Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Autonomic nervous system dysfunction causing dizziness and lightheadedness? Hello, Dr. Jiang. I apologize for bothering you, but I would like to ask for your advice. Three years ago, I suddenly experienced autonomic nervous system dysfunction. Initially, I had occasional prematur...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "sleeping for 9 hours... Yongkangxu said it would help." Yongkangxu contains two active ingredients: Flupentixol, which is an antipsychotic that has antidepressant and anxiolytic effects at low doses, and Meltracen, which is a mood st...[Read More] Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Understanding Trigeminal Neuralgia: Causes of Facial Pain and Numbness
Is it trigeminal neuralgia? Hello, doctor: After rubbing my left ear, I experience pain, and there is a tingling sensation in the left side of my brain, cheek, jawline, and neck. What could be the cause?
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be one of the manifestations of trigeminal neuralgia.[Read More] Understanding Trigeminal Neuralgia: Causes of Facial Pain and Numbness
Understanding Muscle Spasms and Chest Pain: When to Seek Help
Experiencing a seizure to the point of nearly fainting? It felt like a cramp, but I wasn't sure if it was actually a cramp. One moment I was in a good mood playing, and then I got on a motorcycle. Within a minute, I started feeling pain in the left pectoral muscle near the a...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by a neurological disorder, and it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Muscle Spasms and Chest Pain: When to Seek Help
Can You Take Birth Control After AVM Surgery? Expert Insights
Hello, doctor. May I ask about post-operative care for arteriovenous malformation? Hello Dr. Peng, may I ask if it is safe to take contraceptive pills after undergoing surgery for arteriovenous malformation? I took them about 25 years ago when I first started dating my husband, b...
Dr. Peng Shiwei Reply:
Currently, contraceptive pills carry a certain risk of thrombosis in the brain; however, research indicates that the risk of venous thromboembolism is greater. Your condition is classified as arteriovenous malformation, and the literature presents mixed findings. Some studies sug...[Read More] Can You Take Birth Control After AVM Surgery? Expert Insights
Is It Nerve Pain? Understanding Symptoms and Causes of Ear Injury
Is it neuropathic pain? Hello, doctor: I accidentally strained my left ear, and now it hurts. Is it nerve pain? I have a constant throbbing pain on the left side, along with tingling and numbness. What should I do? What could be the cause, doctor?
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are indicative of a neurological disorder; however, the underlying cause needs to be investigated for confirmation. It is recommended to visit a neurology outpatient clinic.[Read More] Is It Nerve Pain? Understanding Symptoms and Causes of Ear Injury
Post-Ischemic Stroke Follow-Up: Understanding Risks and Medication Adjustments
Follow-up after ischemic stroke? Doctor, my mother had an ischemic stroke 4.5 years ago and underwent an MRI at that time. This year, during a follow-up MRI, it was found that the previously blocked blood vessels from the stroke are no longer visible in the distal segment. Is thi...
Dr. Cai Zongzhang Reply:
Hello Wenwen: Magnetic resonance angiography may not show blood vessels, which does not necessarily indicate complete blockage; it could be due to vascular narrowing and slow blood flow. Using anticoagulants is a reasonable preventive measure against stroke, but it should be used...[Read More] Post-Ischemic Stroke Follow-Up: Understanding Risks and Medication Adjustments
Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Cerebral infarction (stroke) Hello, I had a car accident on December 9, 2022, and initially only sustained some external injuries. However, on January 12, 2023, I suddenly experienced a loss of vision and went to Tzu Chi Hospital to see a neurologist. An MRI revealed that I had a...
Dr. Cai Zongzhang Reply:
Hello, A-You: The causes of cerebral infarction are not directly related to trauma; it may be necessary to investigate other rare causes of cerebral infarction. The recovery period for neurological damage is lengthy, and complete recovery is often difficult, with most patients ex...[Read More] Understanding Stroke: Exploring Links Between Car Accidents and Brain Infarction
Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Trigeminal neuralgia Hello, doctor: I accidentally pulled my left ear and now I have trigeminal neuralgia. What should I do?
Dr. Wu Mukhan Reply:
Hello, the trigeminal nerve is one of the important sensory nerves in the human face, primarily located around the forehead, eyes, nose, cheeks, and lips. Pain behind the ear is likely not related to the trigeminal nerve. If the pain behind the ear is caused by a pull or injury, ...[Read More] Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Understanding Nerve Pain: Causes and Solutions for Ear Discomfort
Is there a problem with neuropathic pain? Hello, doctor: I accidentally rubbed my left ear and now it hurts, which feels like nerve pain. The entire left side has a tingling and numb sensation. What should I do? What could be the cause, doctor?
Dr. Wu Mukhan Reply:
Hello, sensations such as tingling and numbness may be caused by nerve injury. In some cases, these symptoms may resolve on their own, but they can also persist. If there is no improvement, it is advisable to visit a hospital for an examination to determine whether the issue is r...[Read More] Understanding Nerve Pain: Causes and Solutions for Ear Discomfort
Understanding Sleep Issues in Children: Causes and Solutions
Sleep problems in children? Hello, I would like to ask about an 8-year-old child who starts twitching their hands and feet every night as soon as they fall asleep. Initially, there were no twitches before falling asleep, but once they are held, the twitching indicates they have f...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned that "you have been tossing and turning all night, experiencing repetitive movements, and not sleeping well, resulting in dark circles under your eyes." If this is affecting your sleep quality, it is advisable to seek medical treatment. Fir...[Read More] Understanding Sleep Issues in Children: Causes and Solutions
Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Questions about the use of Naoqing (a traditional Chinese medicine)? Hello, doctor. Recently, I visited the hospital due to dizziness, and the doctor prescribed Flunarizine (Fluzine tab) to be taken at bedtime, one tablet for two weeks. I have a habit of taking dietary supplement...
Dr. Peng Shiwei Reply:
Hello, flunarizine generally does not conflict with other dietary supplements and can be taken normally. Thank you for your inquiry.[Read More] Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi Reply:
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Binocular diplopia occurs within 1 centimeter (at least) without lateral shadows, but outside of 1 centimeter, lateral shadows will be present? However, beyond 1 meter, there is double vision. What could be the neurological issue? Additionally, there is a sharp pain behind the le...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "diplopia" may require consideration of issues related to cranial nerves (oculomotor, trochlear, and abducens) to the brainstem. It may also involve compression of the muscles behind the eye. Typically, brain imaging, blood tests, and nerv...[Read More] Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...
Dr. Jiang Junyi Reply:
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Photosensitive epilepsy and individuals with neurosis? I have read many educational articles about photosensitive epilepsy, but I still have some confusion. Specifically, I would like to know if individuals with neurosis may also experience discomfort, such as neck twitching and ...
Dr. Jiang Junyi Reply:
Hello: Photosensitive epilepsy typically occurs during childhood and is rare in adults. Your symptoms may warrant consideration of cervical myofascial issues or sleep disorders. It is recommended that you visit a neurology outpatient clinic for further evaluation and follow-up. T...[Read More] Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients