Understanding Tinnitus and Brain Noises: A Patient's Journey
Tinnitus and pulsatile tinnitus issues? Hello Dr. Tsai, I have been experiencing tinnitus for over two months. It started after the four-day Double Tenth National Day holiday and has persisted since then. The director of the traditional Chinese medicine clinic initially suggested...
Dr. Cai Zongzhang reply Neurology
Hello: There are many causes of tinnitus, and it is recommended to consult a neurologist for an examination.[Read More] Understanding Tinnitus and Brain Noises: A Patient's Journey
Understanding Autonomic Nervous System Dysregulation After Surgery
Autonomic nervous system dysfunction Hello Dr. Tsai, I have a question to ask you. In 2015, I was diagnosed with left coronary artery atherosclerosis. Since the narrowing was less than 25%, I was prescribed medication for control. In July and October of 2020, I underwent catheter...
Dr. Cai Zongzhang reply Neurology
Hello Albert: The cardiovascular system gradually deteriorates with age and becomes sensitive to temperature changes. It is recommended to keep warm before going out on cold days. This symptom is unrelated to the surgery.[Read More] Understanding Autonomic Nervous System Dysregulation After Surgery
Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Intermittent generalized bone pain? Hello Doctor, my father is 71 years old. He has seen several specialists in the hospital, but we have not been able to find the cause of his condition, which has left our family and the patient feeling helpless and discouraged. He has been rece...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Dong: Based on the symptoms mentioned, it is recommended to consult with an immunology and rheumatology specialist. If the cause is still not identified, please seek a detailed examination from a neurologist.[Read More] Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...
Dr. Cai Zongzhang reply Neurology
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Head tremors + unexplained anxiety, rapid heartbeat? I experience unexplained anxiety and symptoms such as rapid heartbeat and head tremors in certain situations where I don't understand the reason for my nervousness. For example, during a routine vision test when I have to ...
Dr. Cai Zongzhang reply Neurology
Hello Melody: Based on the symptoms mentioned, it is recommended to first visit a neurology outpatient clinic for an examination.[Read More] Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Understanding Nerve Sensations and Blood Flow Issues During Movement
Inquiry about issues related to blood flow in the brain during turning over, along with numbness in the hands, feet, shoulders, neck, and back? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and almost unnoticeable, w...
Dr. Cai Zongzhang reply Neurology
Good morning: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nerve Sensations and Blood Flow Issues During Movement
Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Cervical ultrasound and cranial ultrasound? The physician who performed the neck and transcranial ultrasound indicated that there is turbulence in the blood flow on both sides of the neck and transcranial areas, with the ultrasound showing a mixture of red and blue colors. The ma...
Dr. Cai Zongzhang reply Neurology
Hello Sunny: The presence of bruit or increased blood flow velocity may be caused by atherosclerosis or stenosis. It is advisable to discuss with your physician whether treatment is necessary.[Read More] Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Hello, doctor. I would like to ask you some questions? Hello, doctor. I have three questions to ask: 1. When I was 20 years old, I slipped down the stairs and hit the back of my head, resulting in continuous bleeding. At that moment, I felt dizzy and had a loss of consciousness...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen: 1. If you experience persistent headaches after a head injury, accompanied by unilateral numbness or weakness, please seek medical attention immediately. 2. The three symptoms are indicative of a temporary dysfunction of the vestibular nerve, which is not a cause ...[Read More] Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Should You See a Doctor After a Mild Head Injury?
Head injury? Last night, I stood up and bumped into the door handle of the dryer. At the moment, I didn't experience severe head pain, but when I woke up the next day, I noticed some dizziness and a slight tenderness when I touch my head. I would like to know if I need to se...
Dr. Cai Zongzhang reply Neurology
Hello, Jie: If the headache persists or if you experience numbness or weakness on one side of the body, please seek medical attention immediately.[Read More] Should You See a Doctor After a Mild Head Injury?
Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Suspected Guillain-Barré Syndrome? Hello Dr. Tsai, thank you for your previous response despite your busy schedule. My mother's test results show that her inflammatory markers have not decreased, and her liver enzymes are slightly elevated. She is currently experiencing stom...
Dr. Cai Zongzhang reply Neurology
Hello: In patients with Guillain-Barré syndrome, cerebrospinal fluid analysis may not necessarily show abnormal protein levels. The diagnosis primarily relies on clinical symptoms and nerve conduction studies, and it is essential to rule out other similar conditions.[Read More] Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Guillain-Barré Syndrome Hello Dr. Tsai, my mother is currently 74 years old and was previously an active person. Last year's blood test results were normal except for high cholesterol. On October 20, she had a mild cold with a runny nose and slight cough. Starting October 23...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Wu: Based on the symptoms mentioned, your mother is suspected to have a severe infection causing a significant increase in the inflammatory marker CRP. Many superficial infections may not provide immediate diagnostic reports and require various tests for confirmation. ...[Read More] Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Heart rate issues, hypertension medication concerns, pulsatile tinnitus? Hello, doctor. I have been taking 5mg of Metoprolol for almost a year now. Recently, I have been experiencing mild chest pain and a sensation of pressure in my head, as if it is being squeezed. It feels like...
Dr. Cai Zongzhang reply Neurology
Hello: For the symptoms mentioned above, it is recommended to schedule a cerebrovascular ultrasound examination with a neurologist.[Read More] Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Could you please clarify your question regarding dizziness? Hello Dr. Tsai: In my twenties, I experienced occasional dizziness, but it was mild. Recently, over the past month, the symptoms have become particularly pronounced, with a feeling of pressure in my head and dizziness. I...
Dr. Cai Zongzhang reply Neurology
Hello Winnie: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Involuntary twitching of the left index finger? Hello, doctor. For about a week now, my left index finger has been experiencing sudden involuntary twitching, occurring both during the day and while sleeping, with a frequency of about five times a day, sometimes more. The twitchin...
Dr. Cai Zongzhang reply Neurology
Hello Doris Liu: It is recommended to visit the neurology outpatient clinic for an examination to determine the cause.[Read More] Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Feeling unwell? Hello doctor, about three months ago, while I was using my phone, I suddenly experienced a moment of darkness (not sure if it was a hallucination). Later, after waking up in the afternoon, I felt my heart racing and noticed a flickering sensation in my vision, whi...
Dr. Cai Zongzhang reply Neurology
Hello San: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Non-facial neuralgia issues Hello, I would like to inquire if it is possible to receive Botox injections for non-facial neuralgia (gingival neuralgia).
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Tsai: Tooth root pain may be related to trigeminal nerve disorders. It is recommended to visit a neurology outpatient clinic.[Read More] Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Can You Fly with Spontaneous Intracranial Hypotension?
Can a person with spontaneous intracranial hypotension fly on an airplane? In December 2022, I experienced spontaneous intracranial hypotension due to cerebrospinal fluid leakage and was hospitalized for 10 days. A blood patch was performed, but I was discharged the day after the...
Dr. Cai Zongzhang reply Neurology
Hello: It is advisable to wait until the condition improves before traveling abroad.[Read More] Can You Fly with Spontaneous Intracranial Hypotension?
Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Dizziness or occasional pain in the limbs? Hello, doctor. I have ulcerative colitis (diagnosed last May) which is currently well-controlled, and my mucosa has healed. Additionally, I have a cervical disc herniation at C3-C4-C5-C6 (as shown in an MRI). Occasionally, I experience p...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned can have multiple possible causes. It is recommended to visit a neurologist for an examination to determine the underlying cause, which will help establish a clear treatment direction.[Read More] Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?