Understanding Chronic Dizziness: When to See a Specialist
Chronic dizziness Hello, I have been experiencing dizziness for 4 to 5 years, almost every day. Sometimes it feels like I'm floating as if in a dream, and at other times, it feels like being on a boat, with moments of calm and moments of swaying with the wind. Occasionally, ...
Dr. Gao Chunde Reply:
You can first consult a family physician to determine if there is anemia or low blood pressure. If those conditions are ruled out, then it is important to consider potential issues with inner ear function. If necessary, the physician may refer you to an otolaryngologist or a neur...[Read More] Understanding Chronic Dizziness: When to See a Specialist
Understanding Medication Side Effects: Insights from a Neurology Perspective
Last question? Hello, Dr. Gao. (I apologize for pressing send before finishing my message yesterday.) I would like to ask about the medications I recently changed. These are the medications I received at the clinic: I take a 0.5 mg capsule of Mecobalamin (Nerve Growth Factor) in ...
Dr. Gao Chunde Reply:
Side effects of medications are inevitable, but it is important to weigh the benefits against the side effects to determine if the medication is worth taking. If a medication causes a tingling sensation in the head, one should consider the purpose of taking it. If it does not ser...[Read More] Understanding Medication Side Effects: Insights from a Neurology Perspective
Managing Medication: Addressing Neurology Concerns and Side Effects
Medication issues? Hello, Dr. Gao. I recently changed my medication and would like to ask you about the medications I received at the clinic. In the morning, I take my blood pressure medication along with Nabota 0.5 mg (Mecobalamin), "Shenda" Yulishupan 0.25 mg (taken b...
Dr. Gao Chunde Reply:
If the symptoms started after changing medications, you should inform the original physician to clarify the relationship between the previous medication and the current one that may have caused these symptoms. If the symptoms were present before the medication change, it may not ...[Read More] Managing Medication: Addressing Neurology Concerns and Side Effects
Understanding Cold Hands and Feet: Possible Causes and When to Seek Help
Numbness and coldness in the hands and feet? Hello Doctor: Since childhood, I have easily experienced cold hands and feet. I am currently eighteen years old and preparing for university entrance exams in my senior year of high school. I have been maintaining a posture of looking ...
Dr. Lan Shengxing Reply:
Dear Jessie, the symptoms you experience after exercising indicate that your body is redirecting blood circulation to the central areas, sacrificing circulation in your extremities. It is evident that your usual blood pressure is on the lower side. There is no need for medical at...[Read More] Understanding Cold Hands and Feet: Possible Causes and When to Seek Help
Feeling Dizzy After Oversleeping: Causes and Solutions
Sleeping for too long can cause dizziness upon waking? Yesterday, I accidentally overslept for about 18.9 hours. This morning, I felt fine, but later while taking a shower, I started to feel dizzy and uncomfortable. I kept seeing a bright area in front of my eyes. At first, it wa...
Dr. Gao Chunde Reply:
It seems more like low blood pressure, possibly due to prolonged lack of hydration and caloric intake.[Read More] Feeling Dizzy After Oversleeping: Causes and Solutions
Understanding Post-Medication Dizziness and Neurological Symptoms
Two weeks after discontinuing antihypertensive medication, I feel a heaviness in my head and occasionally experience brief episodes of dizziness? Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned to the clinic due to di...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you have a problem with sleep apnea, as obstructive sleep apnea is closely related to obesity. The complications of sleep apnea primarily affect the cardiovascular system, leading to hypertension, myocardial infarction, and ...[Read More] Understanding Post-Medication Dizziness and Neurological Symptoms
Understanding Sudden Dizziness: Causes and Concerns for Teens
Sudden dizziness? Hello, doctor. Since elementary school (I am now in high school), I have experienced sudden dizziness, numbness in my hands and feet, and blurred vision whenever I get an injection, have blood drawn, exercise, or stand in the sun for a while. Eventually, I can’t...
