Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Questions about the use of Naoqing (a traditional Chinese medicine)? Hello, doctor. Recently, I visited the hospital due to dizziness, and the doctor prescribed Flunarizine (Fluzine tab) to be taken at bedtime, one tablet for two weeks. I have a habit of taking dietary supplement...
Dr. Peng Shiwei reply Neurology
Hello, flunarizine generally does not conflict with other dietary supplements and can be taken normally. Thank you for your inquiry.[Read More] Can Flunarizine Interact with Common Supplements and Recent Vaccination?
Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Fasciculation with partial weakness? Hello Doctor, since March of last year, I have been experiencing muscle twitching all over my body. Sometimes the twitching is localized to my left upper arm, which feels slightly weak and the muscle has noticeably softened. My left arm is sli...
Dr. Peng Shiwei reply Neurology
Hello, if the electromyography (EMG) is normal, it cannot be diagnosed as ALS. However, based on your description, I would still prioritize considering neurological issues (such as brachial plexus or cervical spine problems). I'm not sure if the physician you consulted menti...[Read More] Can Muscle Twitching and Weakness Rule Out ALS? Insights from Neurology
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei reply Neurology
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...
Dr. Peng Shiwei reply Neurology
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Understanding Occasional Earthquake Sensations: A Neurological Perspective
Occasional sensation of tremors? Hello Doctor, over the past year, I occasionally feel like there is an earthquake, but in reality, there is none. When I am sitting, the sensation is quite pronounced, sudden, and lasts for a short time, but it happens from time to time. Sometimes...
Dr. Peng Shiwei reply Neurology
Hello, some people experience dizziness that feels like an earthquake. It is advisable to observe whether it occurs more frequently during movement or rotation. If the symptoms are frequent, it is recommended to consult a neurologist. Thank you for your question.[Read More] Understanding Occasional Earthquake Sensations: A Neurological Perspective
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei reply Neurology
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Headaches When Lying Face Down: What You Need to Know
Experiencing headaches when lying down? Hello, I would like to ask about a situation where I do not experience any issues while sitting, lying flat, or standing, but sometimes when I lie face down (with my elbows propped up), I experience a buzzing sensation in my head along with...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe it may be related to a transient increase in intracranial pressure due to straining. However, a detailed assessment by a physician in person would be preferable. If this situation is causing you significant distress, I recommend consulting...[Read More] Headaches When Lying Face Down: What You Need to Know
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Sudden Leg Tremors: Causes and When to Seek Medical Attention
Sudden involuntary shaking of the legs? Hello, doctor. Today, while sitting in a meditation position on my toes, my left calf and thigh suddenly began to tremble violently. The shaking stopped when I placed my foot flat. I've never experienced this before; today was the firs...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is more likely that the tremors are caused by excessive muscle contractions. However, a detailed assessment by a physician through an in-person consultation and physical examination is necessary for a definitive diagnosis. You may continue to mon...[Read More] Sudden Leg Tremors: Causes and When to Seek Medical Attention
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei reply Neurology
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Understanding Sudden Dizziness: Causes and Treatment Options
Dizziness and vertigo? Hello, doctor! I usually feel fine, but today I suddenly experienced dizziness. No matter if I'm standing or sitting, I feel like the world is spinning, and I can't seem to maintain my balance. Occasionally, I feel nauseous but can't vomit, a...
Dr. Peng Shiwei reply Neurology
Hello, based on your age and symptoms, it is likely that you are experiencing peripheral vertigo caused by inner ear imbalance. I recommend consulting an otolaryngologist. Thank you for your inquiry.[Read More] Understanding Sudden Dizziness: Causes and Treatment Options
Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Cognitive issues: brain fog? Last night (12/28), I discovered that I tested positive. I heard that it's true that if you just sleep and avoid thinking for the first 48 hours after diagnosis, it can help prevent brain fog. If that's true, I've already been thinking ...
Dr. Peng Shiwei reply Neurology
Hello, based on current evidence, the risk factors for long COVID sequelae include severe cases and patients who required intubation. Vaccination helps reduce the severity of these sequelae. Currently, there is no specific medication for brain fog, nor is there any particular tre...[Read More] Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Can Vascular Calcification Be Treated? Understanding Causes and Solutions
Can vascular calcification be treated? Hello, I recently had a neck ultrasound, and the doctor mentioned that I have vascular calcification. However, I usually have a light diet, do not smoke or drink alcohol, and my previous health check-up showed that my kidney function, blood ...
Dr. Peng Shiwei reply Neurology
According to current evidence, isolated vascular calcification (without blood flow abnormalities) does not require stroke prevention medication. Generally, it is advisable to first assess for risk factors associated with atherosclerosis, which I believe you have already addressed...[Read More] Can Vascular Calcification Be Treated? Understanding Causes and Solutions
Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Foot problems Two months ago, I had ECMO (extracorporeal membrane oxygenation) inserted in both groin areas due to lung issues. After 11 days, my condition improved, and I was discharged. Initially, I felt weak all over from lying in bed for too long, so I didn't notice anyt...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is possible that you have peripheral nerve damage. I recommend that you visit a neurologist for further evaluation and examination. Thank you for your inquiry.[Read More] Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Hello, doctor. Recently, I have started experiencing throbbing pain in my head and a pulsating pain in my ear? Last year, it was similar around this time. I’m not sure if it’s due to the cold weather, but I often start experiencing pain in the left occipital region (the area feel...
Dr. Peng Shiwei reply Neurology
Hello, since your symptoms seem to be related to ear discomfort and are associated with the opening and closing of the Eustachian tube (such as yawning or swallowing), it is recommended that you consult an otolaryngologist for an examination. Thank you for your inquiry.[Read More] Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Understanding Post-COVID Brain Fog: Concerns and Solutions
Regarding post-COVID-19 cognitive fog? Hello, Doctor: I have a mental illness that already affects my memory and concentration, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to dine in restaurants, fearing that contracting COVID-19 c...
Dr. Peng Shiwei reply Neurology
Hello, statistics from abroad indicate that the probability of experiencing post-COVID cognitive fog is around 20%. The likelihood of developing severe symptoms after vaccination is lower. Most post-COVID symptoms tend to improve within six months to a year, but approximately 25%...[Read More] Understanding Post-COVID Brain Fog: Concerns and Solutions
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management