### Patient: Hello doctor, I've been experiencing symptoms like difficulty swallowing, bladder problems, and constantly feeling dizzy. My heart rate and blood pressure also tend to fluctuate frequently. 
### Doctor: Based on your symptoms, it appears you may have an autonomic nervous system disorder. We will need to conduct a few medical tests to confirm the diagnosis. This will include a complete physical skin exam, Hemoglobin A1c measurement, lipid panel, ultrasonography, wound care management, and echocardiography. Additionally, we may need to conduct other diagnostic procedures such as an interview, evaluation, or consultation to better understand your condition.