Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Symptoms after a gravitational impact? Hello, doctor. I would like to inquire about an incident that happened several years ago when I was hit on the top of my head by a corner of a life jacket made of foam after falling from a height. I underwent some examinations at that time, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or the presence of significant local hematomas typically indicates mild symptoms. Additionally, since your symptoms have persisted for over two years, the c...[Read More] Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
When speaking more excitedly, I experience dizziness for about 1-3 seconds? Hello Doctor: I would like to ask, when I speak more excitedly (or when I am more emotionally elevated), I sometimes experience sudden dizziness for about 1-3 seconds, and then it returns to normal. What ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common causes of poor cerebral circulation are as follows: 1. Decreased peripheral vascular tone due to neurogenic reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension caused by cha...[Read More] Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...
Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
Managing High Blood Pressure and Dizziness: Essential Tips and Tests
High blood pressure... dizziness... how to manage it? 1. After experiencing bloating, I discovered that I have a blood pressure issue. Currently, after medication, my morning readings are mostly around 135/95, and in the evening, about 145/100. The doctor mentioned that my heart ...
Dr. Jiang Junyi Reply:
Hello: Your age has presented issues with hypertension. In addition to external factors or physical discomfort, it may be necessary to consider the possibility of secondary hypertension. Primary hypertension, which accounts for about 90% of cases, is of unknown origin and is beli...[Read More] Managing High Blood Pressure and Dizziness: Essential Tips and Tests
Understanding Vertebral Artery Issues: Symptoms and Diagnostic Options
Vertebral artery-related issues? Hello Doctor: Thank you very much for your detailed response in the previous article (#129126). Currently, my situation is that I experience a sharp pain in the right posterior occipital region whenever I swallow (it only hurts during swallowing, ...
Dr. Jiang Junyi Reply:
Hello: Your examination is very detailed. If your cardiovascular risk is relatively low (with normal results for the three highs), the likelihood of experiencing vertebral artery dissection is relatively small. If your health check budget allows, magnetic resonance imaging (MRI) ...[Read More] Understanding Vertebral Artery Issues: Symptoms and Diagnostic Options
Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Pain in the right occipital region? Hello Doctor: I would like to briefly describe my situation. About three months ago, I experienced severe pain while swallowing due to a purulent infection in my right tonsil. At that time, I also felt tightness and pain in the occipital region...
Dr. Jiang Junyi Reply:
Hello: The most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles at the back of the neck, resulting in pain in the occipital region. This condition may become more rigid, tense, and painful, esp...[Read More] Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Understanding Migraine Symptoms and Heart Palpitations: A Doctor's Insight
Migraine issues? Hello, doctor. I have a history of migraine with aura, so for the past four years, whenever I experience double vision, I take Ibuprofen along with two other medications for migraine relief. However, recently, after taking these medications, I have experienced ra...
Dr. Jiang Junyi Reply:
Hello: Generally, the acute treatment medications for migraines include 1. Pain relievers such as NSAIDs, Ibuprofen, with side effects including gastritis and renal function impairment. 2. Vasoconstrictors like Ergotamine and Caffeine, with side effects including ischemic heart d...[Read More] Understanding Migraine Symptoms and Heart Palpitations: A Doctor's Insight
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Understanding Dizziness: Causes and Solutions for Young Adults
Dizziness and discomfort? I have been experiencing dizziness since elementary school, and now I am about to enter university. For the past few years, regardless of whether I have eaten breakfast, whenever I stand in the sun for more than ten minutes in the morning, I start to fee...
Dr. Jiang Junyi Reply:
Common causes of fainting are due to insufficient cerebral circulation: 1. A decrease in peripheral vascular tone caused by neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension triggered by changes in posture, su...[Read More] Understanding Dizziness: Causes and Solutions for Young Adults
Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Dizziness, nausea, and generalized weakness? Hello, Doctor. On July 24th (Thursday), I hit the top of my head very hard. At that moment, I felt pain and a sensation of nasal congestion, but it improved shortly after. However, on July 27th (Sunday), after waking up from a nap, I f...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head trauma symptoms are mostly mild. The frequent occurrence of dizziness may have the following possible causes: 1. Reduced per...[Read More] Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches include: 1. Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Dizziness: Is It a Cause for Concern?
