Vegetative-vascular dystonia, which doctor treats whom to contact

Diagnosis of dystonia is carried out with the exception of organic pathology. Any diagnostic laboratory and instrumental techniques are broken up on the poorly studied autonomic nervous system.

This is due to the fact that countries adhere to evidence-based medicine, which allows you to confirm any diagnosis with diagnostic results. With VVD, no organic pathology can be determined, so the abundance of complaints is attributed to psychosomatic manifestations.

In the Russian Federation, in spite of insurance medicine, which, in theory, should cover all the necessary diagnostic measures with protocols, it is not always possible to establish the exact genesis of complaints. In this case, the diagnosis of VVD is empirically made and therapy is prescribed.

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In private clinics and regional hospitals equipped with the latest equipment, which is able to perform the most complex laboratory diagnostic methods, the diagnosis of dystonia is quite rare. Thanks to such opportunities, they discover the exact cause of complaints and conduct appropriate therapy.

In areas on the periphery, the main diagnostic method used to suspect an IRR is subjective questioning of the patient. He should answer the questions of the test, based on the reactions of his body. Such questionnaires can be provided by ordinary therapists to whom patients go as part of free medicine. Pathology is treated symptomatically, because of this the disease is considered chronic and requires regular monitoring and preventive treatment.

Standard way

For any person living in our country, in case of health problems, it is recommended to consult a local doctor. For this, it is intended to guide you to the right specialist and advise on key issues. If the disease is of a general nature, for example, flu, then the local doctor will prescribe you a prescription and give you a sick leave.

And if you suspect a vegetovascular dystonia, he will direct you “in a circle.” You will have to go through different doctors: a gastroenterologist, cardiologist, neuropathologist, urologist, endocrinologist, psychotherapist. If this is enough, then by the method of excluding specific diseases you will be determined by the IRR. Otherwise, they will collect more data using diagnostics.

If you have already established vegetovascular dystonia, then the data will still go to the medical record card in the clinic where you are registered. With this card, you can make an appointment with your local doctor who will refer you to the right office.

Treating VVD with doctors is troublesome: one psychotherapist or cardiologist can’t do this! Therefore, you will already listen to the instructions of the doctor to whom you were referred. If unresolved questions arise, return again to your local police officer, who will tell you what to do next.

For treatment to give a positive result

Vegetovascular dystonia is manifested by a number of characteristic symptoms, on which it depends on which doctor to contact with VVD.

  • 1470494952 vsd2 - Vegetative-vascular dystonia, which doctor treats whom to contactDisorders in the cardiovascular system. Manifested in a change in heart rhythm, blood pressure, pain in the heart. Sometimes the symptoms are similar to signs of myocardial infarction or hypertension, which is why a doctor must be a cardiologist to diagnose VVD.
  • Irritable Bowel Syndrome. The diagnosis can be either independent or in combination with vegetovascular dystonia. The disease manifests itself with constant urges to defecate, in some cases – false, lack of appetite, nausea and vomiting. A gastroenterologist is involved in this pathology.
  • Increased sweating associated with impaired innervation of the sweat glands. A person, regardless of weather conditions and physical activity, sweats a lot. With such symptoms, it is necessary to seek the help of a dermatologist and a neurologist at the same time.
  • Respiratory syndrome. It manifests itself in frequent shallow breathing, which leads to dizziness and impaired consciousness. With increased ventilation of the lungs, a consultation with a general practitioner or pulmonologist is recommended.

The doctor prescribes the treatment of VVD only after differential diagnosis. Therefore, the first thing the doctor needs to make sure that the patient really suffers from vegetovascular dystonia.

The doctor who treats the VSD prescribes drugs to prevent the development of possible complications. Unfortunately, it is not always possible to avoid damage to other organs. The main complication is considered to be a vegetative crisis, the main signs of which are heart palpitations, panic attacks, tremors and increased blood pressure. In this case, the treatment should be carried out by a neurologist.

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In addition, there is a high risk of developing a vaginal crisis, which is characterized by dizziness, impaired heart rate, decreased pressure and general weakness of the body. The neuropathologist is also involved in stopping the vaginal insular crisis.

