A family and general doctor are essentially the same thing. You have to first go to a general/family practice physician. In most situations this is where you start and if you need to see another type of doctor they will refer you to them. I know that you can not just call up an internal medicine practice and set an appointment without a referral from a family/general practitioner.
See an internist (internal medicine) they can help with all of your symptoms or send you to a specialist if necessary.
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