrhythmia, heart defects, hypertension, myocardial infarction, angina pectoris.

He is engaged in the restoration and rehabilitation of the normal functioning of the cardiovascular system.

It is also recommended to go to the cardiologist if:

  • Person over 35 years old;
  • Pregnancy is planned;
  • In a person’s family, someone suffered from cardiovascular disease;
  • There is a lot of excess weight.
  • It is believed that an annual examination by a cardiologist several times reduces the likelihood of cardiovascular disease.

Arteries are treated by a doctor called an angiologist, although in Russian clinics the same person is often a specialist in veins and arteries. An angiologist must be consulted if you feel numbness, tingling in the limbs. The presence of problems with the vessels may indicate a constant feeling of chilliness in the legs and arms.

Angiologists also treat lymph node inflammation (lymphadenitis). As a rule, the lymph nodes become inflamed due to diseases of an infectious nature – influenza, tuberculosis, as well as sexually transmitted diseases.

But with myocarditis, endocarditis, damage to the lymphatic system is also observed, therefore, if infectious diseases are not confirmed, it makes sense to check the work of the heart and additionally visit the cardiologist’s office.

If you suspect a lupus erythematosus or vasculitis, you should visit an immunologist. The patient needs to donate blood for general and biochemical analyzes, for the antinuclear factor, as well as donate urine. Due to possible complications, it is recommended to do an ultrasound of the internal organs, EGC, and computed tomography of the brain.

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Among viral diseases of vascular localization, erysipelas is one of the most common. It begins acutely, with fever up to 40 degrees, vomiting, then red painful lesions appear on the skin of the face.

Sometimes at the site of redness there are bubbles with liquid or small ulcers.

Since the causative agent of the disease is streptococci, the patient with an erysipelatous disease needs initial consultation with an infectious disease specialist or a dermatologist who does not directly deal with blood vessels.

If the patient has varicose veins, then it can provoke a relapse of the disease, so the patient must visit a phlebologist. If there is no varicose veins, but the disease is progressing, it is worth visiting an allergist, dermatologist, surgeon. Treatment comes down to taking antibiotics, ultraviolet radiation, and surgery.

A vascular surgeon is a highly qualified specialist who treats diseases of the vascular system. The doctor of this specialty deals with all vessels except the brain and heart.

The vascular system consists of arteries and veins, through which blood is carried throughout the body. Without normal blood supply, the human body cannot function normally.

For many people, the word “surgeon” is associated only with operations. However, many patients of vascular surgeons do not need surgical interventions, they need conservative therapy, with the help of which it is often possible to improve the state of the blood circulation system. Moreover, a diagnosis must be made correctly before surgery.

Vascular surgeon examining a patient

Drug treatment vascular surgeons are prescribed for the initial stages of atherosclerosis and obliterating endarteritis on the legs, deep vein thrombosis, post-thrombophlebitis syndrome, mild varicose veins of the lower extremities. Doctors try to prevent the progression of the disease so that the patient does not have the need for surgery.

Qualified vascular surgeons perform various vascular operations, including:

  • Endovascular (operations performed by a minimally invasive method under x-ray control) or open surgical interventions for aneurysm of the abdominal or thoracic aorta.
  • Open and minimally invasive operations in the pathology of all vessels, except the brain and heart.
  • Removal of atherosclerotic plaques in the carotid arteries, stenting of the carotid arteries.
  • Artery bypass surgery for atherosclerosis or obliterating endarteritis on the legs.
  • Endovascular treatment of atherosclerosis or obliterating endarteritis.
  • Sclerotherapy, radiofrequency or laser ablation for varicose veins.
  • The traditional removal of varicose veins.
  • Endovascular or open surgical reconstruction for deep vein thrombosis.

Operations for varicose veins

Not all of these operations can be performed by any vascular surgeon. As in any medical specialty, knowledge and skills are accumulated with experience. In vascular surgery, a narrow specialization is possible: for example, one doctor may specialize in performing endovascular operations, and the second in performing open interventions, but both of them will be called vascular surgeons.

In most cases, these specialists work in large medical institutions located mainly in large cities. However, not all people with vascular disease live in or near these cities. In such cases, general surgeons are involved in the treatment of mild cases. They cannot perform endovascular operations and complex surgical interventions for aortic aneurysm, but the conservative treatment of atherosclerosis and obliterating endarteritis of the lower extremities, varicose veins, deep vein thrombosis is quite within their power.

Moreover, general surgeons often perform operations for varicose veins in the legs, gangrene of the lower extremities caused by poor circulation. They often have to amputate the lower extremities at different levels, although with the provision of highly specialized care, including endovascular interventions and surgery to bypass the affected arteries, legs could be saved in some patients.

Cardiac surgeons and interventional cardiologists

  1. Coronarography is an examination of the coronary arteries that supply the heart. This examination is carried out by introducing contrast into the vascular lumen of the heart through a long catheter and further x-ray examination. With the help of coronarography, you can find places of narrowing of the blood vessels of the heart, which can lead to myocardial infarction.
  2. Angioplasty and stenting – endovascular surgery to restore patency of the coronary arteries. These interventions are used in the presence of myocardial infarction or coronary heart disease.

Cardiac surgeons perform a full range of operations on the heart and its vessels, including minimally invasive and open surgical interventions. In addition to coronary angiography, angioplasty and stenting, doctors in this specialty perform coronary artery bypass grafting. With this operation, a bypass path (shunt) for blood is created on the vessels of the heart, bypassing the narrowing site in the coronary artery.

Cardiac surgeons also perform surgical treatment of aneurysms of the aortic arch. This is the initial section of the aorta, which directly contacts the heart and from which the vessels depart to the arms, head, neck and brain. In some hospitals, cardiac surgeons also operate on thoracic aortic aneurysms.

Common diseases are heart rhythm disturbances, valvular defects of the heart or its walls, hypertension, coronary artery disease, pain in the center of the chest. Also, a cardiologist conducts rehabilitation measures of a restorative nature.

It is recommended to visit a cardiologist as well:

  • have reached the age of 30 years;
  • planning a pregnancy;
  • having a genetic predisposition;
  • overweight.

It is believed that an examination by a cardiologist is necessary every year. So you can reduce the risk of diseases of the circulatory system several times.

Cardiologist treats heart vessels

  1. Coronarography is an examination of the coronary arteries that supply the heart. This examination is carried out by introducing contrast into the vascular lumen of the heart through a long catheter and further x-ray examination. With the help of coronarography, you can find places of narrowing of the blood vessels of the heart, which can lead to myocardial infarction.
  2. Angioplasty and stenting – endovascular surgery to restore patency of the coronary arteries. These interventions are used in the presence of myocardial infarction or coronary heart disease.

How to choose a good doctor

Choosing a good doctor can be challenging, regardless of the patient’s medical specialty. A vessel doctor is no exception.

Recommendations on how to choose a good specialist:

  • Choose a doctor whom you trust and with whom you feel comfortable.
  • Do not be afraid to ask him questions to make sure that he can intelligently answer them.
  • Talk with other patients of this doctor and ask them if they are satisfied with the treatment results.
  • If you need surgical treatment, ask your doctor about his experience with such operations.
  • If the operation will be performed by a general surgeon, ask if he has advanced courses in vascular surgery.
  • Trust your intuition, usually it does not fail.

Only other doctors can adequately evaluate the criteria of a doctor’s high professionalism. The opinion of individual patients may be erroneous and due to their likes or dislikes. For example, a doctor may be an excellent vascular surgeon, but simply does not know how to communicate with patients and their relatives.

If there are many negative reviews, this is an occasion to think about the qualifications of any doctor.

For the first time, the term “angiology” was introduced by Galen, a Roman physician, surgeon and philosopher. The word comes from the Greek ἀγγεῖον “vessel” and λόγος “teaching”. Science studies the blood and lymph vessels, their functioning. There are a number of specialists involved in the treatment of diseases in this area. Understanding the difference between a vein doctor, an angiologist and a vascular surgeon will allow you to turn to the right specialist in time.

Choosing a good doctor can be challenging, regardless of the patient’s medical specialty. A vessel doctor is no exception.

If there are many negative reviews, this is an occasion to think about the qualifications of any doctor.

The bustle of modern life, constant stress, poor ecology and unhealthy nutrition adversely affect the state of blood vessels, worsen their work. In this situation, you need to consult a doctor who will prescribe examinations for making a diagnosis.

It is not always easy to decide on your own which doctor to go to, so you can initially visit a therapist who will refer you to the necessary specialist, which will help in resolving the problems.

Division of Angiology

Scientists of ancient Rome, Egypt and Greece were aware of diseases of the veins, arteries and blood vessels. But the intensive development of angiology begins in the th century. A classification of diseases appears, a scientific justification for the need for surgical intervention.

As part of the circulatory system of the human body:

  • veins;
  • arteries;
  • arterioles;
  • venules;
  • capillaries;
  • lymphatic ducts.

This leads to the allocation of different areas of angiology. The following sections are classified separately:

  1. Phlebology deals with veins and lymph vessels.
  2. Arteriology studies arterial disease.

Science is a branch of anatomy and is closely related to vascular surgery, which is a separate area. She is engaged in conservative, endovascular and surgical treatment of vascular diseases.


In case of doubt, which specialist should be consulted, you need to sign up to a therapist. He will be able to determine the specifics of the deviations and give direction to the right doctor.

The human body has a very complex vascular system. Conventionally, we can distinguish the following groups:

  • of cardio-vascular system;
  • upper and lower limbs;
  • brain.

Diseases of different groups are involved in various specialists.

Varicose veins of the lower extremities are a very common disease in women. It can begin to develop after pregnancy and childbirth or be hereditary. And also leads to it a number of other factors related to lifestyle. The doctor through the veins in the legs is called a phlebologist.

This doctor should be consulted in the following cases:

  • the appearance of a pronounced vein pattern;
  • the formation of spider veins and dilated veins;
  • with swelling, soreness in the legs;
  • with venous congestion.

The doctor checks the stage of the disease, for this, ultrasound diagnostics, coagulogram, CT is prescribed. Lack of treatment can lead to the development of thrombophlebitis, inflammation of the vessel wall and the formation of a thrombus.

This specialist deals with pathologies of the lymphatic system and arteries. Often in clinics, the same specialist who treats veins deals with these problems. But angiologists have their own narrow profile. They turn to them with different symptoms:

  • tingling and pain in the limbs;
  • loss of sensitivity of the skin;
  • impaired mobility of the upper and lower extremities.


Atherosclerosis (ateroskleroza) is a disease of arterial vessels that is associated with problems in lipid metabolism. The essence of the pathology is the accumulation of fatty plaques on the walls of the vessel, which gradually clog the lumen, calcify or become inflamed.

The disease is asymptomatic for a long time, so patients are not treated. The clinic will depend on the location of the plaque.

Whatever the doctor would be involved in the treatment of atherosclerosis, he begins the appointment with a survey and a comprehensive examination of the patient to identify risk factors. The etiology of pathology is associated with the following problems:

  • high blood pressure;
  • burdened heredity (especially people with high cholesterol);
  • inactive lifestyle;
  • excess weight;
  • the presence of diabetes;
  • smoking (and other factors affecting the vessel wall);
  • errors in nutrition (excessive consumption of fatty foods).

The first appointment in the treatment of the disease will be to get rid of those factors that can be adjusted. A diet is prescribed, smoking is prohibited, a program for sports is developed to lose weight and so on.

Before you think who to contact with atherosclerosis, you should suspect this disease in yourself. The following symptoms are observed in a person with a blockage in the lumen of a limb vessel with a fatty plaque:

  • hard-to-find pulse or its complete absence depending on localization;
  • decrease in pressure on the arm or leg;
  • numbness of the limb and (or) its soreness;
  • prolonged healing of traumatic injuries of the limb.

If cerebral vessels are affected by atherosclerosis, the clinical picture will be accompanied by headaches, visual impairment, dizziness, and possibly fainting. The treatment of cerebral arteriosclerosis should be dealt with immediately, since there is a high risk of developing a stroke.

  • Clinical and biochemical analysis of blood;
  • ECG;
  • Ultrasound examination of blood vessels (dopplerography);
  • Measurement of the ankle-brachial index;
  • Angiography;
  • Computed tomography (not always required);
  • Stress test (not always possible).

It is possible to assign additional diagnostic measures depending on individual indications.

It is rather difficult to answer which doctor treats atherosclerosis, because different specialists may be involved in pathology depending on the location. Therapy of the disease can be carried out by the following doctors:

  • Neurologist. It deals with damage to the vascular bed of the brain. In particular, the main direction in which the doctor works is ischemia of brain regions and strokes.
  • Cardiologist. This specialist understands any pathologies of the cardiovascular system, therefore, is the main doctor for atherosclerotic vascular damage. The doctor prescribes systemic drugs that affect the pathology as a whole, and not locally. Also the cardiologist’s area of ​​work is heart attacks.
  • Angiologist. A doctor who treats atherosclerosis of the vessels of the lower extremities, as well as the upper. It should be addressed with an obliterating form of pathology, when blood flow is significantly impaired in the arm or leg. In such situations, surgical vascular plastic surgery is preferred.


The doctor prescribes the treatment of atherosclerosis in accordance with many factors. The basic principles of the treatment of the disease (excluding local injuries);

  • Taking drugs that lower cholesterol;
  • The use of drugs that prevent the formation of blood clots (often non-steroidal anti-inflammatory drugs, such as aspirin, which should be drunk with caution and on strict indications);
  • Reception of beta-blockers (pressure reduction and restoration of the heart);
  • The use of ACE inhibitors (especially important with a heart attack, have a beneficial effect on the functioning of the heart and blood vessels, and also reduce blood pressure);
  • Taking diuretics (diuretics are also drugs to lower blood pressure, which prevents the progression of atherosclerosis).

Also, drugs are used to combat concomitant diseases, especially diabetes, which is in first place among the provoking factors of atherosclerosis.

Surgical treatments for the disease that the doctor can offer the patient are also used. Their appointment is advisable in case of severe blockage of blood vessels, when the absence of immediate treatment can lead to necrotic changes in the area where blood does not enter.

Such signs appear as a result of high cholesterol and the formation of plaques on the vascular walls, due to which there is a violation of blood flow. In the absence of the necessary treatment, a complication such as encephalopathy may appear. The disease is characterized by a malfunction and a change in brain structures.

If the doctor suspected the development of atherosclerosis, then the patient, in addition to consulting with a neurologist, should come for an ultrasound examination of blood vessels, computed tomography and a blood test for cholesterol.

If a brain stroke occurs in a patient, the following symptoms occur:

  • Nausea.
  • Fainting.
  • Impaired orientation in space.

Help to a person should be provided immediately, then he should be observed by a neurologist, since at any moment post-stroke vascular dementia – a mental disorder against the background of a brain malfunction, can form.

Observation by a neurologist

With circulatory disorders of the head, it is often doubtful which doctor treats the vessels of the brain. These pathologies require mandatory observation. The neurologist will prescribe the necessary diagnosis and treatment regimen. They turn to him with the following symptoms:

  • headaches, noises and ringing in the ears;
  • chronic fatigue;
  • loss of orientation in space and consciousness for short periods of time.

It is important to make a diagnosis on time, because this will avoid serious complications. There are often pathologies in this direction. These include:

  1. Vegetative dysfunction. Due to disorders of the autonomic nervous system, the rhythm and respiratory rate are disturbed, and blood pressure rises. Nausea, heartburn, loss of orientation may appear. If the symptoms become regular, you should consult a neurologist. He may schedule an endocrinologist consultation if necessary.
  2. Stroke. It occurs due to the restriction of blood circulation in a certain area of ​​the brain. Manifested by nausea, dizziness, fainting. After resuscitation care, a neurologist is monitored, an MRI is performed. Often there are complications in the form of vascular dementia, dementia, so timely medical attention is important.
  3. Atherosclerosis. The disease is characterized by headaches, a violation of cholesterol production, thickening of the vascular walls. Blood circulation is disturbed. All this leads to memory impairment. If the situation is started, do not start treatment in a timely manner, encephalopathy develops. To make an accurate diagnosis, the doctor prescribes a duplex examination, a CT scan of the brain, a lipid profile and a blood test.

In the area of ​​cardiac function, a vascular doctor is called a cardiologist. To make a diagnosis, the doctor conducts an ECG and a comprehensive examination.

A specialist should be contacted if:

  • shortness of breath;
  • sweating;
  • heart pain;
  • tachycardia;
  • high blood pressure.

For the prevention of heart disease, it is recommended that you consult a doctor after 35 years, when planning pregnancy, the risk of hereditary disease, as well as obesity.

Vascular surgeon

Many pathologies of veins, arteries and lymph nodes require the attention of a vascular surgeon. This specialist treats all blood vessels except the heart and brain. Most often, he is treated with advanced diseases. But the observation of this doctor will be useful in the initial stage.

A vascular surgeon offers more than surgery. He is also involved in the diagnosis and prevention of diseases. Vascular ultrasound, X-ray angiography, duplex sonography are prescribed.

The following symptoms require observation of a vascular surgeon:

  • heaviness and pain in the lower extremities;
  • the appearance of a vascular pattern;
  • veins expansion;
  • not passing seals and redness on the legs;
  • necrosis or darkening of the skin on the fingers and feet;
  • long lasting ulcers.

In different situations, appropriate treatment is offered. A vascular surgeon can be prescribed:

  • drug treatment regimen;
  • compression therapy;
  • physiotherapy;
  • sclerotherapy;
  • operations using minimally invasive techniques;
  • echosclerotherapy.

When there are alarming symptoms, suspected vascular pathology, examination and observation by a doctor is necessary. Knowing the characteristics of the profile of specialists, which doctor treats atherosclerosis, thrombosis, varicose veins, tachycardia or high blood pressure will help start timely treatment.

In any case, for an objective picture, visiting several doctors will be a plus. The disease can be secondary and is associated with pathologies of a different orientation. To make the correct diagnosis, it is important to undergo an examination and hear the opinion of specialists of different profiles.

Every second person has to contact a specialist in vascular pathologies. Poor environmental conditions, poor nutrition, addictions, and a high load on the nervous system lead to a high probability of complications from the circulatory system. But how do you know which doctors treat the vessels?

The human vascular system is considered one of the most complex systems in the body, and specialized treatment is required for its treatment.

The presence of a brain pathology is usually diagnosed by a physician, when examining a patient for characteristic syndromes – pain in the head and neck, tinnitus and ringing, chronic fatigue, temporary loss of orientation and short-term loss of consciousness. But the circulatory system is examined and treated by a neurologist, his main task is to eliminate circulatory disorders, get rid of the consequences and start prophylaxis in time.

Neurologist treats brain vessels

The most common are the following cerebrovascular diseases:

    Atherosclerosis In addition to headaches, the disease is characterized by impaired general blood flow, a violation of the normal process of cholesterol production and thickening of the vascular walls, which leads to impaired memory. With untimely treatment, there is a risk of developing encephalopathy – a degenerative change in the structure of the tissues of certain parts of the brain and a violation of its normal functioning. For the diagnosis, duplex scanning, computed tomography of the brain are prescribed, a lip >As a rule, the presence of any brain disease is diagnosed by the therapist, to whom the patient consults, complaining of rapid fatigability, and. But the vessels of the brain are examined and treated by a neurologist
    whose main task is to restore impaired circulation and eliminate the consequences of the disease.

Cerebral vessels are most often found among diseases of this plan. Along with a headache, a person experiences serious memory problems, which, in turn, arise due to the deposition of plaques on the walls of blood vessels, and, as a result, impaired blood flow. If you do not pay attention to these symptoms, it may develop – a violation of the functioning of the brain due to changes in the structure of tissues in it.

A stroke is characterized by acute impairment of blood flow in a specific area of ​​the brain. A person feels nauseous, often faints, experiences problems with orientation in space. In this case, medical care should be provided immediately, first by the resuscitation team, then by a neurologist based on the results of magnetic resonance imaging.

Or a disruption in the functioning of the autonomic nervous system is a disease that is characterized by impaired pressure, shortness of breath, nausea, heartburn, dizziness, and other adverse manifestations from all life systems. Usually a person goes to a neurologist if these manifestations are constant and interfere with normal life. Additional consultation with the endocrinologist and therapist may be required.

Vascular problems are a good reason for unrest.

With the symptoms listed below, patients most often turn to the therapist:

  • dizziness;
  • blurred eyes;
  • ringing in the ears or their congestion;
  • fatigue;
  • weakness and drowsiness.

A broad-profile specialist in such cases directs the patient to a neurologist of specialization. The above signs are a symptom of disturbances in the functioning of the vessels of the brain. A vascular doctor will help with the treatment of the disease.

Which doctor will help to cope with vascular problems?

Who treats arteries and veins of the brain – with such pathologies should be addressed directly to a neurologist.

