Blood pressure, Neurology FAQ - Page 18

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Understanding Chronic Migraines and Facial Spasms: A Patient's Journey

Headache and facial twitching? I kindly ask the doctor to take a moment to look at my concerns so that I can reference them during my medical visits. Thank you. About four to five years ago, I was diagnosed with migraine status. My headaches have never improved over the years; th...


Dr. Lin Zijing Reply:
Your headaches are so frequent and severe that you should consult a physician for evaluation or consider preventive medication treatment. Recent medical studies indicate that multiple episodes of migraines can indeed increase the risk of ischemic stroke, as migraines are associat...

[Read More] Understanding Chronic Migraines and Facial Spasms: A Patient's Journey


Understanding Neurological Symptoms: When to Seek Medical Advice

Please ask your question? Hello: I previously inquired about a tight sensation from my left cheek to my temple (the area near my nose does not feel this way). This condition has persisted for quite some time, approximately 8 to 9 months now. Recently, in the last three or four da...


Dr. Ye Boshou Reply:
Hello: 1. There will be no signs of vascular obstruction. 2. Numbness in the legs is more likely related to peripheral nerve issues, such as compression, but it can improve. If there is no improvement or if it worsens, a consultation with a neurologist for examination is necessar...

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


Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links

Diabetic peripheral neuropathy Hello Doctor: My father has a history of diabetes for 11 years. Last year, he experienced numbness and pain in his limbs, sometimes feeling numb all over. He visited the neurology department at Taichung Veterans General Hospital, where he was diagno...


Dr. Lin Zijing Reply:
1. Does diabetic peripheral neuropathy cause severe pain and numbness throughout the body? Answer: It mostly causes numbness and pain in the extremities, with a small portion experiencing pain in a single nerve. 2. Can the numbness and pain from diabetic peripheral neuropathy ...

[Read More] Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links


Unexplained Dizziness: Navigating Neurological Concerns and Next Steps

Dizziness of unknown origin? Hello Doctor, I have been experiencing continuous dizziness for a week (at times, it feels like there is a force pushing my eyeballs outward), slight imbalance while walking, and decreased dexterity in my hands. Occasionally, I have tremors, nausea, a...


Dr. Lin Zijing Reply:
The causes of dizziness can be broadly categorized into the following: 1. Vestibular disorders: Such as motion sickness, viral infections, abnormal displacement of otoliths, and Meniere's disease. 2. Visual disorders: For instance, wearing glasses with an incorrect prescrip...

[Read More] Unexplained Dizziness: Navigating Neurological Concerns and Next Steps


Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms

May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...


Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...

[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms


Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks

Medication Issues in Parkinson's Disease My father has hypertension and experiences tremors. A physician in Hsinchu, Dr. Chou Ping-Chen, prescribed Parkinson's medication for him. He has been taking it for nearly two weeks and has experienced drowsiness and dizziness. H...


Dr. Gao Chunde Reply:
The diagnosis of a stroke is not determined by unstable blood pressure or dizziness symptoms, but rather by the presence of neurological deficits assessed through a professional physician's interview and neurological examination. As for imaging studies, magnetic resonance an...

[Read More] Medication Concerns in Parkinson's Disease: Symptoms and Stroke Risks


Managing Parkinson's Side Effects: Tips for Caregivers and Patients

Side effects of Parkinson's disease? My grandmother was recently diagnosed with stage three Parkinson's disease. Initially, her mobility was fine (just typical disease progression), but this week, after taking her medication, her condition has significantly worsened. Sh...


Dr. Gao Chunde Reply:
Many Parkinson's medications can cause orthostatic hypotension as a side effect. Additionally, patients may have autonomic nervous system dysfunction due to the disease, leading to unstable blood pressure, which is indeed a concern. It is recommended to have a blood pressure...

[Read More] Managing Parkinson's Side Effects: Tips for Caregivers and Patients


Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns

Shu Nao Hello doctor, I have some symptoms including headaches, dizziness, a feeling of pressure in my head, dry mouth, stiff neck and shoulders, sudden increases in blood pressure for no apparent reason, occasional blurred vision, and numbness or weakness in my limbs. I have see...


Dr. Lin Zijing Reply:
Shunao is a selective calcium channel blocker that is effective in preventing migraines and can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may provide partial improvement for symptoms caused by Menier...

[Read More] Understanding 'Shunao': Relief for Neurological Symptoms and Safety Concerns


Recognizing Warning Signs of a Mini-Stroke: What You Need to Know

I have symptoms of a transient ischemic attack (TIA)? Recently, I have not been feeling well. I noticed that you mentioned the symptoms of a transient ischemic attack (TIA): sudden speech difficulties, blurred vision, transient localized numbness or weakness in limbs, dizziness, ...


Dr. Lin Zijing Reply:
A transient ischemic attack (TIA) is caused by a sudden blockage or rupture of small blood vessels, resulting in the following symptoms that occur abruptly (one moment the individual is fine, and the next moment symptoms are evident): 1. Numbness or weakness in the face, arm, or ...

[Read More] Recognizing Warning Signs of a Mini-Stroke: What You Need to Know


Understanding Dizziness: Diabetes Symptoms and Stroke Risks

Dizziness What are the symptoms of diabetes, doctor? Can it lead to slightly elevated blood pressure? I previously had a health check and did not find any signs of diabetes. Could it be that not eating fruit for a long time is causing my dizziness? Or is it possible that it could...


Dr. Lin Zijing Reply:
The early stages of diabetes are asymptomatic, and by the time symptoms such as increased thirst, excessive urination, and increased appetite appear, the condition is already at a moderate to advanced stage. Diabetes does not have a direct relationship with hypertension; however,...

[Read More] Understanding Dizziness: Diabetes Symptoms and Stroke Risks


Understanding Dizziness: When to See a Neurologist

Dizziness Hello Doctor, I have been experiencing frequent dizziness or a sensation of floating, and one morning I even fell due to the dizziness. I visited an otolaryngologist, but the doctor said my ears are normal and there is no damage. I would like to ask if I should see a ne...


Dr. Lin Zijing Reply:
Hello, dizziness is an uncomfortable sensation that can make a person feel as if the surrounding environment is moving, or that they themselves are moving when they are not; at times, it may also feel like a heavy sensation in the head, or even a feeling of darkness in front of t...

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


Understanding Dizziness and Fainting: Possible Causes and Next Steps

Experiencing dizziness and having fainted before..? Hello, doctor. A year ago, I briefly fainted after a fall, and another time I fainted briefly after squatting for too long and then sitting up. I consulted a neurologist and underwent an electroencephalogram, and the doctor said...


Dr. Gao Chunde Reply:
First, orthostatic hypotension should be considered (it is possible to have this issue even with a history of hypertension). Blood pressure and heart rate can be measured in lying, sitting, and standing positions. If the difference in systolic blood pressure exceeds 20 mmHg, it m...

[Read More] Understanding Dizziness and Fainting: Possible Causes and Next Steps


Is Dizziness a Sign of Impending Stroke? Understanding the Symptoms

Is it a warning sign of a stroke? Dear Doctor: My mother has recently been experiencing frequent dizziness and unsteadiness while walking (often leaning to one side), which has led to falls and injuries. I am very concerned that this could be a sign of a stroke. My mother has hyp...


Dr. Zeng Kongyan Reply:
Dear Ms. Huang, The high-risk factors for stroke include aging, hypertension, diabetes, heart disease, high cholesterol, smoking, alcohol consumption, and blood disorders. Your letter did not mention your mother's age or the duration of her hypertension, but given the risk ...

[Read More] Is Dizziness a Sign of Impending Stroke? Understanding the Symptoms


Understanding Neck Sounds: What Your Doctor Wants You to Know

There is a sound in the back of the neck? Hello Doctor: My father is 65 years old, and recently he told me that he feels a sound in the back of his neck similar to a "ticking" noise, like a second hand ticking. I'm not sure what this could be. Is there any warning ...


Dr. Lin Zijing Reply:
Hello, I would like to know if the sounds your father hears are in sync with his heartbeat or if they are more like a whooshing sound. Sounds similar to vascular pulsations could indicate a vascular malformation or an aneurysm. Further auscultation and diagnostic tests are necess...

