Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Is it impossible to detect autonomic nervous system dysfunction in the intestines? Hello, doctor. I have been experiencing long-term issues with irritable bowel syndrome (IBS) of the diarrhea type. My doctor mentioned that it is caused by autonomic nervous system dysregulation. A...
Dr. Jiang Junyi Reply:
Hello: You mentioned "autonomic nervous system examinations specifically targeting the intestines," which can utilize questionnaires or tests to assess the activity speed of various parts of the gut. The principle is similar to using a small transmitter (like a dashcam)...[Read More] Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Foot problems Two months ago, I had ECMO (extracorporeal membrane oxygenation) inserted in both groin areas due to lung issues. After 11 days, my condition improved, and I was discharged. Initially, I felt weak all over from lying in bed for too long, so I didn't notice anyt...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is possible that you have peripheral nerve damage. I recommend that you visit a neurologist for further evaluation and examination. Thank you for your inquiry.[Read More] Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Hello, doctor. Recently, I have started experiencing throbbing pain in my head and a pulsating pain in my ear? Last year, it was similar around this time. I’m not sure if it’s due to the cold weather, but I often start experiencing pain in the left occipital region (the area feel...
Dr. Peng Shiwei Reply:
Hello, since your symptoms seem to be related to ear discomfort and are associated with the opening and closing of the Eustachian tube (such as yawning or swallowing), it is recommended that you consult an otolaryngologist for an examination. Thank you for your inquiry.[Read More] Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Vertigo Hello, doctor! After getting up in the middle of the night to use the restroom and giving my child a pacifier, I suddenly experienced vertigo and vomiting upon returning to bed, which led me to the emergency room. I did not have any cold symptoms. The vertigo only occurre...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chen: It is recommended to visit an otolaryngologist to check for any ear disorders that may be causing vestibular nerve dysfunction.[Read More] Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Spasms of the right middle finger? Hello, I have nearly ten years of history with epilepsy, primarily characterized by seizures affecting the upper body and above the neck (on the right side). About three months ago, I began experiencing twitching on the right side of my face (in...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: The cause of the spasms in your right middle finger may not necessarily be related to epilepsy. It is recommended that you visit a neurology clinic for an examination.[Read More] Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Dizziness issues? Hello, doctor. I have been experiencing dizziness, but it is not severe and does not affect my daily life. The symptoms usually occur suddenly, making me feel like I'm swaying, and they are particularly noticeable in crowded places. I have previously underg...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that you "suddenly feel a sense of swaying, often thinking it's an earthquake, or that the symptoms become particularly pronounced in crowded situations." There are many causes of dizziness. If your dizziness is related to your menstr...[Read More] Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Experiencing a sensation of heat in the back of the head during winter, inability to lie flat, and starting to feel dizzy after being awake for 16 hours, with the dizziness becoming progressively milder as the night goes on and having no desire to sleep? I started smoking at the ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to reduce smoking and consult a neurologist to check for any vascular diseases.[Read More] Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Understanding Post-COVID Brain Fog: Concerns and Solutions
Regarding post-COVID-19 cognitive fog? Hello, Doctor: I have a mental illness that already affects my memory and concentration, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to dine in restaurants, fearing that contracting COVID-19 c...
Dr. Peng Shiwei Reply:
Hello, statistics from abroad indicate that the probability of experiencing post-COVID cognitive fog is around 20%. The likelihood of developing severe symptoms after vaccination is lower. Most post-COVID symptoms tend to improve within six months to a year, but approximately 25%...[Read More] Understanding Post-COVID Brain Fog: Concerns and Solutions
Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Is it autonomic nervous system dysfunction? Hello Doctor: Since the beginning of December this year, I have been experiencing a series of inexplicable pains. I visited a cardiologist who diagnosed me with mitral valve prolapse and mild hypertension. I also went to a pulmonologist...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Is there a device that can detect autonomic nervous system dysfunction? Hello, doctor. I have been suffering from irritable bowel syndrome (diarrhea type) since my student days. Recently, I finally mustered the courage to undergo an endoscopy, and the results showed that my intes...
Dr. Jiang Junyi Reply:
Hello, You asked, "Is there a specialized instrument to test for autonomic nervous system disorders? Do general clinics have this, or is it only available in large hospitals?" Here are four commonly used tools for assessing autonomic nervous system disorders: ● Hea...[Read More] Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Understanding Abnormal VEP Results: What They Mean for Your Health
Abnormal VEP (Visual Evoked Potential) test results? Hello Doctor: I recently visited an ophthalmologist due to issues with the changing dimensions of text. After seeing two doctors with no findings, I was advised to consult a neurologist. Preliminary tests including a CT scan an...
Dr. Peng Shiwei Reply:
Hello, the V100 extension indicates that there may be an issue with the optic nerve conduction, such as optic neuritis. The doctor will arrange further tests for differential diagnosis. Please complete the tests and return for a follow-up appointment to have the doctor explain th...[Read More] Understanding Abnormal VEP Results: What They Mean for Your Health
Which Specialist Should I See for My Neurological Symptoms?
Could you please tell me which symptoms you are experiencing so I can recommend the appropriate specialty and tests for a detailed examination? Three months ago, while at work, I felt a tightness in my chest, so I stretched my arms out. However, the condition did not improve, and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may be advisable to first consult a cardiologist for a basic evaluation related to syncope.[Read More] Which Specialist Should I See for My Neurological Symptoms?
Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Deep pain in the orbit and a sensation of eye swelling? Hello Doctor: I have been experiencing headaches for a year, with a persistent feeling of swelling deep in the area around the right eye socket and nasal bridge. I feel pressure in my right eye (there is a noticeable differe...
Dr. Jiang Junyi Reply:
Dear Mr. Lan, You mentioned that "the pressure and pain around the eye area have increased and radiate to the upper right teeth, and there is also discomfort in the right posterior neck and occipital region. The pain is persistent..." Your symptoms may suggest the poss...[Read More] Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Understanding Dizziness: Causes and When to Seek Neurological Help
Dizziness, lightheadedness, or mild vertigo? For the past one and a half months, I have been experiencing dizziness (lightheadedness, heaviness) upon waking up in the morning while lying in bed. When I sit up, it feels okay, but when I stand and walk, I feel dizzy (lightheaded) a...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, postural changes in blood pressure and heart rate, as well as postural dizziness and inner ear imbalance, could all be potential causes. It is recommended that you visit a major hospital's neurology or otolaryngology outpatient clinic (you can ...[Read More] Understanding Dizziness: Causes and When to Seek Neurological Help
Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Parkinson's disease Hello Doctor, in July 2014, I experienced severe headaches from hot water while taking a shower, to the point where I felt like I wanted to hit my head against the wall. After that, my body started to change. In July 2015, my right index finger suddenly b...
Dr. Peng Shiwei Reply:
Based on your current age and symptoms, the likelihood of Parkinson's disease is indeed low. However, if you notice any changes or worsening of your symptoms, you should consider visiting a neurologist for further evaluation.[Read More] Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey