Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Why Wearing Headphones While Moving Can Cause Dizziness
I feel dizzy when I move while listening to a story? Wearing headphones for a long time can cause dizziness, especially when driving, where the sensation of weightlessness is most pronounced. Listening to stories while baking with the sound on can also lead to dizziness. I have t...
Dr. Peng Shiwei Reply:
It is recommended to visit an otolaryngology or neurology outpatient clinic for evaluation and early treatment to improve your quality of life. Thank you.[Read More] Why Wearing Headphones While Moving Can Cause Dizziness
Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Unexplained tremors, pain, and numbness in the right foot? Hello Doctor, during my middle school years, I was diagnosed with a herniated disc after a classmate pulled my chair, causing me to fall. I tried physical therapy and corticosteroid injections, but they were not very effe...
Dr. Jiang Junyi Reply:
Dear Ms. W, You mentioned experiencing sudden severe pain in your right heel and persistent numbness and tingling. How should this be addressed? Thank you, doctor. Your symptoms indeed warrant consideration of lumbar nerve root compression. Typical discomfort associated with l...[Read More] Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Will Numbness in My Foot Heal on Its Own After an Injury?
Will numbness in the feet resolve on its own? I recently sprained my right ankle and have been taking muscle relaxants and anti-inflammatory injections, which are helping me recover. However, I am experiencing a tingling sensation on the right side of my right big toe and the lef...
Dr. Jiang Junyi Reply:
Hello, Ah-Jie: You mentioned experiencing a tingling sensation on the right side of your right big toe and the left side of your right index toe, which may suggest a possible injury to the deep peroneal nerve. The pathway of the deep peroneal nerve begins at the lateral aspect o...[Read More] Will Numbness in My Foot Heal on Its Own After an Injury?
Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...
Dr. Jiang Junyi Reply:
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Understanding Weakness in Legs: When Standing Becomes Impossible
Leg weakness ~ inability to stand? Hello, my mother was born in 1938 (in her seventies)! She is approximately 162 cm tall and weighs 80 kg. Today, when I returned to my hometown, I discovered that my mother is unable to stand or walk. Since she lives with a family member, we init...
Dr. Jiang Junyi Reply:
Dear Yu-Jie, You mentioned that "she is unable to go out for medical treatment on the second floor and currently cannot walk even with family support." The symptoms you described may suggest a lumbar compression fracture. I recommend requesting assistance from a rehabi...[Read More] Understanding Weakness in Legs: When Standing Becomes Impossible
Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Toe problems For several months, there has been abnormal sensation on the inner side of the second toe of the left foot, with a dull feeling. Occasionally, there is a slight tingling sensation in the ball of the foot and the base of the big toe. Initially, the orthopedic speciali...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned, "If I undergo an MRI, can it be arranged to scan from the lower back to the entire leg to find the point where the nerve is compressed?" Generally speaking, peripheral nerve compression can often be diagnosed using electrophysiological stu...[Read More] Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
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:
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:
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:
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
Should You See a Neurologist After a Fall and Head Impact?
Did you fall backward and hit the back of your head? On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head. At the moment, I didn't feel any discomfort, so I continued to work as usual. However, by the afte...
Dr. Peng Shiwei Reply:
You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible. Thank you.[Read More] Should You See a Neurologist After a Fall and Head Impact?
Understanding Persistent Headaches: Causes and Concerns After One Month
Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...
Dr. Jiang Junyi Reply:
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month
Understanding Persistent Dizziness: Causes and Next Steps for Relief
Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief
Chronic Cough and Chest Discomfort: When to See a Neurologist?
Chronic cough with occasional chest tightness and chest (back) pain? Hello, doctor. I have been experiencing related symptoms for about two years. The frequency of my cough is relatively high but not severe. My main concerns are "chest tightness and chest (back) pain," ...
Dr. Wu Mukhan Reply:
Hello, palpitations may be related to autonomic nervous system dysfunction causing an increased heart rate, or they may be associated with psychological factors such as anxiety and stress. If no cause is found in cardiology, further evaluation can be sought in neurology or psychi...[Read More] Chronic Cough and Chest Discomfort: When to See a Neurologist?
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
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:
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?