Deciphering vague symptoms: When to see an internal medicine specialist

Written in association with: Dr Luigi De Michele
Published:
Edited by: Sophie Kennedy

Vague symptoms are those that are difficult to describe or pinpoint. They can be general, such as fatigue, pain, or malaise, or they can be more specific, such as changes in appetite, sleep, or mood. Vague symptoms can be caused by a variety of factors, including stress, anxiety, depression, and underlying medical conditions, which makes resolving them a challenge. In this informative article, we hear from esteemed consultant specialist in internal medicine Dr Luigi De Michele about the key symptoms that should be assessed by a doctor and the role of internal medicine specialists in diagnosing the cause behind these health concerns.

What are some common vague symptoms that should prompt a visit to an internal medicine specialist?

Some common vague symptoms that should prompt a visit to an internal medicine specialist include:

  • Fatigue
  • Pain
  • Fever
  • Shortness of breath
  • Chest pain
  • Headache
  • Nausea and vomiting
  • Changes in urination or bowel habits
  • Unexplained weight loss or gain
  • Changes in vision or hearing
  • Mood changes
  • Memory problems
  • Sweating

If you are experiencing any of these symptoms, it is important to see a doctor to rule out any underlying medical conditions.


How can internal medicine specialists help in diagnosing underlying health issues when symptoms are not clear?

Internal medicine specialists are trained to diagnose and treat a wide range of medical conditions, including those that may present with vague symptoms. They will use their knowledge and experience to take a thorough medical history and perform a physical exam. They may also order additional tests, such as blood tests, imaging tests, or biopsies, to help pinpoint the cause of your symptoms.


Are there specific tests or evaluations recommended when experiencing vague symptoms?

The specific tests or evaluations recommended when experiencing vague symptoms will depend on your individual medical history and symptoms. However, some common tests that may be ordered include:

  • blood tests to check for anaemia, infection, inflammation, and other abnormalities
  • imaging tests such as ultrasounds, X-rays, CT scans, or MRIs to check for organ damage or other abnormalities
  • biopsies to remove a small sample of tissue for examination under a microscope
  • electrocardiogram or cardiac test


What are the potential risks of ignoring vague or subtle symptoms without seeking medical attention?

Ignoring vague or subtle symptoms without seeking medical attention can be dangerous. Some underlying medical conditions, such as cancer or heart disease, can be serious and even life-threatening if not diagnosed and treated early.


What is the role of internal medicine in coordinating care and addressing multiple vague symptoms in one patient?

Internal medicine specialists are trained to coordinate care for patients with multiple vague symptoms. They will work with other specialists, such as cardiologists, oncologists, and neurologists, and any other most appropriate specialist to ensure that you receive the best possible care.

If you are experiencing vague symptoms, it is important to see a doctor to rule out any underlying medical conditions. Internal medicine specialists can help you diagnose and treat your symptoms and coordinate care with other specialists, if needed.



If you are concerned by any kind of vague symptoms and wish to schedule a consultation with Dr De Michele, visit his Top Doctors profile today.

By Dr Luigi De Michele
Internal medicine

Dr Luigi De Michele is a leading consultant specialist in internal medicine based in Marylebone, London, who specialises in diagnosis of patients with non-specific symptoms, a holistic approach in complex patients and comprehensive geriatric assessment in the elderly, alongside management of medical comorbidities and management of polypharmacy. He privately practises at M.I.A.L Clinic while his NHS base is Barking, Havering and Redbridge University Hospitals NHS Trust.

Dr De Michele, who focuses on providing prevention, holistic and comprehensive assessment, and disease diagnosis, has an MD from La Sapienza at the University of Rome, Italy, and went on to specialise in internal medicine there. After this he went on to work as a consultant in the Emergency Department within the University of Tor Vergata, Rome, before relocating to the UK. 

Dr De Michele prides himself in his caring manner, and has significant experience in the management of frailty in elderly and younger patients with comorbidities. He set up an early diagnosis of cancer service dedicated to patients with non-specific symptoms at Guy's Hospital in 2016, while he is currently a consultant at a similar service at King George Hospital for Barking, Havering and Redbridge University Hospitals NHS Trust, which he set up. 

Dr De Michele also has international experience of practising internal medicine and elderly care, undertaking international missions in rural hospitals in Africa as well as international training in medicine and elderly care in Catalonia and Sri Lanka. He's a member of the Pan London RDC group and dedicated trainer of both GPs and Advance Nurse Practitioners. 

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