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Managing Anxiety and Tremors: Medication Insights and Next Steps

Autonomic tremors and anxiety medication? I had an appointment at Changhua Hospital on October 18, 2010. I am currently taking era 0.25 mg and cardiolol 10 mg, one tablet each in the morning and evening. However, despite taking the autonomic nervous system medication, I still exp...


Dr. Jiang Hezhou reply Neurology
Hello: Although you are still experiencing some discomfort, if your symptoms have shown some improvement, it is advisable to continue treatment for a while longer to see if further improvement occurs and if any other symptoms arise. If it is convenient for you, please return for ...

[Read More] Managing Anxiety and Tremors: Medication Insights and Next Steps


Understanding Pulsating Headaches: Causes and Solutions

I have a headache... what should I do? Hello doctor, members of my family often suffer from migraines that feel unbearable. Even taking "strong" acetaminophen doesn't help. The pain feels like it follows the rhythm of my pulse, throbbing in sync with my heartbeat. ...


Dr. Jiang Hezhou reply Neurology
Hello: 1. Your symptoms sound like a migraine, but a face-to-face consultation and examination are necessary to rule out other conditions! 2. It is advisable not to rely solely on painkillers, and especially to avoid excessive use of acetaminophen and other analgesics, as this ma...

[Read More] Understanding Pulsating Headaches: Causes and Solutions


Understanding Post-Injury Complications: Chest Trauma and Neurological Issues

Post-injury complications of chest trauma..? Dear Director Jiang, I have experienced compression in my left chest and upper back due to gravitational force. My chest was impacted by a mechanical device, specifically a screw with a diameter of 1.8 cm and a length of approximately...


Dr. Jiang Hezhou reply Neurology
Hello: 1. Your symptoms and condition sound quite complex, with many important internal organs affected! It is recommended that you have an in-person consultation and undergo physical and neurological examinations to determine the cause and provide targeted treatment. 2. Regardin...

[Read More] Understanding Post-Injury Complications: Chest Trauma and Neurological Issues


Understanding the Aftereffects of Chest Injuries on Neurological Health

Post-traumatic sequelae of chest injuries? I'm sorry! The issue that Director Jiang didn't anticipate yesterday is attention. Memory has also worsened, and there are neurological concerns. What methods can be used to establish the condition and its causes related to aut...


Dr. Jiang Hezhou reply Neurology
Hello: 1. Your symptoms and condition sound quite complex, with many important internal organs affected! It is recommended to have a face-to-face consultation and perform physical and neurological examinations to determine the cause and provide targeted treatment. 2. Regarding th...

[Read More] Understanding the Aftereffects of Chest Injuries on Neurological Health


Unexplained Neurological Symptoms: Understanding Dizziness and Weakness

Unknown etiology Hello, after I sneezed (I have allergic rhinitis), I initially experienced dizziness and immediately sat down. My hands felt weak, and I wanted to grab my phone to call for help, but I felt somewhat out of control. There was a tingling sensation, sweating, and an...


Dr. Jiang Hezhou reply Neurology
1. Severe sneezing may potentially trigger the Valsalva maneuver phenomenon, leading to insufficient venous return and related symptoms. However, a face-to-face consultation and physical and neurological examinations are necessary to rule out other conditions! 2. Symptoms may al...

[Read More] Unexplained Neurological Symptoms: Understanding Dizziness and Weakness


Understanding Numbness in Both Feet: When to Seek Medical Attention

Numbness in both feet? Doctor, I have been feeling numbness in both of my legs recently. What could be the cause? Should I go to the hospital for an examination? What kind of tests should I undergo?


Dr. Jiang Hezhou reply Neurology
Hello: 1. For numbness in the feet, a face-to-face consultation is necessary to conduct a physical examination and neurological assessment to determine the nature of the numbness. What is the extent of the numbness? Did it occur suddenly or gradually? How long does it last? Doe...

[Read More] Understanding Numbness in Both Feet: When to Seek Medical Attention


Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help

Dizziness and other symptoms? I would like to ask you, doctor, why I often feel dizzy at times, and sometimes I get dizzy from a certain movement. Is dizziness the same as a headache? However, today I not only felt dizzy, but in the afternoon I also broke out in a slight cold swe...


Dr. Jiang Hezhou reply Neurology
Hello: 1. Dizziness and headaches are not entirely the same, but they can occur together! There are many possible causes! A face-to-face consultation and physical and neurological examinations are necessary to determine the underlying cause and provide targeted treatment! 2. Anxi...

