Understanding Neurological Symptoms: When to Consider an MRI
Cerebrovascular disease Hello, doctor. I have been experiencing numbness in my hands and feet, as well as in my head, for the past three years. I have undergone a carotid ultrasound, and the results were normal. Should I still consider getting an MRI?
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you continue to discuss relevant examinations and treatment matters with your physician.[Read More] Understanding Neurological Symptoms: When to Consider an MRI
Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang reply Neurology
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Understanding Neurological Symptoms: Seeking Help for Stress-Induced Issues
I would like to consult with a physician? I have a history of epilepsy... In the past few months, I don't know if it's due to excessive stress causing "autonomic nervous system dysfunction" or something else... I become very easily anxious due to minor inciden...
Dr. Cai Zongzhang reply Neurology
Hello, it is recommended that you maintain a regular schedule. For your concerns, it is advisable to consult with a neurologist at a major hospital, and a referral to a psychiatrist may also be considered.[Read More] Understanding Neurological Symptoms: Seeking Help for Stress-Induced Issues
Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Some aspects of life after a stroke and the pain of measuring blood pressure? The first minor stroke caused weakness in the left side of my limbs, and I collapsed. I consulted at Hospital A, where they started measuring my blood pressure, but I felt discomfort from the cuff and t...
Dr. Cai Zongzhang reply Neurology
Hello, in advanced countries in Europe and America, seeking a second opinion has been a common practice for many years and is a recognized aspect of medical care. In Taiwan, some physicians and hospitals are gradually adopting this concept as well. You can consider the opinions o...[Read More] Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Can Injections Truly Prevent Stroke? Understanding the Facts
Stroke prevention injection Is there really an injection that can prevent strokes? My parents recently heard that there is a shot that can prevent strokes, and they are insisting on getting it despite my attempts to dissuade them. They claim that many people have received it with...
Dr. Cai Zongzhang reply Neurology
Hello, stroke is a cardiovascular disease. Are you referring to the use of intravenous therapy to prevent vascular blockage before a stroke occurs? There is no medical evidence supporting this method. Therefore, stroke prevention should focus on fundamental approaches, such as co...[Read More] Can Injections Truly Prevent Stroke? Understanding the Facts
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang reply Neurology
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Finger and Palm Numbness: When to Seek Medical Help
Numbness and tingling in the fingers and palm? Doctor, I have a question: My left pinky finger is numb, and the half of my ring finger next to the pinky is also numb (the other half is normal). The palm of my left hand is partially numb, and there is no significant sensation in m...
Dr. Cai Zongzhang reply Neurology
Hello, your description does not allow us to determine whether your numbness is caused by trauma, external forces, or other factors, or if it is related to other disease symptoms. If the symptoms persist or if you have concerns, it is advisable to consult a neurologist.[Read More] Understanding Finger and Palm Numbness: When to Seek Medical Help
Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Symptoms of epilepsy? Doctor, during my previous visit, the doctor mentioned that my condition was stable, so they did not increase my medication dosage. However, I also told the doctor that I have experienced dizziness and drowsiness once or twice recently. If I continue to feel...
Dr. Cai Zongzhang reply Neurology
Hello, you may be aware that dizziness is one of the symptoms of epilepsy. Recurrent dizziness can be distressing, especially when it occurs frequently or when effective treatment is not achieved. Medication is one solution, but it should be adjusted appropriately by a physician ...[Read More] Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Can Arm Injury-Induced Numbness Be Reversed? Neurology vs. Neurosurgery
Numbness in the skin due to arm trauma? Is there a chance of recovery from numbness in the skin caused by an arm injury many years ago? Should I see a neurologist or a neurosurgeon? Thank you.
Dr. Cai Zongzhang reply Neurology
Hello, numbness in the skin caused by an arm injury may take varying amounts of time to recover depending on the specific nerve function affected. Generally, noticeable improvement can be seen daily with ongoing medication and rehabilitation treatment. However, it is not guarante...[Read More] Can Arm Injury-Induced Numbness Be Reversed? Neurology vs. Neurosurgery
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang reply Neurology
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Do I Need Lifelong Medication for Epilepsy After Head Injury?
Hello, Dr. Tsai? I developed epilepsy due to a head injury I sustained in childhood. Do I need to take medication long-term? If I miss just one dose, my blood concentration drops, and I am very prone to seizures.
Dr. Cai Zongzhang reply Neurology
Hello, medication is the primary method for treating epilepsy, and the vast majority of patients can control their condition through pharmacological treatment. Since epilepsy is a chronic disease, long-term medication is necessary.[Read More] Do I Need Lifelong Medication for Epilepsy After Head Injury?
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang reply Neurology
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Can My Mom Take Propolis or Royal Jelly While on Aspirin?
Can I take propolis or royal jelly while taking aspirin? Doctor, may I ask if my mother, who has had a stroke and is taking aspirin and antihypertensive medication, can consume propolis or royal jelly?
Dr. Cai Zongzhang reply Neurology
Hello, propolis and royal jelly are not medicinal products. It is recommended to use them in moderation and not to use them simultaneously with medications.[Read More] Can My Mom Take Propolis or Royal Jelly While on Aspirin?
Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Repeated nose wrinkling and blinking? Since elementary school, I have experienced an uncontrollable urge to twist my nose or blink repeatedly. If I try to resist these actions, I feel uncomfortable. Initially, I also had intrusive thoughts that I found unpleasant and wanted to st...
Dr. Cai Zongzhang reply Neurology
Hello, based on your description, it is advisable for you to seek assistance from a psychiatrist. The psychological aspects related to nose pinching or blinking should be addressed. In the meantime, I recommend that you try to relax.[Read More] Managing Tics: Overcoming Nervous Habits Like Nose Twisting and Eye Blinking
Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Migraine attack Hello Doctor, I have been struggling with typical migraines. It starts with flickering in my right eye, followed by severe pain on the left side of my head, then dizziness and nausea, and sometimes diarrhea. I have already undergone examinations, and the doctor sa...
Dr. Cai Zongzhang reply Neurology
In your description, you did not specify what examinations were conducted. If your description suggests that this migraine is related to washing your hair (such as tilting your head to the side), I recommend that you visit an outpatient clinic for a thorough examination and treat...[Read More] Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Understanding Involuntary Body Jerks: Causes and Solutions
Involuntary movements Hello Dr. C: I am currently troubled by involuntary body jerks while falling asleep and am unsure if there are ways to improve this or if it is a manifestation of another condition. I am currently taking medication for generalized anxiety disorder, including...
Dr. Cai Zongzhang reply Neurology
Based on your description, if drug use is excluded, it is difficult to assess the severity and frequency of the pain from the literal interpretation. I recommend that you visit an outpatient clinic for further examination and treatment, which will surely provide you with a satisf...[Read More] Understanding Involuntary Body Jerks: Causes and Solutions
Head Injury from Diving: Understanding Pain and Muscle Tension
Diving injury resulting in sharp pain in the right occipital region? Hello doctor, two weeks ago I was diving in a pool with a depth of about 1.2 meters and hit my head, specifically on the top right side. The wound has healed, but in the first few days, I experienced sneezing an...
Dr. Cai Zongzhang reply Neurology
Based on your description, it is highly recommended that you go to the hospital for an examination immediately to accurately assess the impact of the trauma on your brain through imaging. It is advisable for you to follow up with outpatient care for further evaluation and treatme...[Read More] Head Injury from Diving: Understanding Pain and Muscle Tension