The video in this article will introduce patients to all specialists involved in the treatment of vascular pathologies.

Among the most common lesions of the cerebral vessels are:

  • atherosclerosis – manifests itself against the background of excessive accumulation of cholesterol in the human body;
  • encephalopathy – manifests itself in disorders of the brain structures, is a dangerous disease, leads to serious consequences;
  • a stroke is a serious complication of vascular pathologies, which often causes a patient’s disability;
  • VVD – vegetative-vascular dystonia. Such a disease often proceeds in a latent form, its symptoms are isolated at advanced stages. The patient goes to the doctor at a time when the symptoms are very intense.

The most common diagnostic methods used by a neurologist are discussed in the table.

MRI is an expensive but effective diagnostic method.

Where to go for problems with vessels on the face

It is sad, but dilated venous vessels on the legs, the inability to pass without pain and a hundred meters, atherosclerosis, leading to heart attacks and strokes, and other vascular pathologies are far from uncommon.

On all sides, the negative factors surrounding our contemporary, constant stress, lack of time even to just get enough sleep, each year noticeably increase the already multi-million army of those who suffer from such diseases.

In addition, there is another problem due to which doctors around the world are sounding the alarm.

If in the recent past, varicose disorders and atherosclerosis were considered the lot of the elderly, today signs of these diseases are detected in people under the age of thirty.

In these cases, the main reasons for the pathology can be added by not observing the regimen of the day, frequent consumption of alcoholic beverages, smoking, addiction to fast food and other foods rich in cholesterol and other “harmful” lipids.

When a person finally decides to consult with a specialist about his problems, the natural question is: which doctor treats the vessels, and who should I contact with my complaints? The local therapist can hardly find out the source of the disorders, make an accurate diagnosis and prescribe effective treatment, so you should contact a specialist of a narrow profile: a neurologist, vascular surgeon, angiologist or phlebologist. We will talk about which of these doctors helps in which situations.

With frequent complaints of headaches, dizziness, constant fatigue, weakness, and fainting in people of different ages, you should consult a neurologist. Doctors of this profile are engaged in such diseases:

  • Migraine, tics, inflammation of the trigeminal nerve and other disorders, one of the main symptoms of which is pain in various parts of the head.
  • Convulsions.
  • Epilepsy.
  • Ischemic and hemorrhagic strokes.
  • Osteochondrosis.
  • Traumatic brain and vertebral injuries.
  • Radiculitis.
  • Alzheimer’s and Parkinson’s Diseases.

Depending on the type of affected vessel, the nature of the pathological changes, stage of the disease, doctors of different profiles are involved in the treatment of vascular disorders. In order for the correct diagnosis to be made as soon as possible and the treatment regimen to be correctly drawn up, you should first consult a neurologist, who then, if necessary, will refer you to the right specialist.

During the appointment, the doctor collects a maximum of information to determine the cause of the deterioration of well-being.

To do this, he asks the patient to tell in detail about his complaints, is interested in workloads, the presence of chronic diseases, asks a number of other questions.

So, you need to contact a neurologist if such symptoms are observed:

  • Frequent and prolonged headaches similar to migraines.
  • A feeling of heaviness in the head.
  • The appearance of tinnitus.
  • Nausea with vomiting.
  • Coordination disorders.
  • Numbness of arms and legs.
  • Short-term memory problems.
  • Clouding of consciousness, up to its complete loss.
  • Back pain.

In almost every elderly person, the feet are mottled with a venous mesh, and on the legs and hips the enlarged and densified sections of the veins are larger. All these are manifestations of common varicose lesions, phlebitis, thrombosis and thrombophlebitis. Pathology of venous vessels involved phlebologist, who is addressed with such complaints:

  • Protruding sections of the dilated and densified veins.
  • Swelling of the legs.
  • Pain when walking and at rest.
  • The appearance of a subcutaneous vascular network of a purple hue.
  • Gastric cramps, which are especially common during night sleep.
  • Fatigue of legs during physical exertion.

If you have such symptoms, you should not postpone the visit to the doctor, because pathology is characterized by rapid progression and the occurrence of serious complications. As a result of varicose veins, the venous walls become inflamed, microcracks form in their inner layer, which contribute to the formation of blood clots. Moreover, the more advanced the disease, the harder, longer and more expensive is its treatment.

In addition to the vessels of the legs, veins of the rectum (hemorrhoids), genitourinary organs, and esophagus are susceptible to varicose veins. It is especially difficult to diagnose varicose veins of the pelvis, which is more common in women under the age of forty-five. Patients complain of such painful manifestations:

  • Lower abdominal pain.
  • Menstrual cramps.
  • Vaginal discharge.
  • Impaired urination.
  • Soreness during a gynecological examination.
  • Varicose veins located in the buttocks, thighs and perineum.

Almost all of these symptoms are similar to the manifestations of gynecological diseases, so even an experienced vascular doctor will not always allow the possibility of varicose lesions of venous vessels.

At the appointment, the doctor must inquire the patient in detail about the nature of his activity, workloads, family relationships, and a hereditary predisposition to any pathologies. Then the specialist conducts an initial examination, examines the patient’s history, directs him to additional examinations.

Atherosclerotic vascular changes are found in almost every person over fifty years old.

The initial stages of this disorder, as a rule, are asymptomatic, and the pathology is detected only after severe complications, such as myocardial infarction, various types of strokes, heart failure.

