Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Calf issues Hello Doctor, I underwent RF (radiofrequency) calf surgery 9 days ago and have been unable to stand on flat ground since then. When barefoot, I experience the following difficulties: I cannot stand upright, my knees cannot straighten, I cannot rise onto my toes, and I...
Dr. Peng Shiwei Reply:
It is uncertain what type of surgery you underwent. Please follow up with your surgeon for a discussion, or seek evaluation from a specialist in plastic surgery or neurology at a regional hospital or higher. Thank you.[Read More] Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Head Injury Concerns: When to Seek Medical Attention After Trauma
Head issues Hello, doctor. My mother is 50 years old and was hit on the back of her head by a car door this morning. She is currently on anticoagulants due to vasculitis, and I am very concerned about the possibility of microvascular rupture and other issues. Which specialty shou...
Dr. Jiang Junyi Reply:
Hello Hue: It has been over 10 days now; how is your mother doing? If she is in her 50s and has not experienced loss of consciousness or significant localized hematoma, there may not be too much to worry about. Delayed intracranial hemorrhage typically occurs within 48 hours, wit...[Read More] Head Injury Concerns: When to Seek Medical Attention After Trauma
Understanding Persistent Head Pain: Causes and Treatment Options
I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...[Read More] Understanding Persistent Head Pain: Causes and Treatment Options
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...
Dr. Jiang Junyi Reply:
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Leg Numbness and Weakness After Walking: Diabetes Concerns
On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...
Dr. Cai Zongzhang Reply:
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Persistent Head Pain After Facelift Surgery: Seeking Relief and Answers
It has been a year since the facelift surgery, but the head still feels tight, numb, and uncomfortable, causing unbearable pain? Hello Dr. Peng, I underwent a facelift surgery in November 2022. Since February 2023, I have been experiencing tightness and electric shock sensations...
Dr. Peng Shiwei Reply:
Hello, online consultations cannot provide diagnostic advice. Please consult a neurologist in person. Thank you.[Read More] Persistent Head Pain After Facelift Surgery: Seeking Relief and Answers
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Stiffness and lack of flexibility? I am a high school student, and I recently noticed that my hand feels a bit stiff and less flexible when I write. I am a bit worried that it might be amyotrophic lateral sclerosis (ALS). What self-checks should I perform?
Dr. Peng Shiwei Reply:
When the weather is colder, blood circulation slows down, which can reduce the dexterity of the hands and feet. If these conditions are ruled out, it is recommended to seek evaluation from a neurosurgeon. Thank you.[Read More] Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Understanding Long-Term Effects of Brain Hypoxia: A Patient's Journey
Prolonged cerebral hypoxia? Hello Doctor, my father suddenly became paralyzed at the beginning of this month. After we urgently called an ambulance, the medical personnel said that his pupils were already dilated. Upon arrival at the hospital, his heart had stopped. After approxi...
Dr. Peng Shiwei Reply:
It is necessary to assess the affected area and the extent of the damage. An online consultation cannot address your questions; it is advisable to discuss your father's subsequent treatment and rehabilitation with his primary physician. Thank you.[Read More] Understanding Long-Term Effects of Brain Hypoxia: A Patient's Journey
Understanding Abnormal Brain Perfusion CT Results and Their Implications
Cerebral perfusion computed tomography (CT perfusion) I underwent a brain CT scan (perfusion imaging) at National Cheng Kung University, and the doctor informed me of some abnormalities. I would like to know what these results signify and whether they indicate the possibility of ...
Dr. Peng Shiwei Reply:
If the physician informs you of any abnormalities, please discuss the arrangement for further diagnosis or treatment with your primary care physician. Thank you.[Read More] Understanding Abnormal Brain Perfusion CT Results and Their Implications
Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Tinnitus and pulsatile tinnitus issues? Dr. Tsai, you just mentioned that I should see a neurologist for an examination. I would like to ask you, what specific tests should be conducted for tinnitus?
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: It is recommended to have a consultation first before deciding which tests to schedule.[Read More] Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions