Understanding Persistent Dizziness: Causes and Anxiety Connections
Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...
Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She has been taking medication in the morning and eveni...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. It resembles symptoms of localized cortical discharges. May I ask if this occurs before tak...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
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:
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?
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:
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
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi Reply:
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Parkinson's disease Hello Doctor, I saw online about a self-check for Parkinson's disease using the index and thumb fingers. I found that my left hand becomes stiff after pressing down for 40 times, and I start to slow down. I also tested this six years ago and experien...
Dr. Hong Weibin Reply:
Hello: Generally speaking, in a self-assessment for Parkinson's disease, repeatedly pressing the thumb usually shows a decrease in movement amplitude within 10 to 20 presses. If I press it 40 times, many normal individuals may experience hand fatigue. Additionally, Parkinson...[Read More] Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
Understanding Suboccipital Muscle Issues and Recovery Strategies
Suboccipital muscles After experiencing chills and shivering, I noticed that when I turn my head to the left, there is a popping sound. Slowly turning my head to the left is manageable, and when I support the back of my head with my hand while turning, there is no sound. I also n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of cervical spondylosis. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Suboccipital Muscle Issues and Recovery Strategies
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:
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
Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Is it impossible to detect autonomic nervous system dysfunction in the intestines? Hello, doctor. I have been experiencing long-term issues with irritable bowel syndrome (IBS) of the diarrhea type. My doctor mentioned that it is caused by autonomic nervous system dysregulation. A...
Dr. Jiang Junyi Reply:
Hello: You mentioned "autonomic nervous system examinations specifically targeting the intestines," which can utilize questionnaires or tests to assess the activity speed of various parts of the gut. The principle is similar to using a small transmitter (like a dashcam)...[Read More] Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
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:
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:
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 Vestibular Neuritis: Causes and Recovery from Dizziness
Vertigo Hello, doctor! After getting up in the middle of the night to use the restroom and giving my child a pacifier, I suddenly experienced vertigo and vomiting upon returning to bed, which led me to the emergency room. I did not have any cold symptoms. The vertigo only occurre...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chen: It is recommended to visit an otolaryngologist to check for any ear disorders that may be causing vestibular nerve dysfunction.[Read More] Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Spasms of the right middle finger? Hello, I have nearly ten years of history with epilepsy, primarily characterized by seizures affecting the upper body and above the neck (on the right side). About three months ago, I began experiencing twitching on the right side of my face (in...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: The cause of the spasms in your right middle finger may not necessarily be related to epilepsy. It is recommended that you visit a neurology clinic for an examination.[Read More] Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Dizziness issues? Hello, doctor. I have been experiencing dizziness, but it is not severe and does not affect my daily life. The symptoms usually occur suddenly, making me feel like I'm swaying, and they are particularly noticeable in crowded places. I have previously underg...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that you "suddenly feel a sense of swaying, often thinking it's an earthquake, or that the symptoms become particularly pronounced in crowded situations." There are many causes of dizziness. If your dizziness is related to your menstr...[Read More] Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
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:
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 Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
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:
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