Blood pressure, Neurology FAQ

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Numbness in Legs and Lips: Possible Causes and Relief Strategies

Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...


Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...

[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies


Understanding Persistent Dizziness: When to See a Neurologist or Psychologist

1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...

[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist


Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions

My son wants to know, is it normal to experience hypoxia for about one minute during exercise on Mondays? Hello doctor, I would like to ask about my 15-year-old son who is a student athlete. He practices intensely from Monday to Friday, but he has been experiencing a situation wh...


Dr. Chen Weida Reply:
Hello! Regarding the issue of hypoxia during exercise, it may be caused by low blood pressure leading to insufficient blood flow and oxygen deprivation in the brain. When this occurs, it is advisable to stop the activity, sit down, and rest while maintaining regular breathing. Re...

[Read More] Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions


Understanding Persistent Dizziness After Influenza: Causes and Solutions

Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...


Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...

[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions


Understanding Neurological Symptoms: When to Seek Further Medical Help

Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...


Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...

[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help


Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms

Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...


Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...

[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms


Understanding Autonomic Nervous System Disorders: A Patient's Inquiry

Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...


Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...

[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry


Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective

Drinking alcohol with autonomic nervous system dysfunction? Hello doctor, I would like to ask you about my husband who has been suffering from autonomic nervous system dysfunction for many years. He takes sedatives before bed, but he has a bad habit of being unable to quit drinki...


Dr. Cai Zongzhang Reply:
Hello, A-Zhu: Long-term excessive alcohol consumption has many sequelae, including brain and peripheral nerve degeneration, as well as liver cirrhosis. It is advisable to moderate alcohol intake. If you need assistance from a physician to quit drinking, you can visit the psychiat...

[Read More] Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective


Understanding Dizziness: Causes and When to Seek Medical Help

Possible Causes of Dizziness Hello, Doctor. I've been feeling unwell recently and would appreciate any advice you could offer. Symptoms: For the past 20 days, I have frequently experienced dizziness, numbness in my hands, and a feeling of pressure in the back of my head. It ...


Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing symptoms such as dizziness, numbness in your hands, and a feeling of pressure at the back of your head. After experiencing more severe dizziness, you tend to lie down, which provides some relief. You are still able to read, do homework,...

[Read More] Understanding Dizziness: Causes and When to Seek Medical Help


Understanding Prolonged Dizziness: Causes and Concerns in Neurology

I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...

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


Understanding Syncope: What to Do When Someone Faints While Sitting

Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...


Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...

[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting


Understanding Pulsating Pain in the Back of the Head After Bathroom Visits

Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...


Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned experiencing "pulsating pain in the left posterior part of the head for a few seconds, and occasionally feeling a slight pressure pain in the head." This may be related to muscle and fascia tightness in the cervical spine, as well as cervic...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options

Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...


Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.

[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options


Understanding Persistent Dizziness in Older Adults: A Neurological Perspective

Mom is experiencing dizziness, but the cause cannot be identified? Hello, doctor. My mother's symptoms include dizziness, where her vision sways side to side as if experiencing an earthquake. She feels unsteady whether standing or sitting, but the symptoms improve or disappe...


Dr. Jiang Junyi Reply:
Dear Mr. Afu, You mentioned that your mother experiences dizziness that feels like the ground is shaking, making it difficult for her to stand, and that she can only lie in bed all day, with occasional relief allowing her to walk. The improvement when lying down suggests that we...

[Read More] Understanding Persistent Dizziness in Older Adults: A Neurological Perspective


Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus

Magnetic Resonance Imaging Report Recently, I have been experiencing frequent dizziness and tinnitus. I underwent a head MRI, and the report indicated the following findings: (The completion time of the examination is displayed on the images) MRI - HEAD & NECK: Routine Brain:...


Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned, "Can a head MRI detect carotid artery stenosis? Could dizziness and tinnitus be caused by this?" It is recommended to also perform a carotid ultrasound, which can provide a clearer view of whether there is an increase in the intima-media t...

[Read More] Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus


Understanding Pulsating Pain in the Back of the Head After Bathroom Visits

Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...


Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Understanding Pulsating Pain in the Back of the Head After Bathroom Visits

Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using th...


Dr. Jiang Junyi Reply:
Hello Mr. Tsai: You mentioned experiencing a pulsating pain in the left posterior part of your head for a few seconds, and the physician diagnosed it as a fourth cranial nerve palsy. For the headache component, it may be necessary to consider abnormalities in the cervical spine. ...

[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits


Managing Hypertension Medication: Addressing Fatigue and Dizziness

Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....


Dr. Jiang Junyi Reply:
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...

[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness


Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study

Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...


Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...

[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study


Post-Bath Dizziness: Understanding Symptoms and When to Seek Help

Feeling dizzy after exercising following a bath? Hello, Doctor! As the title suggests, after taking a bath, I engaged in intense exercise without much rest and didn't pay attention to my breathing rate. I quickly experienced severe dizziness and a feeling of nausea. After re...


Dr. Jiang Junyi Reply:
Hello, Ms. Yue. You mentioned that you fainted while soaking in a hot spring outdoors during a cold wave, but after some time, you felt fine. It’s important to consider the issue of syncope. Fainting is more likely to occur when a person is standing because the cerebral blood flo...

[Read More] Post-Bath Dizziness: Understanding Symptoms and When to Seek Help


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