How to Alleviate Nighttime Headaches: Tips for Relief and Management
Recently, I have been frequently awakened at night by headaches? Hello Doctor, I have been waking up in the middle of the night due to pain that extends from my temples to my eyes and the back of my head. In the mornings, I often feel a heavy, dull sensation in my head. I have pr...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, the headache may be caused by neuroinflammation. It is recommended to continue follow-up treatment with a neurologist.[Read More] How to Alleviate Nighttime Headaches: Tips for Relief and Management
Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
I'm not sure if it's autonomic nervous system dysfunction? Hello, Dr. Tsai. I have a symptom where I sometimes feel a swaying sensation while sitting. I have visited an otolaryngologist, but there were no findings related to vestibular imbalance. Recently, I had blood t...
Dr. Cai Zongzhang Reply:
Hello, Ah Wei: Based on the described symptoms, it may be a balance dysfunction. If the symptoms persist despite adequate rest, it is recommended to consult a neurologist for an evaluation.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Twitching and numbness in the right corner of the mouth? Doctor, after I eat spicy food, the right corner of my mouth experiences muscle spasms and numbness for about a few seconds. This happens especially around noon, approximately every two weeks, or three times a month. Howeve...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih: You mentioned that "after eating spicy food, the right corner of my mouth experiences spasms and numbness for about a few seconds," which may indicate instability of the trigeminal nerve. Typical trigeminal neuralgia usually occurs unilaterally and...[Read More] Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked about <a href="https://adoctor.tw/article/186643">#186643</a>. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or ...
Dr. Jiang Junyi Reply:
You mentioned, "I have had my autonomic nervous system tested and found to have dysregulation. The medication prescribed by my doctor hasn't been effective, and I thought about exercising, but it made me feel even more dizzy, so I can't really exercise properly now...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked question #186643. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or get out of bed; instead, I feel dizzy while walking, accompanied by...
Dr. Jiang Junyi Reply:
You mentioned, "I have tested my autonomic nervous system and found that there is a dysfunction. The medication prescribed by the doctor hasn't been effective, and I thought about doing some exercise, but it made me feel even more dizzy, so I can't exercise properl...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Can tinnitus be caused by a tumor? Hello doctor, I have been experiencing tinnitus for some time. Initially, I thought it was due to anemia, but I have since treated my anemia, and the tinnitus persists. It usually occurs after maintaining a fixed posture for a while (for example...
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: There are various causes of tinnitus, and most patients experience improvement after rest. If the symptoms persist, it is recommended to consult a neurologist for further evaluation.[Read More] Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis
Sudden weakness in both hands? Hello Doctor, my mother was born in 1947 and has recently experienced sudden weakness in both hands (she describes it as a feeling like blood is not flowing to her hands). This has occurred 2 to 3 times in September. She mentioned that there is no s...
Dr. Cai Zongzhang Reply:
Hello, Tong: Based on the description, the weakness in both hands is intermittent and non-persistent. It is important to consider cervical spine pain leading to nerve or spinal cord compression. It is recommended to visit a neurology clinic for examination.[Read More] Sudden Weakness in Both Arms: Causes and Next Steps for Diagnosis
Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Parkinson's disease Hello Doctor, I would like to ask about my mother's condition. She has been experiencing this for several years. Initially, she only had slight tremors in her hand, but it has progressively worsened to the point where she can no longer care for her r...
Dr. Hong Weibin Reply:
Hello: Parkinson's disease is a type of neurodegenerative disorder. Neurodegenerative disorders imply that the disease will progressively worsen over time. Both pharmacological treatment and non-pharmacological interventions can only slow the progression of the disease; they...[Read More] Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Understanding Sleep Myoclonus: Causes and Treatment Options
Involuntary movements during sleep Hello, doctor! I experience sudden muscle jerks that wake me up just as I'm about to fall asleep. This has been happening for three consecutive days. No matter when it is during the day, I keep waking up with these jerks whenever I'm c...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "your body suddenly jerks awake just as you're about to fall asleep," which may be related to a phenomenon known as hypnic jerks or sleep starts. When the breathing rate decreases significantly during sleep, or when dreaming of falling, th...[Read More] Understanding Sleep Myoclonus: Causes and Treatment Options
Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Suddenly having a nightmare while falling asleep and feeling as if being electrocuted? I often feel a sensation like an electric current passing through my body just as I'm about to fall asleep, and at the same time, I hear a loud buzzing sound that gets increasingly louder,...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "often when I'm about to fall asleep, I feel like there's an electric current passing through my body, and at the same time, I hear a buzzing sound that gets louder and then I wake up in a sweat." Your symptoms may suggest "sleep...[Read More] Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Eye problems and medical information? Doctor, my father has experienced bleeding in his eyes and has seen a doctor who advised him to take medication first, and if that doesn't work, surgery may be necessary. He has diabetes and has previously undergone laser treatment for c...
Dr. Jiang Junyi Reply:
Hello, Clock Miss: You mentioned, "In addition to eye diseases, could it also be caused by cerebrovascular issues? Are there any recommended tests? Can both the brain and eyes be evaluated?" Regarding the eye bleeding you mentioned, are you referring to subconjunctival ...[Read More] Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin Reply:
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin Reply:
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Meniere's disease I would like to inquire about a concussion I sustained from a motorcycle accident six months ago, and I am now diagnosed with Meniere's disease. I understand that there are many potential causes for Meniere's disease, but I am curious if the concu...
Dr. Hong Weibin Reply:
Hello: The exact cause of Meniere's disease is currently unclear, but it is believed to be related to an imbalance of endolymphatic fluid in the inner ear (accumulation of endolymph in the inner ear labyrinth). Therefore, any factors that may affect the flow of this fluid co...[Read More] Understanding Meniere's Disease: Can a Concussion Trigger Symptoms?
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin Reply:
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results