Hello, doctor. I would like to ask you some questions?
Hello, doctor.
I have been experiencing some symptoms for a while now, such as suddenly seeing a field of black and white particles, being unable to see anything, and feeling unsteady on my feet.
This is followed by discomfort, cold sweats, and pale lips.
Recently, it has worsened to the point where I faint and lose consciousness for about a minute, after which I suddenly wake up.
Upon waking, my awareness returns, but I still experience sweating and pale lips, and I cannot move, as it makes me feel worse; I cannot stand or see anything.
I previously wore a Holter monitor, but the doctor indicated that there were abnormalities in the ECG without identifying the cause.
I would like to ask what my issue might be or which type of specialist I should consult.
I am unsure where to find a thorough doctor in Kaohsiung.
I appreciate your help, as I do not know which direction to take in seeking medical attention.
Thank you for taking the time to respond.
P.S.
I previously consulted a cardiologist, who suggested that I see a neurologist, but I do not understand why these symptoms would require a neurological evaluation.
I am unsure how to communicate this to the doctor.
Yi, 20~29 year old female. Ask Date: 2006/03/24
Dr. Ye Boshou reply Neurology
Based on your symptoms, which are close to a fainting state, it could be related to cardiovascular diseases or neurological issues, such as an exaggerated vagal reflex.
You may want to observe if these episodes occur consistently during a specific action or activity.
If so, it would be advisable to consult a neurologist for a thorough examination!
Reply Date: 2006/03/24
More Info
It sounds like you are experiencing a range of concerning symptoms that could be indicative of a neurological issue. The symptoms you've described, including sudden episodes of vision loss (seeing black and white particles), loss of consciousness, cold sweats, and pale lips, are quite serious and warrant further investigation.
Given that you have already consulted with a cardiologist and had an abnormal electrocardiogram (ECG), it is essential to follow up on these findings. While heart issues can certainly cause symptoms like fainting and sweating, the combination of your symptoms suggests that there may also be a neurological component at play. This is why your cardiologist recommended that you see a neurologist.
Neurologists specialize in diagnosing and treating disorders of the nervous system, which includes the brain, spinal cord, and nerves. Your symptoms could be related to several neurological conditions, such as seizures, migraines with aura, or even transient ischemic attacks (TIAs), which are often referred to as "mini-strokes." Each of these conditions can present with symptoms similar to what you are experiencing, and a neurologist would be equipped to conduct the necessary tests to determine the underlying cause.
When you visit a neurologist, it is important to provide a detailed account of your symptoms. Here are some points you might want to mention:
1. Description of Symptoms: Explain the nature of your episodes, including how long they last, what you feel before, during, and after the episodes, and any triggers you may have noticed.
2. Frequency and Duration: Note how often these episodes occur and if there are any patterns or specific circumstances that seem to precede them.
3. Previous Medical History: Share your medical history, including any previous diagnoses, treatments, and the results of your ECG.
4. Impact on Daily Life: Discuss how these symptoms affect your daily activities, work, and overall quality of life.
5. Family History: If there is a family history of neurological disorders, mention this as it can provide valuable context for the neurologist.
In addition to a thorough clinical evaluation, the neurologist may recommend further testing, such as an MRI or CT scan of the brain, EEG (electroencephalogram) to monitor brain activity, or blood tests to rule out other conditions.
It is understandable to feel anxious about these symptoms and the process of seeking a diagnosis. However, consulting a neurologist is a crucial step in understanding what is happening in your body and finding appropriate treatment. If you are unsure where to find a neurologist in Kaohsiung, consider asking your primary care physician for a referral or searching for local hospitals or clinics that specialize in neurology.
In summary, your symptoms are significant and should not be ignored. Seeking the expertise of a neurologist is the right course of action, and being prepared with detailed information about your symptoms will help facilitate a thorough evaluation. Remember, early diagnosis and intervention can lead to better outcomes, so do not hesitate to pursue this path.
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