Understanding Carotid Artery Issues: Stroke, Dissection, and Treatment Options
My dad had a stroke, and the hospital examination revealed that his carotid artery is severed? My father had a stroke around October due to carotid artery blockage. He was transferred to several hospitals, and the previous hospital reported that his carotid arteries were 90% bloc...
Dr. Huang Yongquan Reply:
Hello: In response to your question, based on your statement, your father has carotid artery blockage issues. Generally speaking, a stenosis greater than 75% is associated with a higher risk of stroke, so carotid artery stenting is recommended to open the blood vessels. However, ...[Read More] Understanding Carotid Artery Issues: Stroke, Dissection, and Treatment Options
Post-Stroke Recovery: When to Seek Medical Attention for Speech Issues
Stroke Hello, after a stroke (cerebral embolism), I have returned home to rest. My speech and limbs were normal, but now (two days post-discharge) I am experiencing some slurred speech (intermittently). Should I go back to the hospital?
Dr. Qiu Conglang Reply:
Hello: Patients with cerebral embolism may gradually improve after rehabilitation, but three-quarters will still have sequelae. If new symptoms arise, it is essential to consult a physician to determine if a second stroke has occurred. There are many important points to consider ...[Read More] Post-Stroke Recovery: When to Seek Medical Attention for Speech Issues
Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
I'm sorry, but I need more information to assist you. Please provide additional details or context? My mother is 47 years old and had facial nerve dysfunction four years ago. Recently, she has started to experience numbness in her hands and feet (a tingling sensation), espec...
Dr. Huang Yingzhe Reply:
Dear Ms. Hsi, Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health, Executive Yuan, responds: The symptoms you described are quite "diverse." Some are commonly associated with issues in the brain, while others are more typical of...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
Am I Experiencing a Stroke? Understanding Symptoms and Next Steps
Do I have a stroke? Hello, I am currently 21 years old, weighing 145 kg and standing at 178 cm tall. I have symptoms of high blood pressure and have been taking antihypertensive medication continuously for over six months. I have not controlled my diet or exercised, and my daily ...
Dr. Cao Wenlong Reply:
Hello: After an examination by an ophthalmologist, there are no issues with the eyes. Prolonged computer use may lead to hand numbness, which should be considered as muscle fatigue or strain in the neck, potentially referring pain to the eye area, and this is unrelated to a strok...[Read More] Am I Experiencing a Stroke? Understanding Symptoms and Next Steps
Understanding Blood Pressure Changes: Dizziness and Stroke Risks Explained
Usually, my blood pressure is low, but now it has returned to normal levels, and I feel a bit dizzy? I usually have low blood pressure around 60-90, but now it's 85-110. Recently, I've been feeling a bit dizzy, as if I've had a little beer; sometimes it feels bette...
Dr. Huang Yingzhe Reply:
Dear hy11688, This is Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health. Based on your description, it is important to understand why your blood pressure is higher than before. Are you currently experiencing any discomfort, such as dizzine...[Read More] Understanding Blood Pressure Changes: Dizziness and Stroke Risks Explained
Understanding Dizziness and Its Connection to Blood Pressure Issues
Is dizziness and lightheadedness related to high blood pressure? Dear Dr. Yeh, My father has had fluctuating blood pressure for some time, but he consistently measures it at home. However, he is troubled by episodes of dizziness and lightheadedness, even when his blood pressure ...
Dr. Ye Boshou Reply:
Hello: If blood pressure consistently remains around 140, it should not be considered a hypertension issue. Is there a relationship between dizziness and posture? What is the age? Are there any other chronic diseases? It is advisable to consult an otolaryngologist or a neurologis...[Read More] Understanding Dizziness and Its Connection to Blood Pressure Issues
Understanding Chronic Pain: Neurological Insights and Solutions
Questions about pain? Hello Director Yeh, I have been suffering from chronic pain and numbness in my left upper back. Even during short activities like washing dishes, I feel unable to support my body, which leads to headaches. Additionally, I experience pulling pain in my left ...