Dizziness feels like a sudden shaking, similar to an earthquake? Hello, over the past year or two, I have experienced dizziness approximately every one to two weeks to a few months. This dizziness occurs whether I am standing or sitting, and it usually happens without any change ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over,...[Read More] Understanding Dizziness: Is It a Cause for Concern?
Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Dizziness and transient amnesia? At the beginning of the month, I fell off my bike and sustained abrasions. Since my head hit the ground, I experienced brief dizziness and a few seconds of blankness. I consulted a doctor and underwent a CT scan, which showed no bleeding. I was as...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, use of anticoagulants, or obvious local hematomas tends to be mild, and the sequelae of a concussion are usually not significant. As for the occurrence of fainting, it is important to...[Read More] Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Understanding Dizziness and Fainting: Neurological Insights and Causes
Dizziness, loss of vision, loss of hearing, and unconsciousness? Hello, Dr. Jiang. Early this morning, I traveled from the north to the south without any issues. While enjoying the next scenic spot, shortly after getting off the bus, I suddenly felt hot and extremely unwell. My v...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of fainting due to insufficient blood flow to the brain. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow ...[Read More] Understanding Dizziness and Fainting: Neurological Insights and Causes
Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Stroke? Dear Dr. Jiang, Hello! My mother is 68 years old and has a history of high cholesterol and hypertension. Recently, she has been experiencing dizziness and headaches every morning upon waking up. She visited a nearby clinic where her systolic blood pressure was measured a...
Dr. Jiang Junyi Reply:
Based on your description, your mother has a history of hypertension and hyperlipidemia, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in the limbs or slurred speech, cerebrovascular disease should be the primar...[Read More] Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Can Internal Medicine Conditions Ever Be Fully Cured?
Is it really impossible to completely eliminate it? Hello, doctor. In the past, when I would get up from lying down (this only happened after lying down for a long time), I would experience dizziness and blurred vision, which would recover in a few seconds. I have also experience...
Dr. Jiang Junyi Reply:
Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Orthostatic hypotension caused by changes in posture, such as when standing up su...[Read More] Can Internal Medicine Conditions Ever Be Fully Cured?
Posture Changes and Headaches: Understanding Your Symptoms
Changes in posture can lead to headaches? Hello doctor, my blood pressure is 170/57, and I do not have any chronic diseases or hypertension, nor do I have symptoms of migraines. About two days ago, when the temperature was lower, I played basketball and felt very cold, shivering ...
Dr. Jiang Junyi Reply:
Hello, based on your description: 1. Elevated blood pressure is commonly observed during periods of stress or headaches, as vasoconstriction can lead to reflex hypertension. It is advisable to record blood pressure after the pain subsides to avoid delaying the diagnosis and tre...[Read More] Posture Changes and Headaches: Understanding Your Symptoms
Muscle Cramps and Dizziness: Understanding the Connection
Dizziness after a muscle cramp? A few days ago, while exercising, I experienced a cramp in the area just below my buttocks near my thigh. After standing and resting for a few minutes, I felt dizzy, and eventually, I became so dizzy that I couldn't stand. It wasn't until...
Dr. Jiang Junyi Reply:
Hello, the reasons you mentioned for experiencing dizziness and nearly fainting may include: 1. A decrease in peripheral vascular tone due to neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain (this is the more likely cause). ...[Read More] Muscle Cramps and Dizziness: Understanding the Connection
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Cold Weather Causing Weakness and Fainting: What to Do?
Feeling faint or experiencing weakness in the limbs when the weather is cold? I have high blood pressure and have been experiencing weakness and fainting spells for the past few days, fainting twice a day. The duration of my consciousness is increasing, and although I was hospita...
Dr. Jiang Junyi Reply:
Hello, based on your description of the 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 insuffici...[Read More] Cold Weather Causing Weakness and Fainting: What to Do?