Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use
Migraine-associated vertigo Hello, Doctor. I am the person who asked question #195192. Thank you for your response. It seems that the symptoms you mentioned related to vestibular migraine did occur, and I sought medical attention in February of this year. The doctor prescribed Fl...
Dr. Jiang Junyi reply Neurology
Hello: Naoqing tablets belong to the class of calcium channel blockers. They are effective for both acute use and maintenance. They can be used for maintenance, and it is advisable to continue taking them for about two more weeks after symptoms have resolved. However, the symptom...[Read More] Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use
Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Numbness in the fingers? Hello, doctor. My fingers are numb, and my arm hurts. I went to the neurology department for an MRI, which was done on the 17th. They said it would take seven working days to get the report. Is that true? I want to see the report sooner in the outpatient ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: Due to the fixed consultation hours of the physician, if there is no progression in your condition, follow-up appointments are usually scheduled biweekly. In case of an urgent condition, you may visit the emergency department or see a different physician within the sa...[Read More] Understanding Finger Numbness: Insights on Herniated Discs and Treatment
Understanding Left Shoulder Blade Tension: Causes and Treatments
Tightness in the upper left back and shoulder blade? Hello, Doctor: I previously had an examination due to discomfort in my back, which revealed that there was a knot formed in the spinal ligaments. It was eventually resolved through manual therapy, but I have noticed that my lef...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao-fu, You mentioned experiencing "a sudden sharp pain that then returns to normal," which may suggest nerve root compression at the C7 vertebra or upper thoracic spine. If there is a herniated disc, it could lead to localized inflammatory responses causing...[Read More] Understanding Left Shoulder Blade Tension: Causes and Treatments
Understanding Skin Pain and Numbness in the Arm: A Neurological Perspective
Skin prickling and finger numbness? Hello, my symptoms started on April 17th with a tingling sensation and occasional sharp pain in the inner skin of my left arm when lightly touched or rubbed against clothing. On that day, I also experienced general fatigue and a mild headache. ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Eden, You mentioned that on April 20th, the areas of pain and discomfort, in addition to your left arm, include the skin on the upper left chest near the armpit, along with weakness in your left hand and numbness in your left pinky and ring fingers. This may suggest com...[Read More] Understanding Skin Pain and Numbness in the Arm: A Neurological Perspective
Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Generalized weakness and tremors? Hello, doctor! My mother is 78 years old and started experiencing generalized weakness and trembling about a month ago. However, her condition improves significantly after she eats and replenishes her caloric intake. The key issue is that she nee...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "as long as she eats... the situation will improve significantly, the key is that she needs to eat every 2-3 hours." It may be necessary to consider autonomic nervous system abnormalities. Generally, the autonomic nervous system is regulat...[Read More] Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Anxiety issues Hello Dr. Jiang, thank you for allowing me to have an extra appointment the other day; it was very helpful. However, I have been worried about the issue of ventricular tachycardia (VT) since then. You mentioned that three consecutive ventricular premature contracti...
Dr. Jiang Junyi reply Neurology
Hello: Essentially, three ventricular premature contractions (VPCs) and ventricular tachycardia are two different issues, but the risk is increased. It is recommended to use a smart wristband for monitoring. If there is a sudden decrease in heart contractions or an abrupt drop in...[Read More] Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Understanding Finger Pain: Cold Water Sensitivity Explained
Pain in the fingertips? Hello: Recently, I have noticed a tingling sensation in the first phalanx of my left hand fingers when washing my hands with cold water, but there are no symptoms when using warm or hot water. There are no other abnormalities in that area during daily acti...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang: You mentioned that you experience a tingling sensation in the first joint of your left hand while washing your hands with cold water. This may raise two concerns. One is related to vascular constriction, and the other is peripheral nerve abnormalities. The nerve ...[Read More] Understanding Finger Pain: Cold Water Sensitivity Explained
Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
How to Differentiate Between Headaches and Neurological Issues
How to differentiate between various types of headaches that last for several months? I have been experiencing pain for six months in the area between my temple and ear, sometimes accompanied by a feeling of pressure or a sensation of a foreign body, as if something is pressing i...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hong: You mentioned distinguishing between headaches and neurological or dermatological conditions. The pain you described, "often occurring between the temple and the ear, sometimes with a throbbing sensation," may suggest tension-type headache. The symptoms ...[Read More] How to Differentiate Between Headaches and Neurological Issues
Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Thigh pain, significant difficulty walking, occasional cramping? Hello, Doctor. My mother is 82 years old. A few days ago, she suddenly experienced pain in her right leg and the inner side of her right thigh, making it difficult for her to walk. Sometimes she also feels sudden sh...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that your initial diagnosis might be a muscle strain... and there are concerns about potential lumbar spine issues. It is important to first consider muscle injury, as nerve root compression typically results in radiating pain and numbness extending to the lo...[Read More] Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Traveling by Plane After a Stroke: Safety Tips for Patients
Flying After a Stroke Hello Doctor, my father is 58 years old. He had a mild stroke in early November 2021 (at that time, he was unable to speak, had complete weakness in his limbs, and was unable to manage his bowel and bladder functions, so he could only lie in bed). He has sin...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hua, You mentioned that your father "had a stroke in 2021... has been undergoing dialysis since 2018, and underwent coronary artery bypass surgery at the end of 2018." Generally, for stroke patients, it is recommended to wait at least 2-4 weeks after the strok...[Read More] Traveling by Plane After a Stroke: Safety Tips for Patients
Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11?" Please come to the clinic at 6:00 PM to obtain a referral slip, and you can register for the appointment. We can arrange for a heart rate variability test, bu...[Read More] Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11th..." Please come to the clinic at 6:00 PM to obtain a supplementary appointment slip, and you will be able to register. We can arrange for a heart rate variabi...[Read More] Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Diaphragmatic muscle twitching The muscles in the middle of the diaphragm are continuously contracting and pulsating, accompanied by a slight feeling of pressure, similar to a heartbeat but at a faster rate, with a rhythmic "thump-thump-thump" sensation. It feels as if ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jun, You mentioned that "the muscles in the middle of the diaphragm are continuously contracting and twitching." The diaphragm is primarily innervated by the phrenic nerve, which originates from the cervical spinal cord, typically from the nerve roots of C3 to...[Read More] Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Head issues In the past two to three weeks, I have noticed that my head doesn't feel the same as usual. Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation. When I focus on a task, I don't notice it, but after finishing,...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia. Maintaining an improper posture for extended periods can lead to overuse of the tra...[Read More] Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Ultrasound report, please assist? Hello Dr. Jiang, please help explain the report. I have been experiencing significant discomfort in my neck and shoulders, so I underwent examinations. Thank you! Medical Order: DOPSCAN 1. Mild stenotic flow in the left proximal vertebral artery...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jen, Your report is primarily divided into two parts: 1. Extracranial Vessels: There is mild stenosis of the left proximal vertebral artery. 2. Transcranial Ultrasound: Except for the left temporal bone, the ultrasound could not obtain signals (which is quite common)...[Read More] Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Understanding Body Tremors: Causes and Treatment Options
Body tremors I would like to consult a physician regarding a persistent shaking sensation I've been experiencing in my upper body while lying down at night over the past week. It feels like a rapid, fine tremor, similar to an electric current, although it is not visibly noti...
Dr. Jiang Junyi reply Neurology
Hello Mr. Shi: You mentioned that you have refrained from drinking alcohol this week due to taking antibiotics for pharyngitis. You also brought up the issue of tremors, which have only recently occurred, and we should first consider whether they are medication-related. Are you t...[Read More] Understanding Body Tremors: Causes and Treatment Options