Atherosclerosis and other pathologies of arterial and lymphatic vessels involved an angiologist or vascular surgeon. Consultation of this specialist is required for such complaints:

  • Numbness of arms and legs.
  • Tingling in limbs.
  • Constant freezing of limbs, even when it is warm outside.
  • Soreness and swollen lymph nodes.

Doctors of this profile not only carry out medical treatment of arterial pathologies. They are also engaged in the restoration of the functions of internal organs, disturbed as a result of circulatory disorders, microsurgery and vascular transplantation.

Considering that all internal organs and systems depend on the circulatory system, doctors in the following areas encounter vascular pathologies:

  • Cardiologist is a specialist in cardiopathology. This doctor should be consulted if there are heartaches, shortness of breath and shortness of breath, tremors, sweating.
  • Rheumatologist – specializes in systemic diseases, one of the symptoms of which is vasculitis (the course of the inflammatory process in the vessel wall).
  • Immunologist – many vascular pathologies and blood diseases are autoimmune in nature, when immune cells begin to respond to the tissues of their own body as foreign ones.
  • Infectionist – there are a number of vascular diseases caused by pathogenic microorganisms and viruses.

Varicosis of the lower extremities is a problem that many women face, but in some cases it does not bypass the male gender.

The process of identifying varicose veins.

Experts assure that the problem of the manifestation of the ailment lies in the following factors:

  • prolonged stay in a standing position;
  • deformation of the vascular walls;
  • malfunctioning of the vein valve;
  • endocrine system pathologies;
  • genetic predisposition.

Pathologies of the cardiovascular system are extremely dangerous.

Typical symptoms of vein damage are:

  • “Inflated” veins in the leg area;
  • manifestation of swelling of the extremities, accompanied by pain;
  • vascular network formation;
  • heaviness and fatigue;
  • feeling of bursting.

At the first manifestations of varicose veins, you should consult a specialist.

In the early stages of the manifestation of the disease, the doctor will determine a simple method of exposure based on:

  • compliance with the regime;
  • the use of medications;
  • use of physiotherapy;
  • physical exertion;
  • proper nutrition.

Such measures in combination will significantly accelerate the healing process and will prevent the progression of varicose veins in a more complicated form – thrombophlebitis (see. All about thrombophlebitis: some facts of the course of the disease and treatment).

To determine the nature of the lesion, the phlebologist uses the following methods:

  • computed tomography – allows you to identify areas with thrombosis;
  • Dopplerography of blood vessels – helps to measure blood flow;
  • blood coagulation test.

Vegetovascular dystonia is characterized by a number of symptoms:

  • Pressure interruptions.
  • Shortness of breath, even with small physical exertion.
  • Nausea, vomiting.
  • Dizziness until fainting.
  • Heartburn.

A neurologist also helps to cope with such violations, often the patient is additionally referred for consultation to an endocrinologist.

The leading place among vascular diseases is varicose veins on the legs. Most often, the following factors provoke the problem:

  • Weak tone of the venous walls.
  • Long standing without movement.
  • Violation of the functions of the valves of the veins.
  • Pathology of the thyroid gland.
  • Genetic predisposition.

A number of symptoms have been identified that indicate the formation of varicose veins:

  • Bloating of veins.
  • Pain.
  • Swelling.
  • Vascular pattern.
  • The sores that most often appear on the legs.

Venous blood stagnates, which becomes the result of thrombophlebitis – the closure of a vessel with a blood clot followed by an inflammatory process.

A phlebologist will determine a number of studies:

  • Dopplerography of veins, with the help of which blood flow in the vessels is evaluated.
  • CT scan for blood clots.
  • Blood coagulation test.
  • Phlebomanometry (measurement of pressure in the veins).

The disease is associated with pressure in the vessels. At the early stages of development, drug therapy is prescribed, with advanced forms, only surgical intervention can help.

Sometimes a medical institution is complaining about the appearance of red rashes in the face.

Most often, such manifestation is characterized by lupus erythematosus. Pathology is associated with a malfunction in the immune system, it is determined by the production of antibodies to their own connective tissues. Immunity fights against the cells of the body, problems with blood vessels begin.

Heaviness in the legs and feet, swelling and burning sensation in the legs;

Tingling and numbness of the distal extremities and any other parts of the body;

Dizziness, tinnitus, impaired coordination and consciousness;

Darkening of the fingertips, they can blacken and acquire a bluish tint;

Ulcerative lesions on the skin, non-healing lesions for a long time;

Spots and dark spots in front of the eyes;

Throbbing sensations in the abdomen;

Hemorrhages in any area of ​​the body;

The occurrence of seizures, even at rest, amplified during physical exertion;

Dilated veins in the legs, pain in the feet when walking;

The occurrence of varicose networks or telangiectasias;

Seals localized in the lower extremities, their redness and soreness, or, conversely, loss of sensation;

Pain in the side, chest, and lumbar region, which can spread down the buttocks and through the inguinal region to the legs.

Doctor for diseases of the vessels of the legs and arms

Many people suffer from the appearance of such symptoms:

  • Heaviness in the lower extremities.
  • The appearance of a vascular pattern on the arms and legs.

An angiologist is involved in the treatment of vessels of the lower extremities. Diseases can be associated with the circulatory and lymphatic systems.