[Read More] Understanding Neck Sounds: What Your Doctor Wants You to Know


Understanding Dizziness: Causes, Symptoms, and When to Seek Help

Dizziness Over a year ago, I had high blood pressure readings above 150 at the hospital, and a cardiologist prescribed antihypertensive medication for me, which I took for nearly six months. About a year ago, during a class, I suddenly experienced a blackout and felt dizzy when I...


Dr. Lin Zijing Reply:
Common causes of dizziness: 1. Issues with the vestibular system (often characterized by a spinning sensation), such as benign paroxysmal positional vertigo, Meniere's disease, and vestibular neuritis. 2. Central nervous system problems (often accompanied by focal neurol...

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


Understanding Coma After Heart Surgery: Risks and Responsibilities

Unconsciousness Hello, the situation is as follows: My grandmother is 86 years old and in good health. She can cook, do laundry, and climb stairs by herself. Last Friday, she experienced some chest pain and went to the Tzu Chi Hospital in Xindian. The doctor informed us that she ...


Dr. Huang Yongquan Reply:
Hello: Since I have not personally seen the patient, I cannot make a judgment. It would be better to consult the attending physician. Older patients undergoing surgery or cardiac catheterization have their own risks, including the possibility of stroke. Further examination should...

[Read More] Understanding Coma After Heart Surgery: Risks and Responsibilities


Persistent Left-Sided Head Pain: When to Seek Medical Attention?

Persistent throbbing pain on the left side of the head? Dr. Lin: Hello, I have been experiencing migraines for nearly half a month, and I can only fall asleep at night by lying on one side. Additionally, my upper eyelid has been twitching intermittently. My blood pressure is arou...


Dr. Lin Zijing Reply:
Hello, for adults aged 18 and older, if blood pressure readings consistently exceed or equal a systolic pressure of 140 mmHg or a diastolic pressure of 90 mmHg, this is classified as hypertension. However, according to the latest standards, hypertension is defined as a systolic p...

[Read More] Persistent Left-Sided Head Pain: When to Seek Medical Attention?


Stroke Risks in Hot Work Environments and Dietary Considerations

Could you please provide more specific information or questions regarding stroke? Hello Doctor, My mother suddenly lost vision in one eye while working at her company, and later examinations at the hospital revealed signs of a mild stroke. She is currently on regular medication...


Dr. Lin Zijing Reply:
Stroke predominantly occurs in winter due to cold weather causing blood vessels to constrict, leading to increased blood pressure that can result in rupture or blockage. It is particularly concerning for individuals who are frequently exposed to environments with significant temp...

[Read More] Stroke Risks in Hot Work Environments and Dietary Considerations


Understanding Hand and Foot Pain, Numbness, and Dizziness Symptoms

Regarding the issues of pain and numbness in the fingers and toes, as well as dizziness? The tips of my fingers (the area with fingerprints) hurt and feel numb when I apply pressure or exert force. I also have difficulty sensing objects with my fingers, and when I hold a cup, it ...


Dr. Gao Chunde Reply:
Based on your description of symptoms, weakness and loss or abnormal sensation in the fingertips, as well as pain with exertion or pressure, it is important to consider neuropathy, particularly in elderly patients. This could be related to peripheral nerve issues or problems with...

[Read More] Understanding Hand and Foot Pain, Numbness, and Dizziness Symptoms


Understanding Tension in the Temples: Signs of Potential Stroke?

Tension in the temples? Chronic sleep deprivation, extremely poor sleep quality, and frequent dreaming (always dreaming during sleep). Today, I feel tightness in my temples, with a sensation as if they are about to burst (especially on the right side). My heart rate is slightly e...


Dr. Huang Yongquan Reply:
Hello: In response to your question, based on the symptoms you described, it seems you are experiencing tightness in the temples and stiffness in the neck and shoulders, which is more indicative of tension-type headaches. This discomfort is caused by excessive tightness in the mu...

[Read More] Understanding Tension in the Temples: Signs of Potential Stroke?


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