Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Autonomic Nervous System Dysregulation After Surgery
Autonomic nervous system dysfunction Hello Dr. Tsai, I have a question to ask you. In 2015, I was diagnosed with left coronary artery atherosclerosis. Since the narrowing was less than 25%, I was prescribed medication for control. In July and October of 2020, I underwent catheter...
Dr. Cai Zongzhang Reply:
Hello Albert: The cardiovascular system gradually deteriorates with age and becomes sensitive to temperature changes. It is recommended to keep warm before going out on cold days. This symptom is unrelated to the surgery.[Read More] Understanding Autonomic Nervous System Dysregulation After Surgery
Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...
Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Understanding Persistent Headaches: Causes and Concerns After One Month
Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...
Dr. Jiang Junyi Reply:
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Heart rate issues, hypertension medication concerns, pulsatile tinnitus? Hello, doctor. I have been taking 5mg of Metoprolol for almost a year now. Recently, I have been experiencing mild chest pain and a sensation of pressure in my head, as if it is being squeezed. It feels like...
Dr. Cai Zongzhang Reply:
Hello: For the symptoms mentioned above, it is recommended to schedule a cerebrovascular ultrasound examination with a neurologist.[Read More] Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Understanding Carotid Ultrasound Results: When to Seek Medical Attention
Neck ultrasound examination The company's health check revealed that my carotid ultrasound showed a thickness of 1.7 mm (indicating that it is too thick, with a standard value of 1.2 mm). They advised me to pay attention to my cholesterol blood report. I often feel fatigued ...
Dr. Wu Mukhan Reply:
Hello, a neck ultrasound can show the thickness of the carotid artery intima. If there is thickening, it is important to regularly monitor blood glucose and lipid levels, check blood pressure, and avoid risk factors such as smoking to prevent further narrowing of the carotid arte...[Read More] Understanding Carotid Ultrasound Results: When to Seek Medical Attention
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions