What does an ENT physician treat?

The ENT doctor can also treat circulatory disorders. Mostly, circulatory disorders in the ENT area are circulatory disorders in the inner ear. Circulatory disorders in the neck or nose area are rather rare.

The inner ear is the organ of hearing and balance. If the blood supply to the hearing cells is not good, a malfunction occurs. Tinnitus occurs.

Patients complain of ringing in the ears. Therefore, the treatment of tinnitus consists of promoting the blood circulation in the ear. There are different possibilities for this.

Among others, infusions are used. These contain cortisone as well as drugs that stimulate the blood circulation such as the rheological drugs dextran and pentoxiphyllin. The results for acute tinnitus are very good. In chronic tinnitus the treatment is much more difficult, because often other components also play a role.

What does an angiologist treat?

The angiologist is a specialist in the field of angiology, a sub-area of internal medicine and deals with vascular diseases. These include circulatory disorders of the arteries as well as venous and lymphatic diseases. However, there are many overlaps with other specialties, e.g. cardiologists.

Angiologists usually do not treat circulatory disorders of the heart.Its domain is peripheral arterial occlusive disease (pAVK) of the pelvic and leg arteries, as well as constriction of the carotid artery (carotid stenosis) and a narrowing of the renal arteries. They treat not only circulatory disorders due to arteriosclerosis but also vascular diseases caused by inflammation (vasculitis) or radiation. Angiologists also treat vascular sacculations (aneurysm) of the aorta or the pelvic and leg arteries. For laypersons it is often not immediately obvious which circulatory disorders the angiologist is responsible for, so in case of doubt it is always worth consulting the family doctor. He can then arrange for the patient to be referred to the appropriate specialist.

What does an eye doctor treat?

Circulatory disorders in the eye usually occur either in the area of the retina (retina) or in the area of the optic nerve (optic nerve). They can either develop insidiously or lead to a sudden loss of vision. Chronic circulatory disorders of the eye are usually caused by arteriosclerosis due to high blood pressure, diabetes and lipid metabolism disorders.

These diseases are treated by an internist. The domain of the ophthalmologist is the following diseases rather acute diseases like a central vein occlusion or the occlusion of a retinal artery. In central retinal vein occlusion, the therapy of choice is a blood-thinning medication (e.g. Marcumar) to dissolve the blood clot that occludes the vein.

In the course of the disease, laser treatment can be useful, especially if accompanying complications such as edema or the formation of new blood vessels occur. The occlusion of a central artery is also an ophthalmologic emergency. In this case, the patient must be administered the drug acetazolamide immediately. The eyeball should be massaged for 15 minutes. In the worst case a lysis therapy must be performed to dissolve the blood clot.