Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Headaches: When to See a Neurologist for Relief
I have a headache that radiates to the back of my head, with a hot sensation on my forehead and warmth in my upper back? Hello Dr. Jiang: Since the end of January, I have been experiencing pain in my forehead, which has now shifted to the lower back of my head, causing me to wake...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the frontal headache has now shifted to pain in the lower back of the head, waking you up in pain, along with heat in the forehead and upper back." It is important to first consider cervicogenic headache. This type of headache is cau...[Read More] Understanding Headaches: When to See a Neurologist for Relief
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Understanding Hand Tremors: Causes and Solutions for Young Adults
Tremors in the fingers while holding a phone with one hand and slight tremors in the fingers when both hands are extended? Hello Doctor, I am 21 years old. Recently, I noticed that when I hold my phone with one hand and swipe with my thumb and index finger, my thumb and index fin...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned that "when both hands are extended forward, all ten fingers tend to tremble slightly." This trembling may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-sti...[Read More] Understanding Hand Tremors: Causes and Solutions for Young Adults
Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Feeling dizzy after exercising following a bath? Hello, Doctor! As the title suggests, after taking a bath, I engaged in intense exercise without much rest and didn't pay attention to my breathing rate. I quickly experienced severe dizziness and a feeling of nausea. After re...
Dr. Jiang Junyi Reply:
Hello, Ms. Yue. You mentioned that you fainted while soaking in a hot spring outdoors during a cold wave, but after some time, you felt fine. It’s important to consider the issue of syncope. Fainting is more likely to occur when a person is standing because the cerebral blood flo...[Read More] Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
Understanding Electromyography: Concerns About Needle Safety and Breakage
Needle electromyography issues? Hello doctor, I was very nervous during the electromyography (EMG) procedure, which involved six needle insertions, with the last needle placed in the back of my neck. I would like to ask if the needles used for EMG are very sturdy, and is the like...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the probability of needle breakage is basically 0?" I can only say that I have never seen a case of needle breakage in electromyography. If you are concerned, metal objects are very visible on X-rays. An X-ray examination can be used to ...[Read More] Understanding Electromyography: Concerns About Needle Safety and Breakage
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Focal epilepsy Hello, Doctor. I was diagnosed with focal epilepsy over a month ago. My first seizure occurred while I was exercising and sweating heavily; I suddenly felt like my right hand was being electrocuted, then I collapsed and experienced generalized convulsions. A week l...
Dr. Cai Zongzhang Reply:
Hello, Yiyi: During the initial treatment of epilepsy, it is essential to have regular outpatient follow-ups to adjust the medication dosage until the condition stabilizes. It may take some time to observe the efficacy of the medication and make adjustments, so please be patient ...[Read More] Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...
Dr. Cai Zongzhang Reply:
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Understanding Headaches and Vascular Issues: A Neurological Perspective
Headaches and vascular-related issues? Hello, doctor. I have been experiencing frequent headaches and fatigue. Here are my detailed symptoms: I have two types of headaches; one is unilateral (more often on the left side, but sometimes on the right) accompanied by a feeling of pre...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "If I need to see a specific specialist, which one would you recommend (due to heart and head, neurological issues)?" I'm not sure which issue is most concerning for you. I suggest starting with a neurologist, focusing on cervical spine ...[Read More] Understanding Headaches and Vascular Issues: A Neurological Perspective
Recurring Headaches, Chills, and Vomiting: Possible Neurological Issues?
Recurring headaches, chills, and vomiting over the course of a month? Hello Dr. Jiang, My mother began experiencing chills and forehead pain at the beginning of January this year, with her temperature rising from 36.5°C to around 37.1°C. This was followed by vomiting within 1 t...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that your mother experienced chills and forehead pain at the beginning of January this year (her temperature rose from 36.5°C to around 37.1°C), followed by vomiting that began within 1 to 2 days, and that her condition improved after fasting for 2...[Read More] Recurring Headaches, Chills, and Vomiting: Possible Neurological Issues?
Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Hypoglycemia Hello, Dr. Jiang. As a diabetes patient, I am using insulin to control my blood sugar levels. Recently, I experienced a hypoglycemic episode that caused me to lose consciousness. My family found me and took me to the hospital, where my blood sugar was measured at 40 ...
Dr. Jiang Junyi Reply:
Dear Mr. Jian, You mentioned that "hypoglycemic encephalopathy causes deterioration in memory and reaction." Aside from the initial acute management, there currently seems to be no directly effective medication for the encephalopathy. For neural repair, it is recommend...[Read More] Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
The sensation of body swaying and dizziness has persisted for six months? Hello, Doctor. Since being diagnosed at the end of May last year, I have been experiencing symptoms of hypoxia, such as blackouts and dizziness. By October, my hypoxia symptoms had improved, but recently I ...
Dr. Jiang Junyi Reply:
Dear Ms. P: You mentioned experiencing "sudden lapses of memory for 1 to 2 seconds while walking, without any symptoms of numbness in the limbs or face." Your symptoms may suggest postural hypotension. Additionally, conditions such as anemia, autonomic dysfunction, and...[Read More] Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Jaw Numbness: Causes and Concerns in Neurology
Jaw issues? Hello, doctor. My chin suddenly feels a bit numb, but I haven't had orthognathic surgery, tooth extraction, or dental implants. I just suddenly feel some numbness in my chin, and recently I've also been experiencing issues with Eustachian tube dysfunction an...
Dr. Peng Shiwei Reply:
It is recommended that you seek medical treatment in the appropriate specialty department based on your discomfort. Thank you.[Read More] Understanding Jaw Numbness: Causes and Concerns in Neurology
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology