Understanding Dizziness: Connection to Diabetes and Hypertension
Dizziness and discomfort? I have been experiencing dizziness for over a month and visited a neurologist at the hospital. I underwent brainstem auditory evoked potential testing, carotid ultrasound, and blood tests, all of which were normal. The doctor prescribed Diphenidol 25 mg,...
Dr. Gao Chunde Reply:
Dizziness upon standing is quite common among the elderly. In addition to vestibular dysfunction, it is important to pay attention to orthostatic hypotension, especially in patients with diabetes or Parkinson's disease, as their autonomic nervous system responses are slower....[Read More] Understanding Dizziness: Connection to Diabetes and Hypertension
Understanding Neck Pain and Eyelid Spasms: Possible Causes and Insights
Occipital eyelid Hello~ This morning when I woke up, I felt pain at the upper part of my neck (near the head), my eyelid was twitching, and I also had a headache. I measured my blood pressure at 106/66 and my heart rate was 71, indicating no hypertension. Could you please help me...
Dr. Huang Yongquan Reply:
If you are unsure whether it is due to staying up late or excessive fatigue, you can try applying a warm compress and getting some rest. If discomfort persists, you should consider visiting a clinic for examination and treatment.[Read More] Understanding Neck Pain and Eyelid Spasms: Possible Causes and Insights
Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Sequelae of meningitis? Hello, Dr. Huang... Recently, I was admitted to Taichung Veterans General Hospital due to sudden strabismus in my right eye, which made it difficult to focus and caused severe double vision. My physician arranged for an MRI, and the results indicated menin...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare, Hello. There are numerous causes of ocular muscle paralysis (you are referring to the lateral rectus muscle, right?), and many of them remain undetermined. The primary purpo...[Read More] Understanding the Aftermath of Meningitis: Eye Issues and Recovery
Understanding Head Pain After a Fall: A Guide for Caregivers
Grandma has a headache after falling? Hello, my grandmother is 90 years old and has limited mobility, relying on a walker to move around. Two days ago, she got up around 5 AM to use the bedside commode and lost her balance after finishing, resulting in a fall where she hit the to...
Dr. Lan Shengxing Reply:
Hello Jeffery, the headache symptoms you described may simply be pain caused by the fall. Using acetaminophen should be sufficient. When administering pain relief after a fall, it is advisable to avoid medications that may cause drowsiness, in order to prevent confusion in diagno...[Read More] Understanding Head Pain After a Fall: A Guide for Caregivers
Understanding Urinary Syncope: Causes and Implications for Health
Causes of Syncope I am 33 years old and have experienced three episodes in the past five years where I suddenly felt dizzy and fainted while urinating. Each episode lasted about 10-15 seconds, after which I regained consciousness and stood up. Upon standing, I noticed my face was...
Dr. Gao Chunde Reply:
It is called micturition syncope, which typically occurs due to a sudden reflex drop in blood pressure after a large volume of urination. It is more likely to happen after drinking alcohol, dehydration, excessive physical exertion, or during illnesses that cause significant chang...[Read More] Understanding Urinary Syncope: Causes and Implications for Health
Is It a Heart Issue or a Brain Problem? Understanding Dizziness and Palpitations
Is it a brain issue or a heart issue? Hello Doctor!!! Earlier this year, I noticed that after exercising (like after playing basketball or finishing a run), I experience symptoms such as rapid heartbeat, dizziness, and lightheadedness. In June, I went to a medical center for a se...
Dr. Gao Chunde Reply:
A rapid heartbeat can reduce the cardiac output because the head is positioned above the heart, making symptoms of ischemia most pronounced, such as dizziness and lightheadedness. After exercise, experiencing a fast heartbeat is a form of paroxysmal arrhythmia. A cardiologist sho...[Read More] Is It a Heart Issue or a Brain Problem? Understanding Dizziness and Palpitations
Understanding Facial Flushing and Dizziness: Neurological Insights
Facial flushing and warmth? Hello, whenever the air is stagnant, my face becomes very red, and I often feel dizzy and heavy-headed. Sometimes I feel nauseous, and when I exercise, my face turns extremely red and feels hot, with a heavy sensation in my head that takes a long time ...