Dr. Gao Chunde Reply:
These symptoms are more indicative of syncope, which typically involves a transient decrease in cerebral blood flow, such as a drop in heart rate and blood pressure, especially in response to certain specific stimuli. This can be related to neurological or cardiac factors. It is ...[Read More] Understanding Sudden Dizziness: Causes and Concerns for Teens
Understanding Dizziness: Insights from Neurology and Cardiology
Regarding dizziness, please ask again? Hello Dr. Jiang, the link above contains your explanation from April 5th. I would like to add a few additional questions for your clarification. 1. During episodes of dizziness, I experience slight body warmth and an increased heart rate. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe that the relevant specialists have provided effective pharmacological treatment. However, I'm unsure about your lifestyle and exercise habits. How is your autonomic nervous system functioning? I recommend consulting a rehabilitatio...[Read More] Understanding Dizziness: Insights from Neurology and Cardiology
Unconscious Falls: Understanding Neurological Symptoms in Seniors
Unconscious fall? My mother fell unconsciously this morning and has fallen four times. She is unaware of her falls and does not feel anything unusual. When I asked her if she feels unwell, she said no, and she doesn't even feel dizzy. What could be the signs or symptoms of t...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider the symptoms of syncope. The most common cause is reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can happen when transitioning ...[Read More] Unconscious Falls: Understanding Neurological Symptoms in Seniors
Understanding Dizziness and Loss of Consciousness: Neurological Insights
Dizziness and disorientation? After a usual day at work, I returned home, sat on the sofa to rest, and prepared to take a shower. As I stood up and stretched, I leaned forward onto the table and hit my head. After that, I experienced a loss of awareness, with my head, hands, legs...
Dr. Jiang Junyi Reply:
Hello, based on your description, you are experiencing involuntary movements of your limbs while maintaining awareness, which may suggest simple partial seizures or syncope, among other causes. Symptoms of simple partial seizures can vary depending on the unstable location in the...[Read More] Understanding Dizziness and Loss of Consciousness: Neurological Insights
Understanding Tongue Numbness: Causes and Concerns During Sleep
Numbness of the tongue? Hello Doctor: Recently, when I am about to fall asleep, I experience a tingling sensation at the back of my tongue (it feels somewhat like a mild tremor). Sometimes, I also feel this sensation in my esophagus or chest. This only occurs when I am sleeping; ...
Dr. Gao Chunde Reply:
Currently, it seems that there are no related neurological issues that can be identified. However, some patients with gastroesophageal reflux disease have reported similar descriptions. You may want to assess if there are any gastrointestinal abnormalities, and if necessary, refe...[Read More] Understanding Tongue Numbness: Causes and Concerns During Sleep
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Does Parkinson's disease have sensory symptoms associated with physical discomfort? Hello, doctor! I have some questions. My mother-in-law experiences involuntary tremors in her left hand, and at times, her entire body shakes severely. She has undergone examinations at Kaohs...
Dr. Lan Shengxing Reply:
Dear Shujun, patients with Parkinson's disease may experience not only tremors and bradykinesia but also autonomic nervous system issues, so feeling unwell is common. There are indeed certain nuclear medicine tests that can help differentiate whether it is truly Parkinson&#x...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Dizziness and Fainting During Menstruation: When to Seek Help
Syncope, menstrual period, cold sweats, weakness in hands and feet? Dear Doctor, I would like to inquire about issues related to dizziness. I usually do not experience menstrual pain, but since starting college, I have had three instances during my menstrual period where I sudd...
Dr. Gao Chunde Reply:
This is related to the issue of the parasympathetic nervous system and the decrease in blood pressure and heart rate, resembling symptoms of shock. It is advisable to seek further evaluation from a physician, considering both cardiology and neurology specialists.[Read More] Understanding Dizziness and Fainting During Menstruation: When to Seek Help
Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?
Why take epilepsy medication if there is no epilepsy? Hello Dr. Huang, I recently discovered that the medication I have been taking is for epilepsy. I initially visited a clinic due to dizziness, vomiting, and insomnia. Despite visiting other clinics, I continued to experience di...