First of all, the doctor prescribes a series of diagnostic procedures:

  • Ultrasonic duplex scanning.
  • Ultrasound.
  • Angiography.

After studying the results, the necessary therapy is prescribed.

How does the phlebologist

At the initial examination, the phlebologist prescribes a set of diagnostic measures, such as ultrasound, dopplerography, radiography, and others.

Then, on the basis of the data revealed by the diagnosis, the doctor determines the degree of development of varicose veins and makes up a set of therapeutic measures.

This may include compression underwear, medical therapy, physiotherapy exercises, and, if necessary, various types of surgical intervention.

Symptoms of varicose veins are swollen veins in the legs, swelling, and even small ones, mainly on the legs. begins to gradually “burst” the veins, provoking another disease -, – with subsequent inflammation.

If you notice these signs in yourself, then you should know that a narrow-field doctor phlebologist treats varicose veins.
To begin with, a vein doctor performs a dopplerography of the vessels of the legs to measure blood flow in the vessels, computed tomography to detect blood clots, and also checks the blood for clotting.

The mechanism of the occurrence of varicose veins is not fully defined, but doctors are sure that there are a number of adverse factors that can provoke its appearance:

  • excessive load on the legs;
  • weakness or violation of the venous wall;
  • pathology of venous valves;
  • endocrine gland dysfunction;
  • gene predisposition.

Symptoms of varicose veins manifests itself in the form of:

  • protruding veins on the legs;
  • swelling, soreness of the legs;
  • spider veins;
  • venous stasis.

Against the background of these symptoms, there is a risk of developing thrombophlebitis of the veins, inflammation of the venous wall with the formation of a thrombus.

Phlebologist treats vessels of the lower extremities

If you observe a manifestation of these symptoms in yourself, then you need to contact a specialist that the doctor for the treatment of varicose veins is a phlebologist. First, ultrasound diagnostics of the vessels of the legs, computed tomography, and coagulation are done.


Angiologists also treat
. As a rule, the lymph nodes become inflamed due to diseases of an infectious nature – influenza, tuberculosis, as well as sexually transmitted diseases. But with myocarditis, damage to the lymphatic system is also observed, therefore, if infectious diseases are not confirmed, it makes sense to check the work of the heart and additionally visit the cardiologist’s office.

Inflammation of the lymph usually occurs due to infectious diseases transmitted by airborne droplets and sexually. specific causes of inflammation of the lymphatic system can be myocarditis, endocarditis.

Therefore, if the non-infectious nature of the disease is not determined, additional cardiac studies are performed by a cardiologist.

An angiologist is a doctor who treats pathologies of arteries and veins. Often in Russian clinics, this position is occupied by a phlebologist, who is a specialist in veins.

Vascular health must be monitored.

Patients turn to an angiologist with the following symptoms:

  • numbness of limbs;
  • feeling of tingling and burning;
  • chilliness in the arms and legs;
  • weakness of certain parts of the body.

It is to the angiologist that one should contact with lesions of the lymphatic system. The doctor has the necessary qualifications, he knows the instructions for action, because the doctor will help prevent the progress of the pathology of the system.

Patients should pay attention to the fact that all specialists are interchangeable, because they have similar theoretical knowledge. Nevertheless, if it is possible to consult a profile doctor, it is preferable to undergo treatment with him.

Which doctor treats vascular diseases now everyone knows, but it is important to remember that the state of health of everyone is exclusively in the hands of the patient himself. With the manifestation of exciting symptoms, a visit to the doctor should not be postponed.

Secondary diseases

This is a systemic autoimmune disease, expressed in the production of antibodies that damage the DNA of healthy cells.

Liebman-Sachs disease has the following symptoms:

  • temperature rise;
  • anemia;
  • soreness of the small joints of the hands and wrists;
  • inflammatory damage to the myocardium and mucous membrane of the heart;
  • damage to the skin on the face in the form of a butterfly – maculopapular rash.
  • angiotrophoneurosis – damage to the small terminal arteries and arterioles;
  • infectious diseases of the lungs;
  • multiple sclerosis;
  • inflammation of the kidneys;
  • encephalopathy;
  • lower hemoglobin.

Diagnosed on the basis of blood and urine tests, ultrasound, MRI and ECG. The treatment should be carried out by an immunologist.

Among the viral diseases of vascular localization, erysipelas is one of the most common.

Streptococcal soft tissue infection is characterized by a sudden onset:

  • temperature rises to 39;
  • symptoms of general intoxication of the body appear, then redness and swelling appears on the skin at the site of inflammation;
  • bullous elements may appear – bubbles containing a bright and clear liquid. The cause of the occurrence is beta-hemolytic streptococcus group A.

If erysipelas is suspected, the patient needs, in addition to consulting a vascular specialist, an examination by an infectious disease specialist or a dermatologist. With varicose veins, there is a high probability of reinfection, therefore it is recommended to consult a phlebologist (doctor for the treatment of vessels of the lower extremities). Other pathologies can also lead to re-infection, so a visit to an allergist, dermatologist and surgeon is necessary.

Treatment consists of taking antibiotics and ultraviolet radiation; in some cases, surgery may be required.


Benign vascular tumor that occurs mainly in newborns and is very rare in adulthood. It looks like a red, purple or cyanotic spot of irregular shape.

