Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...
Dr. Hong Weibin Reply:
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Understanding Dizziness Upon Standing: Causes and Solutions
Orthostatic dizziness Leaning against the sofa or bed (with feet flat), I experience significant dizziness and even loss of consciousness after standing up. While leaning on the sofa, my heart rate is 51 bpm, and it increases to 72 bpm upon standing. My blood pressure slightly de...
Dr. Jiang Junyi Reply:
Hello: The symptom you mentioned is "syncope," and it may be necessary to consider the possibility of orthostatic hypotension. Common causes include: 1. A decrease in peripheral vascular tone due to neurogenic reflexes, leading to blood pooling in peripheral tissues and...[Read More] Understanding Dizziness Upon Standing: Causes and Solutions
Unexplained Limb Numbness: Causes, Treatments, and Next Steps
Numbness in the limbs with no identifiable cause? A 57-year-old man started experiencing slight numbness and tingling in his hands and feet after quitting smoking in October last year. The symptoms have become more frequent, and at times he feels weakness in his right hand. Neuro...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your husband has metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high blood pressure). If he does, he may be at a higher risk for stroke. It takes five years of complete smoking cessation for the ri...[Read More] Unexplained Limb Numbness: Causes, Treatments, and Next Steps
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Safe Supplements for Mild Stroke Survivors: What to Consider?
Are there any dietary supplements suitable for individuals who have experienced a mild stroke? Hello, my boyfriend's father experienced some health issues last year and after a hospital examination, the doctor diagnosed him with a mild stroke. He is currently taking anticoag...
Dr. Jiang Junyi Reply:
Hello: Regarding health supplements, those that may prevent cerebrovascular diseases often have effects similar to medications, such as ginkgo for preventing thrombosis and red yeast rice for lowering blood lipids. For patients who are already undergoing treatment, these suppleme...[Read More] Safe Supplements for Mild Stroke Survivors: What to Consider?
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Understanding Dizziness: When to Seek Neurological Help
Regarding the issue of dizziness? Hello doctor, I have been experiencing mild dizziness for the past week, sometimes accompanied by a feeling of unsteadiness. It suddenly feels like I'm spinning. My menstrual period started three days ago, and I initially thought it might be...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occur after menstruation, it is essential to rule out anemia or fluid deficiency that could lead to insufficient ...[Read More] Understanding Dizziness: When to Seek Neurological Help
Can Multivitamins and B-Complex Harm Your Liver?
Is taking a multivitamin along with B vitamins harmful to the liver? Good evening, Dr. Jiang. Thank you very much for your advice regarding the numbness in my toes. I have hypertension and hyperlipidemia, so I take one tablet of Amlodipine and Rosuvastatin each morning. Additiona...
Dr. Jiang Junyi Reply:
Hello: The underlying concern you have may be metabolic syndrome. I wonder if you have issues with being overweight? I'm also curious if you have sleep disorders such as sleep apnea. Compared to the Rosuvastatin you are taking, B vitamins and multivitamins have limited effec...[Read More] Can Multivitamins and B-Complex Harm Your Liver?
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Inquiry about Transient Ischemic Attack (TIA) Hello, my family member is 52 years old and recently experienced numbness on the right side of the body, leading to a diagnosis of a minor stroke. They previously had a history of smoking and drinking but have since quit. A magnetic r...
Dr. Jiang Junyi Reply:
Hello: 1. Recently, I experienced numbness on the right side of my body and was diagnosed with a minor stroke. I had a history of smoking and drinking but have quit. I have also scheduled an MRI. After the MRI, it was confirmed that there are no blockages in the brain vessels. ...[Read More] Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Feeling Unsteady: When to See a Doctor for Neurological Symptoms
Feeling of body swaying? Hello, doctor. I have been feeling unsteady for the past two or three days, with an increased heart rate. When I sit down, the sensation of swaying is very noticeable. I checked with the meteorological bureau, and there have been no earthquakes in the pas...
Dr. Jiang Junyi Reply:
Hello: The sensation of shaking you are experiencing may be related to proprioception. I am not sure if you have any headaches; some vascular headaches can be accompanied by pain that pulses with your heartbeat, and severe pain often leads to nausea and vomiting, as well as sensi...[Read More] Feeling Unsteady: When to See a Doctor for Neurological Symptoms
Understanding Head Injuries: When to Seek Medical Attention
Head issues Hello Doctor, about three weeks ago, I hit my forehead quite hard. I didn't lose consciousness at the time, but after two days, I experienced some dizziness and nausea that lasted for about one to two weeks. I didn't see a doctor. About five days later, due ...
Dr. Jiang Junyi Reply:
Based on your description: The neurological symptoms you mentioned after taking a hot shower are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to a rapid decrease in blood pressure or vasoconstr...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
Should You Get Further Tests for Suspected Concussion After an Accident?
Is further examination needed for a suspected concussion? Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries. At the time, I was fully conscious and did not experience any nausea or vomiting. The hospit...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor. Your symptoms are more indicative of cervical myofascial inflammation. The high-risk period for delayed b...[Read More] Should You Get Further Tests for Suspected Concussion After an Accident?
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective