Understanding Headaches in Hypertensive Patients: Causes and Concerns
Headache Hello Doctor: My father has high blood pressure, and he takes his medication on time, but he often experiences headaches that last for 2-3 hours, which is distressing for me as his daughter! He previously underwent an EEG at the hospital, which came back normal. I would ...
Dr. Ye Boshou Reply:
There are many causes of headaches. First, inquire about the antihypertensive medications being taken. If there is no improvement, consider an evaluation at a neurology clinic.[Read More] Understanding Headaches in Hypertensive Patients: Causes and Concerns
Understanding Involuntary Mouth Opening: Possible Causes and Concerns
If the mouth opens involuntarily, it could be due to several reasons, including muscle spasms, neurological conditions, or side effects from certain medications. It is important to consult a healthcare professional for a proper diagnosis and treatment plan? My father has been exp...
Dr. Ye Boshou Reply:
It may be caused by psychiatric medication; you can first consult a psychiatrist or a neurologist.[Read More] Understanding Involuntary Mouth Opening: Possible Causes and Concerns
Dizziness and Facial Twitching: Understanding Neurological Symptoms
Dizziness and right facial twitching? Hello! My mother has recently experienced dizziness and twitching on the right side of her face—her blood pressure is 138/98. I have three questions to ask: Question 1: Are these symptoms indicative of any prior conditions? Question 2: Are...
Dr. Huang Yingzhe Reply:
Dear Mr. Tsai, This is Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. Dizziness accompanied by facial twitching on one side: If we must attribute this to a specific condition, issues related to the brainstem shoul...[Read More] Dizziness and Facial Twitching: Understanding Neurological Symptoms
Understanding Coma After Stroke: Timing for Transfer and Care Considerations
Unconsciousness after a stroke? Dear Director, Due to the sudden nature of the situation, the patient experienced a medical emergency while riding home from work on September 19. After being transported by ambulance to a regional hospital, the patient was still conscious. After ...
Dr. Cao Wenlong Reply:
Hello: The timing for patient transfer is a professional judgment made by the attending physician. Typically, a transfer is necessary when the original treatment facility lacks adequate equipment or does not have the appropriate specialist in that field. The timing for transfer s...[Read More] Understanding Coma After Stroke: Timing for Transfer and Care Considerations
Does Steroid Injections Really Help with Migraines?
Does steroid treatment really help with migraines? Hello Dr. Yeh, I have been suffering from migraines for over a decade, and I have been relying on Tylenol to manage the pain. Recently, I could no longer tolerate the pain and went to the hospital for an examination. The doctor ...
Dr. Ye Boshou Reply:
Will steroids help with migraines? I’ve heard it should be for treating tendonitis! Try using a warm compress; it might improve the condition.[Read More] Does Steroid Injections Really Help with Migraines?
Understanding Muscle Tension and Pain in the Back and Neck
Tightness in the back muscles? Dear Doctor: Yesterday, I visited a rehabilitation specialist due to sharp pain in my lower right back. The director of the rehabilitation department diagnosed it as muscle tightness in my back, which led to the pain. Later, he had me lie face down ...
Dr. Ye Boshou Reply:
This condition is likely tendonitis. It is advisable to engage in regular exercise and apply heat therapy. If there is no improvement, further evaluation can be done at a neurology clinic.[Read More] Understanding Muscle Tension and Pain in the Back and Neck
Understanding Right Neck Pain: Possible Causes and Insights
Right cervical pain? Dear Doctor: Yesterday evening, after finishing my computer work, I suddenly experienced sharp pain in my right neck. The pain occurred approximately every 50 seconds to 1 minute, initially lasting for 0 seconds, then extending to 5 minutes per episode. The p...
Dr. Ye Boshou Reply:
It is likely caused by muscle cramps. Try applying heat and engaging in light exercise; this should help improve the condition.[Read More] Understanding Right Neck Pain: Possible Causes and Insights
Understanding Recurring Symptoms: Heart Issues and Dizziness Explained
Recurrence of a pre-existing condition? Hello, Dr. Yeh. I apologize for bothering you with a question. My mental state has improved a lot; I walk regularly, go to bed early, wake up early, and I am also working hard on managing my temper and being polite to others. I've been...
Dr. Ye Boshou Reply:
Congratulations, your physical and mental health is in good condition. If you occasionally experience dizziness or discomfort in your heart, you can take a small amount of medication as needed, but there is no need for regular use. Continue to relax and stay active.[Read More] Understanding Recurring Symptoms: Heart Issues and Dizziness Explained
Neck Tension and Dizziness: Understanding Your Symptoms
Cervical stiffness and dizziness? Hello, doctor. Recently, I've been experiencing a tight and sore sensation in the muscles of my neck, along with dizziness. I'm not sure if this is related to my habit of lying on my bed for long periods while using my laptop. I measure...
Dr. Ye Boshou Reply:
The soreness in the neck muscles is likely related to muscle fatigue. It is important not to maintain a fixed posture for too long. Applying heat and engaging in appropriate exercise are essential.[Read More] Neck Tension and Dizziness: Understanding Your Symptoms
Understanding Floaters: Are Those Stars in Your Vision a Concern?
Floaters Sometimes when I squat down and then stand up, I see a lot of stars flashing in front of my eyes—it's hard to describe. Is this floaters?
Dr. Ye Boshou Reply:
It is likely not vitreous floaters; rather, it is a temporary change in blood pressure caused by changes in posture and vascular tension, which is a normal phenomenon.[Read More] Understanding Floaters: Are Those Stars in Your Vision a Concern?