Since VVD is a complex of symptoms, it is necessary to treat it comprehensively.

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A specialist in the digestive system will try to normalize the work of your intestines if it does not work stably. A diet will be attributed, a diet recommended, and medications prescribed.


In case of violations in the circulatory system, you will be treated by a specialist in the heart and blood vessels.

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You can undergo additional diagnostics, which is justified. After all, you need to be sure that the symptoms do not turn into a cardiological disease.

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Here you can not do without a prescription and a sparing regimen. We must obey, just came to the doctor.


For certain nervous disorders, you should consult a specialist in the nervous system. This doctor should check all doubts that he may have during the examination:

  • Can any nerve be pinched?
  • Is there a sufficient supply of neurons with nutrients?
  • Are there any abnormalities in the structure of your nervous system?

If he finds something, then the treatment will be appropriate. Sometimes, the pathology here can be eliminated faster than in other systems. Then there is hope: soon get rid of the IRR.


With frequent urination, they can also be sent to a urologist. But most often with VSD, the reason here is the failure of the nervous system, mode and nutrition.


If there was a hormonal failure, then you need to understand your physiology. How to arrange the production of hormones will tell you the endocrinologist. It is possible that he may send you to a neurologist or psychiatrist to establish the causes of violations in the body.

In the process of going to the doctors do not get carried away: remember about your health. Doctors sometimes like to heal, but you need to treat VVD, and this is done only by doctors from nature. Therefore, in order not to be treated, take a little care of your health yourself. The best doctor for VSD is yourself!

Want to cure VVD? Then do the following:

  1. Engage in psycho-training.
  2. Take the energy of nature as a medicine.
  3. Direct your nerve impulses to stabilize digestion.
  4. Relax your vessels under a hot shower and make them shrink from streams of cold water.
  5. Smile at a stranger on the street and feed a homeless cat.
  6. Do something nice to your loved one and arrange your life.

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Thanks people for your actions will bring more benefits than going to the doctors. This is home psychotherapy. Open the way to life for your health, and the VVD will forget: where do you live!

Which doctor is most often referred to by a patient for VSD? The first to come up with general complaints are pediatricians (in a child) and therapists (in adults) on an outpatient basis. The doctor, depending on the prevalence of the patient’s complaints, refers him to narrow-profile specialists: a neurologist (if a person complains of headache, dizziness, loss of consciousness, etc.) or cardiologists (with the main complaint of a cardiac disturbance).

Diagnosis of the disease most often requires inpatient monitoring of the patient by medical personnel. The abundance of complaints often causes panic in the patient himself, which further exacerbates the condition. The therapy itself can be carried out on an outpatient basis, with the exception of crisis episodes. They can occur during periods of exacerbation, more often against the background of emotional or physical overstrain.

Unfortunately, there is no specific drug that can regulate the influence of the sympathetic trunk of the spinal cord (representing the sympathetic system) and the vagus nerve (the main representative of parasympathetics). The disease is usually treated with drugs that relieve symptoms. These include:

  • Nootropics (piracetam, picamilon, phenibut and others).
  • Adaptogens (adaptol, tinctures of eleutherococcus, hawthorn, gingobiloba and so on).
  • Sedative drugs (persen, novo-passit, mated and others).
  • Vitamins (Magnelis B6, Magnerot, cardiomagnyl and others).
  • Tranquilizers (seduxen, elenium, nozepam and others).
  • Antidepressants (cipralex, deprim, azafen and others).

Physiotherapeutic methods aimed at activating a system whose functioning is reduced and calming the prevailing system are also effective. The most effective acupuncture. Quite often they use unconventional methods, for example, music therapy.

In the case of the predominance of the vagal system, stimulating therapy is needed to promote activation of sympathy – contrast shower, electrophoresis and darsonvalization and other methods. If on the contrary, the patient has a hypertonic form of VVD, then one should calm the sympathy with relaxing techniques – SPA procedures, relaxing massage, aromatherapy and so on.

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Recently, in the central hospitals of Russia, any signs of autonomic dysfunction can not do without consulting a psychotherapist. Here is who often treats VSD in Europe and the United States.

The main reason for this treatment is that the pathogenetic mechanism of the development of the symptoms of VVD is directly related to disorders of the nervous system, and moreover, to disorders of the mental state. This is confirmed by the causes of crisis episodes: in the first place – stress or depressive moods. The panic attacks that often accompany crises also require the correction that these therapists provide.

Mental health professionals prescribe antidepressants and tranquilizers. However, the main treatment method is still psychotherapy sessions, during which the doctor is able to balance the mental health of his patient, significantly reducing anxiety.

Diagnosis of the IRR is a very difficult process, which requires the involvement of such specialists:

  • the neuropathologist;
  • cardiologist;
  • urologist;
  • gastroenterologist;
  • endocrinologist;
  • other specialists.

Treatment of vegetovascular dystonia is a difficult process that requires intervention and psychologists. They will be able to determine the cause of stress and help a person deal with it. Without this, the treatment would not be complete. In addition, only a neurologist or cardiologist will not be able to cope with the disease medically.

In addition, there is a high risk of developing a vaginal crisis, which is characterized by dizziness, impaired heart rate, decreased pressure and general weakness of the body. The neuropathologist is also involved in stopping the vaginal insular crisis.

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Do you have or suspect a vegetovascular dystonia? And to which doctor to go with the characteristic signs of VVD? This question arises in many patients, because VSD is considered a complex of symptoms. Let’s decide in this article: where do you need to go?


Here you can not do without a prescription and a sparing regimen. We must obey, just came to the doctor.



It is proved that the vast majority of people on the planet face vegetovascular dystonia, otherwise – VVD. Almost always, this disease is accompanied by a neurosis. They manifest themselves extremely painfully for a person, he experiences a lot of unpleasant and painful sensations. Due to the wide spread of these pathologies, it is necessary to know their symptoms and understand which specialist to contact if they are detected.

Vegetovascular dystonia is a disease with many symptoms: from headaches and high blood pressure to pronounced anxiety and spasmodic muscle attacks. First of all, dystonia of the cerebral vessels occurs. Neurosis is a consequence of stress experienced for a long time.

  • smoking cessation;
  • prolonged sleep;
  • Antidepressants.

    Why is a psychotherapist needed?

    The participation of psychotherapists in most cases is necessary to solve problems with VVD. For example, patients may complain of symptoms in the sternum, but the examination does not show that there are heart problems, while a person has panic attacks several times. The neurologist considers this situation as typical for VVD, conducts therapy according to the standard scheme, focusing on treatment of the nervous system. However, the condition worsens after treatment.

    A typical example is that the specialist misses a mental disorder, because this is not his professional direction. Further, the specialist is unable, on his own initiative, to determine any mental disorders. This does not indicate the principle of ethics and the overall work of the medical industry.

    Reorientation to psychotherapy immediately gives a positive result, the patient managed to restore health, nervous disorders ceased to make themselves felt.

    We list the common medicines:

    • Antidepressants.
    • Tranquilizers.
    • Neuroleptics.
    • Nootropic drugs.

    Features of prevention and treatment methods

    Beta-blockers are aimed at normalizing blood pressure and heart rate.

    Experts are firmly convinced that the comprehensive treatment of neurosis and VVD cannot be successful without the inclusion of a psychotherapeutic technique. It is aimed at identifying the root cause of the disease. An experienced psychiatrist will help the patient to look at his problems from the side, evaluate them, learn to live differently, without anxiety and depressive moods. The help of such a specialist is an extremely important stage on the path to recovery.

    The use of gymnastics with VVD and neurosis will help to significantly alleviate the main symptoms. A variety of regular exercises will relieve the patient of headaches, osteochondrosis, muscle cramps, cramps, and sleep problems.

    Doctors recommend including long walks in the fresh air, swimming, yoga classes in everyday life. Morning exercises for 20 minutes will be extremely useful for such patients. But you should avoid too intense exercises, sharp jumps, they can harm your health.

  • massage of the cervical and lumbar;
  • electrophoresis procedure in the neck;
  • cold and hot shower;

    All these methods are very effective in the treatment of neurotic disorders, but each patient is assigned an individual method depending on the condition and symptoms.

  • 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.