Dr. Gao Chunde Reply:
Facial flushing is a phenomenon caused by the dilation of subcutaneous microvessels, which occurs when the body needs to increase heat dissipation due to warmth or exertion. The degree of response varies among individuals; for example, some people may flush easily after consuming...[Read More] Understanding Facial Flushing and Dizziness: Neurological Insights
Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Flushing and high blood pressure? Doctor, my face often turns red. Does that mean my blood pressure is high? I also experience dizziness and a heavy feeling in my head. Can low blood pressure lead to a stroke? Thank you, doctor.
Dr. Gao Chunde Reply:
Flushing does not equal high blood pressure. Flushing is caused by the dilation of subcutaneous microvessels, which can occur due to heat dissipation, inflammation, alcohol, or other vasodilators, as well as hormones or substances that cause vasodilation. Emotions or stress can a...[Read More] Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Long-Term Effects of Falls: Understanding Neurological Symptoms
Regarding the sequelae of injuries from falls? Several years ago, I fell from the second floor and injured my left hip (did not seek medical attention). For a while, I was unable to bend my left leg while running. After standing for a long time, my vision would turn black and whi...
Dr. Gao Chunde Reply:
Prolonged standing while looking at something can lead to symptoms such as blackouts, dizziness, numbness in the hands, and impaired movement. The relationship with a fall resulting in a bruised buttock is minimal; most likely, these symptoms are due to a weakened body and insuff...[Read More] Long-Term Effects of Falls: Understanding Neurological Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Severe autonomic nervous system dysfunction? Dear Doctor, I have read a lot of relevant information and would like to focus on my daily routine and dietary intake. I would also like to explain my symptoms. In recent years, I have developed a strong liking for very spicy food, to...
Dr. Gao Chunde Reply:
It seems that there may be symptoms of anxiety and even approaching panic attacks. This can be examined in daily life to identify any specific external causes, such as dietary factors, work, family, or other stressors. If no external causes are found, it may be related to intrins...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Recently, I've been feeling strange in my head, as if there is something stuck at the back of my brain? Hello, I have gallstones and have previously experienced vertigo, but I was taken off medication by my doctor five years ago because I hadn't had an episode in over t...
Dr. Huang Zixuan Reply:
If you are concerned about conditions related to epilepsy, it is recommended to undergo an electroencephalogram (EEG) at a hospital. Additionally, it is advisable to keep a record of the times when you experience these uncomfortable sensations, as having a complete record will he...[Read More] Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Understanding Hypertension: Impact on Cognitive Function and Recovery Strategies
Hypertension issues Hello, doctor. I was diagnosed with bipolar disorder and major depressive disorder at the age of twenty-three due to stress factors. Since then, my blood pressure has often been elevated, and I am currently taking antihypertensive medication. I would like to a...
Dr. Gao Chunde Reply:
There are many causes of cognitive decline. First, it is important to determine whether it is genuine cognitive decline or merely a pseudodementia caused by anxiety, mood disorders, stress, or medication. If it is indeed genuine, it is relatively uncommon at this age, and it may ...[Read More] Understanding Hypertension: Impact on Cognitive Function and Recovery Strategies
Understanding Dizziness and High Blood Pressure in Seniors
Dizziness and discomfort? Hello Doctor: My father is 70 years old. Recently, he caught a cold and had difficulty breathing, leading to a diagnosis of "bronchiectasis." His blood pressure has consistently been around 150-170 (he has never taken antihypertensive medicatio...
Dr. Lan Shengxing Reply:
Dear Sindy, 1. If the medication is unable to lower your blood pressure, you may ask your original cardiologist to change the medication or adjust the dosage. Some bronchodilators can affect cardiac rhythm, so be sure to bring this up during your appointment for the physician&#x...[Read More] Understanding Dizziness and High Blood Pressure in Seniors
Is Autonomic Nervous System Disorder Difficult to Treat?
Is autonomic nervous system dysfunction difficult to treat? I visited a gastroenterology clinic twice, and the doctor mentioned that I might have autonomic nervous system dysfunction in the gut and advised me to see a neurologist. Is autonomic nervous system dysfunction difficult...