Hemangiomas are dangerous because they cause a violation of the hemostatic system and contribute to the penetration of microbes into the body. In childhood, they disappear by the age of 12 and do not need special treatment. For education in adulthood, you need to contact an oncologist or surgeon.

It is impossible to answer unequivocally to the question which doctors treat vessels. As we can see, various pathologies of the circulatory system are treated by a fairly wide circle of specialists with different specializations. For referral to a specific specialist, you need to visit a therapist who will write out for a referral to a narrower specialist.

Heart Vessel Specialist

Therapy of cardiac pathologies is carried out by a cardiologist. Patients turn to him with complaints about:

  • Chest pain.
  • Shortness of breath.
  • The enhanced work of sweat glands.
  • Heart dysfunction.
  • Heart disease.
  • A heart attack.
  • Angina pectoris.

In addition, the cardiologist deals with the vessels that nourish the heart muscle.

A visit to a cardiologist is recommended in some cases:

  • Age after 35 years.
  • Planned pregnancy.
  • Genetic predisposition to cardiac pathologies.
  • Overweight, obesity.

If a person follows these rules, then the risk of serious diseases of the cardiovascular system is reduced significantly. If a specific problem is detected, the patient receives timely treatment without risking the development of complications.

The man himself is responsible for the vessels, their health, and the doctor only helps to cope with the problems that have arisen.

Why is it important to contact a specialist in a timely manner?

In case of health problems, a person sometimes needs to consult a doctor who treats blood vessels. This will clarify the diagnosis after a comprehensive examination and prescribe the necessary therapeutic measures.

It is important to remember that vascular pathologies occupy a leading place among the most common anomalies of our century. They often deprive a person of the ability to move, communicate with people.

It is important to correct all the factors that can lead to disturbances, and remember that nicotine and a sedentary lifestyle have the most fatal effect.

Problems of human vascular pathology occupy one of the first places among all diseases affecting humans, as well as among the direct causes of death. Unfortunately, due to the erased clinical picture, patients’ inattention to their health, pathology is often not recognized at the first stages, which leads to irreversibility of pathological changes in human organs and tissues.

The main task of the vessels of the human body is to ensure complete transport of blood to organs and tissues.

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For this, the body has a very developed arterial and venous network, which penetrates into all tissues and organs. When problems arise with this mechanism, specific symptoms are observed in humans.

According to the type of blood that is carried by the vessels, as well as based on the histological structure of the vessel wall, they are usually divided into the following types:

  • arteries and arterioles;
  • veins and venules;
  • capillaries and microvasculature.

Lymphatic vessels, which provide lymph transport, are isolated into a separate group. These vessels are closely related to the human venous system. Problems and pathologies of the lymphatic system are usually closely related either to the veins or to the hematopoietic system.

Who should I contact if vascular disease is a secondary disease?

The following symptoms are the reason to consult a doctor who would diagnose the corresponding pathology:

  • numbness of a limb or any area of ​​the body. In this case, the doctor needs to diagnose and determine the cause of this symptom – a pathology of the human nervous system or vascular system;
  • change in temperature and color of the skin;
  • pain in various parts of the body, including headache.

Often with pathology of the arteries of the neck, dystrophic changes in the brain tissue are observed, which leads to a number of symptoms, such as headache, arterial hypertension, etc.

Atherosclerosis of blood vessels. Basically, with this disease, arteries of different caliber are affected, which leads to the development of a number of symptoms. Damage to the coronary arteries with atherosclerosis leads to the development of coronary heart disease. Damage to the vessels of the brain – to encephalopathy or the development of ischemic stroke.

Varicose disease. It affects the human venous system. The cause of the disease is both the weakness of the vascular wall of the veins and the pathology of the large circle of blood circulation, which lead to an increase in pressure in the venous system.

Such a wide range of pathologies that can affect arteries, veins, lymphatic formations, or just be one of the pathological links of the disease and is caused by the fact that a fairly wide range of medical specialists are involved in the diagnosis and treatment of vascular diseases.

The main vascular disease is atherosclerosis. Against its background, ischemic stroke, coronary heart disease, obliterating endarteritis and other vascular pathologies often progress. Atherosclerosis is based on damage to the arteries, provoked by the accumulation of lipids and the growth of endothelial walls. Arteries of the brain, heart, limbs, and neck are involved in the pathological process.
The main causes of vascular damage to the body:

  • a high content of animal fat in the diet provokes atherosclerotic changes in blood vessels;
  • smoking negatively affects the vascular walls, causes their spasm, several times increases the risk of developing hypertension and coronary heart disease;
  • constant overloading of the legs, wearing uncomfortable shoes lead to the development of varicose veins and other vein pathologies;
  • frequent infectious diseases are accompanied by intoxication and damage to the vascular walls;
  • excess weight is accompanied by a violation of fat metabolism and is often a provoking factor in the development of varicose veins, atherosclerosis of the vessels of the brain and heart.

The risk of thrombosis and bleeding increases with superficial and internal hemangiomas. These vascular tumors most often undergo reverse development, but can begin to grow actively, requiring surgical intervention. Hemangiomas occur mainly due to a malfunction in the formation of blood vessels at the stage of embryonic development.

Establish the exact causes of vascular pathologies can only be performed by a qualified specialist, using the extensive diagnostic capabilities. To clarify the diagnosis and assess the damage to the vascular system, various studies are prescribed: angiography, MRI, ECHOEG, computed tomography, dopplerography.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.