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Dizziness I used to occasionally experience brief sensations similar to an earthquake. I would often check my surroundings or see if the water in a bottle was shaking to distinguish whether it was dizziness or an actual earthquake. Recently, I've noticed that I feel dizzy ev...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare: It is possible that the issue may be related to the balance system, or it could be due to anemia or orthostatic hypotension, among other factors. Please visit the outpatient...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Dizziness: Potential Neurological and Vascular Causes
Dizziness Hello Doctor: I would like to ask you about a recent issue. I've been experiencing frequent dizziness, which feels like I'm about to faint, with the sensation located at the top of my head. This occurs suddenly and lasts for about 2-3 seconds before returning ...
Dr. Ye Boshou Reply:
There are many causes of paroxysmal dizziness, often related to inner ear balance issues. It is recommended to first consult a neurologist for a physical examination and medication treatment.[Read More] Understanding Dizziness: Potential Neurological and Vascular Causes
Understanding Numbness in Feet: Possible Neurological Causes and Concerns
Numbness in the feet? A while ago, I experienced eyelid twitching for about 2 to 3 months, but it has since stopped. Recently, I have started to feel numbness in both of my feet (specifically in the soles), and it feels like they are shaking, although when I touch them, they are ...
Dr. Ye Boshou Reply:
If symptoms such as eyelid twitching or numbness occur briefly, they are generally not a cause for concern and may not indicate autonomic nervous system dysfunction. However, if the symptoms persist, it is necessary to seek medical evaluation.[Read More] Understanding Numbness in Feet: Possible Neurological Causes and Concerns
Exercise Recommendations for Dialysis Patients with High Blood Pressure and Dizziness
I'm sorry, but I need more Hello Dr. Yeh, my colleague's husband (46 years old) has well-controlled blood pressure, and his kidney function has also improved significantly. He has been paying close attention to his diet. I would like to ask what types of exercise would ...
Dr. Ye Boshou Reply:
Medication management and a low-sodium diet are essential strategies for controlling blood pressure, along with walking and appropriate exercise. For personalized exercise recommendations, it is advisable to consult a physician.[Read More] Exercise Recommendations for Dialysis Patients with High Blood Pressure and Dizziness
Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Myocardial infarction Dear Director Huang, I would like to ask you a few questions regarding a patient with atrial fibrillation who has a history of a mild hemorrhagic stroke in the basal ganglia several years ago. The patient was admitted to the intensive care unit due to myoca...
Dr. Huang Yingzhe Reply:
Dear Mr. Tsai, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It is possible that due to pre-existing stroke damage in the brain and renal failure, there are significant functional issues. 2. It is dif...[Read More] Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
Diffuse brain lesions Dear Director Yeh, The patient is in the intensive care unit, on a ventilator with oxygen set to maximum. Cardiac arrest occurred, but the heart spontaneously resumed beating at 67 beats per minute after 1 to 2 minutes without any resuscitation efforts. Is ...
Dr. Ye Boshou Reply:
There are many causes of brain lesions, and metabolic issues are generally a major factor. The brain requires support from oxygen, blood glucose, and cardiac output to survive; therefore, any changes in these factors can lead to brain lesions. When neurons are damaged, it may res...[Read More] Understanding Diffuse Brain Injury: Causes and Implications in Critical Care
Understanding Kidney Issues in Sedentary Patients: A Neurology Perspective
Please ask your question? Hello Dr. Yeh: A colleague's husband, aged 46, has not exercised for many years and has irregular eating habits and lifestyle. He also rarely puts in effort at work. Initially diagnosed with hypertension, he experiences dizziness and headaches, and ...
Dr. Ye Boshou Reply:
The primary treatment for hypertensive nephropathy is blood pressure control, which may not necessarily affect the need for dialysis. Please follow your physician's medication regimen to prevent complications.[Read More] Understanding Kidney Issues in Sedentary Patients: A Neurology Perspective
Understanding Limb Jerking and Thumb Tremors: When to See a Neurologist
During sleep, there are involuntary jerks of the limbs, and the right thumb often experiences involuntary tremors? Hello, Dr. Yeh. My husband has been experiencing frequent twitching of his limbs and body during sleep. He has high blood pressure and is on medication for it. His l...
Dr. Ye Boshou Reply:
The jumping during sleep resembles muscle twitches and is likely reflexive, so there should be no major concerns. It is advisable to visit a neurology clinic for a physical examination. The medication is effective, so there is no need to worry.[Read More] Understanding Limb Jerking and Thumb Tremors: When to See a Neurologist
Understanding Neurological Symptoms: Is It Just Stress or Something More?
It seems like there is a lack of oxygen? One morning at work, I felt extremely sleepy and suddenly experienced dizziness, along with a tingling sensation in my right brain. I felt nauseous and wanted to vomit. Since that incident, sometimes my hands and feet feel slightly numb. W...
Dr. Lai Lunxiang Reply:
Hello! Your symptoms could have multiple possibilities. Please visit a major hospital for a thorough examination by a neurologist. Thank you![Read More] Understanding Neurological Symptoms: Is It Just Stress or Something More?
Managing High Blood Pressure: Tips for Muscle and Nerve Pain Relief
High blood pressure Hello, Dr. Yeh: My mother has been experiencing muscle and nerve pain. Besides occasionally taking medication to help alleviate the discomfort, she also practices daily warmth and stretching exercises, and tries to avoid overexertion, which has greatly improve...
Dr. Ye Boshou Reply:
First, it is important to regularly monitor blood pressure, ideally measuring it once in the morning and once in the evening. 1. Keep a record to determine if there is hypertension. 2. Maintaining a normal daily routine, improving sleep, and reducing salt intake should be helpful...[Read More] Managing High Blood Pressure: Tips for Muscle and Nerve Pain Relief