Dr. Gao Chunde Reply:
The autonomic nervous system generally refers to the sympathetic and parasympathetic nervous systems. The sympathetic system is responsible for the body's fight-or-flight response, while the parasympathetic system promotes rest, relaxation, and recovery of bodily functions. ...[Read More] Is Autonomic Nervous System Disorder Difficult to Treat?
Understanding Winter-Related Muscle Cramps: Causes and Solutions
Menstrual cramps in winter? This winter, I have experienced menstrual cramps while brushing my teeth... it has happened three times now... Could it be due to the cold affecting my blood circulation? I do not have high blood pressure.
Dr. Huang Yongquan Reply:
It is unclear where the cramping is occurring. Is it related to fatigue or cold weather? Are there any factors such as smoking, alcohol consumption, or medication use? It is recommended to visit an outpatient clinic for an initial physical examination and blood tests.[Read More] Understanding Winter-Related Muscle Cramps: Causes and Solutions
Understanding Dizziness: Causes, Emotional Triggers, and Treatment Options
Unexplained dizziness? Hello. My grandmother is 80 years old and has had high blood pressure and heart disease since her fifties. Occasionally, she experiences dizziness for a few days, which resolves on its own. When she feels dizzy, her blood pressure readings are neither too h...
Dr. Gao Chunde Reply:
Emotional anxiety, tension, or depression can actually be one of the causes of dizziness. However, it is essential to rule out other organic causes before making this diagnosis. If medication is prescribed solely to suppress dizziness, such as anti-vertigo drugs, it is advisable ...[Read More] Understanding Dizziness: Causes, Emotional Triggers, and Treatment Options
Understanding Head Noises: Causes and Connections to Hypertension
Headache? Hello doctor: I often hear sounds in my head that used to occur infrequently, but recently have become more common. Why do I hear a sound like wind in my head? I have high blood pressure; could that be related? Or is it tinnitus? Or could it be due to headaches?
Dr. Gao Chunde Reply:
It is advisable to first consult an otolaryngologist to ensure that there are no other issues with the ear, as my personal experience in this area is limited.[Read More] Understanding Head Noises: Causes and Connections to Hypertension
Unexplained Dizziness and Nausea: Possible Neurological Causes
Unexplained dizziness with nausea? I have been experiencing frequent dizziness, nausea, and a feeling of pressure in my head this week, making it difficult to concentrate on anything. When I lie in bed and look at the ceiling, I feel somewhat dizzy. I'm not sure what might b...
Dr. Lin Zijing Reply:
To differentiate between dizziness and vertigo, true vertigo refers to the sensation of the surroundings spinning, which is most commonly associated with issues in the inner ear's semicircular canals. On the other hand, symptoms such as a heavy head, lightheadedness, visual ...[Read More] Unexplained Dizziness and Nausea: Possible Neurological Causes
Understanding Dizziness After Childbirth: Causes and Solutions
Dizziness-related issues? Dr. Yeh: Hello! Since giving birth to my second child in mid-August, I have been experiencing dizziness, often feeling lightheaded and extremely fatigued. I frequently feel the need to sleep, and I almost always dream when I do sleep. Could this be cause...
Dr. Ye Boshou Reply:
Hello: 1. There are many causes of dizziness, including issues with the inner ear balance and intracranial pathologies, but unlike cerebral hypoxia, it is essential to prioritize good sleep hygiene and first evaluate the quality of sleep. 2. Dizziness can also occur if blood pres...[Read More] Understanding Dizziness After Childbirth: Causes and Solutions
Experiencing Dizziness While Walking: Possible Neurological Causes
Dizziness while walking? Hello, for the past two months, I've been experiencing slight dizziness when walking or making larger movements, but it doesn't occur when sitting or lying down. There is no tinnitus, just a bit of tightness in my neck. Recently, I visited a tra...
Dr. Gao Chunde Reply:
If there are no accompanying symptoms such as slurred speech, walking unsteadily to one side, or numbness or weakness in one side of the body or face, it is more likely to be benign paroxysmal positional vertigo, which is an inner ear issue. With adequate rest, it should improve ...[Read More] Experiencing Dizziness While Walking: Possible Neurological Causes