## General practitioner Will help rule out iron deficiency anemia, which leads to impaired metabolic processes in cells, including energy processes. It will be necessary to take a clinical blood test as well as a blood test for ferritin and blood iron levels. Anemia should be suspected if you also have pale skin, constant fatigue, dizziness, tinnitus, and palpitations. ## Neurologist One of the most common causes of icy hands is vegetative-vascular dystonia, which occurs due to disorders of the autonomic nervous system. The condition is also characterized by pressure fluctuations, heart pain, hot and cold flashes, a feeling of lack of air, and dizziness. Complaints of cold hands also occur with cervical osteochondrosis. You can confirm (or rule out) the diagnosis with an MRI of the cervical spine. ## Cardiologist With atherosclerosis, the walls of arteries lose elasticity, become thickened, their lumen narrows, and blood supply to organs is impaired. As a result, cold hands occur. You should consult a cardiologist or cardiovascular surgeon if you are also bothered by tinnitus, dizziness, or headaches. ## Rheumatologist Cold hands are one of the symptoms of Raynaud's syndrome, which is a condition when small blood vessels have spasms and disruption of the arterial blood supply to the extremities. It occurs five times more often in women than in men. To be sure you don't have this disease, you need an ultrasound scan (Doppler ultrasound of upper limb vessels), an ECG, a clinical blood test, and a standard biochemistry test. ## Endocrinologist Thyroid disease can also turn your hands into "ice." A thyroid ultrasound, blood test for thyroid hormones, and consultation with an endocrinologist can help rule out problems in this area.