Dr. Huang Yingzhe Reply:
Dizziness may be treated with anticonvulsants in certain specific situations. Some older medications for insomnia can also be used for epilepsy, but the two medications you mentioned are not among them! It is advisable to discuss with the prescribing physician to determine whethe...[Read More] Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?
Understanding Sudden Dizziness: Causes and Solutions
Sudden dizziness? Yesterday, while walking through the night market, I felt like my ears were blocked, and my vision became increasingly dark until I couldn't see anything. My arms and legs also felt weak. This isn't the first time; it has happened two or three times be...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms you mentioned of sudden weakness are more likely caused by syncope, which may result from a drop in blood pressure or vasoconstriction leading to reduced cerebral blood flow and subsequent cerebral ischemia. Syncope is more likely to occur ...[Read More] Understanding Sudden Dizziness: Causes and Solutions
Understanding Tongue Numbness and Dizziness After Lying Down
Experiencing tongue numbness while lying down? Hello, doctor. After exercising and taking a shower, I often experience dizziness. Recently, when I lie down to sleep, it feels like blood is rushing to my head. I also feel a tightness in my chest, and my nose feels heavy and conges...
Dr. Gao Chunde Reply:
Regarding dizziness and blood flow to the brain, it may be helpful to check blood pressure first. Issues with the nose and tongue, as well as sleep problems, can be evaluated by an otolaryngologist to determine if there are any related issues, particularly with nasopharyngeal all...[Read More] Understanding Tongue Numbness and Dizziness After Lying Down
Understanding Sleep Medications: Concerns About Seizures and Side Effects
I often have racing thoughts before bed, making it difficult for me to fall asleep? Doctor, I often find myself thinking about various things at night when I try to sleep. I visited a clinic, and the doctor prescribed medication for me, which I've been taking for about three...
Dr. Gao Chunde Reply:
Antiepileptic drugs can be used to treat various non-epileptic conditions, such as involuntary movements, neuropathic pain, migraines, and certain types of anxiety or panic disorders. As for Sinopril, I personally do not have knowledge in that area, and I couldn't find any i...[Read More] Understanding Sleep Medications: Concerns About Seizures and Side Effects
Understanding Persistent Dizziness: When to Seek Neurological Help
What is the problem? Hello, Doctor Gao. I have been experiencing dizziness for almost a month now. The symptom is that my forehead feels very hot, as if I have a fever, even when I sleep. However, I do not have a fever. I feel lethargic every day. My blood pressure is normal, and...
Dr. Gao Chunde Reply:
Sometimes, insufficient sleep or chronic stress and fatigue can lead to muscle tension in the head and neck, resulting in similar symptoms. However, when seeking medical attention, the physician will conduct a thorough evaluation to determine if there are other causes unrelated t...[Read More] Understanding Persistent Dizziness: When to Seek Neurological Help
Sudden Dizziness, Shortness of Breath, and High Blood Pressure: What to Do?
Suddenly feeling faint, experiencing shortness of breath, high blood pressure, and nausea? Hello, this afternoon while I was cleaning at home, I suddenly felt like I was going to fall backward and then I started to have difficulty breathing. After that, I felt a bit nauseous. I w...
Dr. Lan Shengxing Reply:
Dear Rinna, these symptoms are difficult to categorize into a specific disease. Please visit the neurology outpatient clinic for evaluation.[Read More] Sudden Dizziness, Shortness of Breath, and High Blood Pressure: What to Do?
Can Acupuncture Replace Rehabilitation After a Mild Stroke?
Mild stroke May I ask: when you last told me that medication treatment is necessary, was it only for blood pressure medication? If I can choose one of the two options, can I just go for acupuncture or rehabilitation? I saw many people online who only did acupuncture without under...
Dr. Lan Shengxing Reply:
Dear Miss Deng, there is something that needs to be clarified. It is the physician's duty to provide the best clinical service. If you believe that life and health are negotiable, then that choice is yours to make. You cannot hold the treating physician or an insufficient on...[Read More] Can Acupuncture Replace Rehabilitation After a Mild Stroke?