[Read More] Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help


Understanding Dizziness: Causes and Concerns in Neurology

Sometimes I experience dizziness? Hello, doctor: One time, while I was talking with my classmates, I suddenly felt dizzy, as if everything in front of me went blank, and I felt like I was about to faint. However, I do not have anemia. Can you please explain why this happened?


Dr. Jiang Hezhou reply Neurology
There are many reasons for dizziness and feeling faint, and it can occur even in the absence of anemia. Conditions related to the heart or nervous system, among others, can also be contributing factors. It is advisable to visit an outpatient clinic for evaluation, and further tes...

[Read More] Understanding Dizziness: Causes and Concerns in Neurology


Understanding Dizziness, Neck Stiffness, Headaches, and Arrhythmia

Dizziness, neck stiffness, headache, and arrhythmia? Hello Dr. Jiang, I have been experiencing dizziness, headaches, neck stiffness, and arrhythmia frequently over the past month or two. I have seen both a neurologist and a cardiologist, and it was determined that I have arrhyt...


Dr. Jiang Hezhou reply Neurology
Dizziness can manifest from various diseases or discomforts. If accompanied by headaches and neck stiffness, it is advisable to visit a healthcare provider in family medicine, neurology, general internal medicine, or infectious diseases for an initial differential diagnosis. If n...

[Read More] Understanding Dizziness, Neck Stiffness, Headaches, and Arrhythmia


Understanding Eye Socket Pain: Possible Causes and Treatments

Orbital pain? A few days ago, I woke up with pain in my left eye, specifically around the eye socket area. Sometimes, I also experienced nausea and it seemed like I was tearing up. Whenever the pain occurs, I can't sleep. I then visited an ophthalmologist who conducted sever...


Dr. Jiang Hezhou reply Neurology
To diagnose cluster headaches, it is essential to first rule out secondary causes. It is recommended to visit our hospital's ophthalmology and neurology departments for a definitive diagnosis and further treatment. Changhua Hospital cares about your health.

[Read More] Understanding Eye Socket Pain: Possible Causes and Treatments


Understanding Nighttime Cramps: Causes and Solutions for Relief

Leg and foot cramps at night? Hello Dr. Jiang, I would like to inquire about muscle cramps. My grandmother experiences frequent leg cramps at night, waking up 2 to 3 times an hour. Recently, she has also started having cramps in her hands, which is affecting her sleep. I would ...


Dr. Jiang Hezhou reply Neurology
Hello, Miss: Nighttime calf cramps are common in the elderly and can occur in other areas or at different times when severe. It is advisable to visit a neurology clinic for further examination and treatment. At home, you can also apply local heat before bedtime, which helps to pr...

[Read More] Understanding Nighttime Cramps: Causes and Solutions for Relief


Understanding Dizziness in Elderly: Causes and Solutions

My mother often experiences dizziness? Hello, Doctor: My mother has been experiencing dizziness lately, often feeling as if there is an earthquake. She feels unsteady when there are movements with elevation changes. Recently, during these dizzy episodes, she also experiences ting...


Dr. Jiang Hezhou reply Neurology
Dear Mr. Hundred Thousand Clouds, Your daughter is experiencing symptoms of dizziness and a sense of imbalance, which are common in middle-aged and older adults. The causes can be numerous, and it is important to first establish a diagnosis. Therefore, during the outpatient visi...

[Read More] Understanding Dizziness in Elderly: Causes and Solutions


Understanding Eyelid Twitches: Causes and Solutions for Better Sleep

Have you been experiencing some twitching in your facial nerve lately? In the past two weeks, I have occasionally experienced a twitching sensation in my upper or lower eyelids, which seems to be persistent. Sometimes it shifts to the area around my nose, but the duration is not ...


Dr. Jiang Hezhou reply Neurology
Dear Mr. A-Rong: It is recommended to first improve your lifestyle by ensuring adequate sleep (6 to 8 hours is sufficient) and maintaining a consistent wake-up time. Additionally, please follow a regular and balanced diet. If there is no improvement, you may consider visiting a...

[Read More] Understanding Eyelid Twitches: Causes and Solutions for Better Sleep


Understanding Painful Bump on the Back of the Head: When to Seek Help

A protrusion at the back of the head? Hello, I discovered a hard lump on the lower left side of the back of my head three days ago. It hurts when I press it lightly, and sometimes it also hurts when I walk too quickly or turn my head. It’s very uncomfortable, especially when I li...


Dr. Jiang Hezhou reply Neurology
Dear Miss Xiao Feng, Regarding your discomfort symptoms, physical examination is very important. It is recommended that you visit a neurology clinic for further evaluation and management. Thank you for your attention. Sincerely, Changhua Hospital.

[Read More] Understanding Painful Bump on the Back of the Head: When to Seek Help