Dr. Ye Boshou Reply:
Hello: 1. The pain in the back may be due to tendonitis or neuropathy. 2. The knee has been examined and found to be normal; if pain persists, physical therapy may be needed. 3. It is recommended to see a physical therapist.[Read More] Understanding Chronic Pain: Neurological Insights and Solutions
Can Carotid Artery Dissection Be Managed Without Lifelong Medication?
Carotid artery dissection Is it possible to manage carotid artery dissection long-term without medication, or is lifelong medication necessary?
Dr. Ye Boshou Reply:
Hello: Carotid artery dissection is often related to blood pressure and blood sugar levels, requiring long-term medication.[Read More] Can Carotid Artery Dissection Be Managed Without Lifelong Medication?
Dietary Restrictions and Daily Tips for Living with Lupus
Systemic lupus erythematosus (SLE) Patients with systemic lupus erythematosus (SLE) should avoid certain foods and be mindful of daily living practices. Here are some recommendations: 1. **Foods to Avoid:** - **Processed Foods:** High in preservatives and additives that may t...
Dr. Ye Boshou Reply:
Hello: Systemic lupus erythematosus is a bone marrow autoimmune disease that requires a regular lifestyle and a balanced diet. There are no specific food restrictions. However, due to its nature as an autoimmune disease, individuals who are prone to allergies should limit their i...[Read More] Dietary Restrictions and Daily Tips for Living with Lupus
Understanding Numbness in the Left Foot: Causes and When to Seek Help
Numbness in the left foot? Hello Dr. Yeh, Recently, I have been experiencing numbness in the left sole of my foot before bedtime, particularly on the left half of the sole near the little toe. However, I can still move my calf and foot without any issues related to motor control...
Dr. Ye Boshou Reply:
Hello: It seems to be a circulation issue. Try soaking in warm water to see if it improves. Avoid maintaining one position for too long (generally, you should change positions every 30 minutes).[Read More] Understanding Numbness in the Left Foot: Causes and When to Seek Help
Post-Surgery Confusion: Understanding Neurological Impacts and Recovery
Postoperative confusion? Hello Doctor, my father was hospitalized due to septic shock. After being intubated by the physician, he woke up quite alert (able to write and communicate). Later, he underwent abdominal surgery where the doctor found only distension of the colon and dra...
Dr. Ye Boshou Reply:
Hello: 1. Medications can affect consciousness. 2. Brain hypoxia can occur in cases of hypotension, hypoglycemia, or lack of oxygen; all three conditions can lead to neuronal damage. 3. Tremors may be a sequela of brain hypoxia.[Read More] Post-Surgery Confusion: Understanding Neurological Impacts and Recovery
Understanding High Blood Pressure and Elevated Body Temperature in Seniors
High blood pressure and elevated body temperature? Hello Dr. Yeh, My grandmother is 89 years old and has been experiencing unstable blood pressure, with more than three episodes in a day recently. She feels a constant internal heat, as if something is moving inside her, which is...
Dr. Ye Boshou Reply:
Hello: Some blood pressure medications can cause vasodilation, leading to symptoms such as fever and facial flushing. When you see your doctor, please bring your medications and inform them if any adjustments are needed.[Read More] Understanding High Blood Pressure and Elevated Body Temperature in Seniors
Can Yogurt and Goat Milk Help with Dizziness in Hypertension Patients?
Can yogurt or goat milk be consumed in a diet for dizziness? Hello, my mother is currently around 55 years old and has had high blood pressure for over 10 years. She started experiencing dizziness about three years ago and had an episode of arrhythmia six months ago. The doctor a...
Dr. Ye Boshou Reply:
Hello: The issue of dizziness should first identify the cause, but it is likely unrelated to diet.[Read More] Can Yogurt and Goat Milk Help with Dizziness in Hypertension Patients?
Understanding Tinnitus: Causes and Solutions for Persistent Ear Ringing
My mother-in-law has a ringing sound above her left ear in her brain? Hello, my mother-in-law is in her early sixties and is generally in good health. However, she has been troubled by a persistent issue lately: she experiences a ringing sound in her left ear, located above the e...
Dr. Ye Boshou Reply:
Tinnitus is most likely related to issues in the inner ear, often accompanied by dizziness and hearing loss. It is advisable to first consult an otolaryngologist for an examination.[Read More] Understanding Tinnitus: Causes and Solutions for Persistent Ear Ringing
Effective Blood Pressure Management: Medication and Monitoring Tips
Thank you! Dr. Yeh: Hello! Thank you for patiently answering my questions! I would like to ask you again: Besides maintaining a regular lifestyle, controlling diet, and exercising more, how can my mother manage her blood pressure to bring it to a normal level through medication? ...
Dr. Ye Boshou Reply:
Hello: 1. Maintain blood pressure below 150 (140 is better). 2. If there are too many types of medications, please ask the doctor for adjustments. 3. It is better to measure blood pressure about 30 minutes after taking medication.[Read More] Effective Blood Pressure Management: Medication and Monitoring Tips
Stroke Treatment: Managing High Blood Pressure and Medication Concerns
How should a stroke be treated? Dr. Yeh: Hello! My mother suffered a mild ischemic stroke over three months ago. The doctor prescribed seven medications for her heart and vascular health, which she takes daily. However, her blood pressure often remains between 150 and 175, and sh...
Dr. Ye Boshou Reply:
Hello: 1. If there are too many medications, discuss simplifying them with your physician. 2. Medications can reduce the risk of stroke; it is essential to maintain a normal lifestyle, eat a light diet, engage in regular physical activity, and keep a relaxed mindset.[Read More] Stroke Treatment: Managing High Blood Pressure and Medication Concerns
Understanding Headaches, Dizziness, and Nausea: When to Seek Help
Headache, dizziness, and nausea? In the past few weeks, I have been experiencing frequent headaches, shoulder pain, and back pain even when carrying an empty backpack. I visited a traditional Chinese medicine practitioner who diagnosed me with poor blood circulation based on my p...
Dr. Ye Boshou Reply:
Hello, Mēi Mēi: The cause of the headache is under investigation, and the shoulder pain is likely due to tendinitis. It is recommended to see a neurologist for further examination.[Read More] Understanding Headaches, Dizziness, and Nausea: When to Seek Help
Understanding Dizziness in Stroke Patients: Signs of a New Stroke?
Dizziness recurrence in stroke patients? Hello Dr. Huang, My mother is 58 years old and suffered a second stroke one year ago, resulting in multiple infarcts in the brainstem and cerebellum, which caused right-sided hemiplegia, loss of balance, and unclear speech, although her c...
Dr. Huang Yingzhe Reply:
Dear Sunny, It is possible! However, there may also be other causes for the dizziness/lightheadedness. It is essential for your attending physician to conduct an evaluation to obtain an accurate diagnosis. The Tainan City Hospital cares about your health. Sincerely, Dr. Huan...[Read More] Understanding Dizziness in Stroke Patients: Signs of a New Stroke?
Understanding Dizziness When Lying Down: Causes and Concerns
Dizziness Hello, doctor! I have been experiencing dizziness every time I lie down to sleep, similar to the feeling of dizziness when standing up after squatting. What could be the cause of this? I do not have anemia, but I have a history of episodic hypertension (I take half a ta...
Dr. Ye Boshou Reply:
It may be related to blood pressure medication. Please measure your blood pressure in all positions: lying down, sitting, and standing. It is recommended to change positions slowly.[Read More] Understanding Dizziness When Lying Down: Causes and Concerns
Understanding Migraines: Causes, Treatments, and Lifestyle Impact
Migraine!? Hello, doctor. About five years ago, when I was studying for my master's degree, I started experiencing palpitations and binge eating. At that time, I was diagnosed with panic disorder and binge eating disorder. Since then, I have been taking Inderal 10 mg, Xanax ...
Dr. Ye Boshou Reply:
1. Inderal is a medication used to lower blood pressure, but it can also prevent the occurrence of migraines, with different effects depending on the dosage used. It does not contain nitroglycerin. 2. Frequent migraine attacks may require an adjustment in medication. 3. Heada...[Read More] Understanding Migraines: Causes, Treatments, and Lifestyle Impact