Dizziness After Exercise or Work: Understanding Your Symptoms
Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...
Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms
Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Non-Specific Dizziness: Symptoms and Next Steps
Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps
Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Inquiry Consultation Dear Dr. Tsai, My mother is 68 years old and has been experiencing blood pressure issues since last year. Initially, she would feel palpitations, with her blood pressure rising to 200/100 mmHg, accompanied by symptoms such as shortness of breath, instability...
Dr. Cai Zongzhang Reply:
Hello: Blood pressure measurements are the basis for hypertension treatment, so it is very important to measure blood pressure correctly. Blood pressure should be measured after a period of rest, and one should not become anxious about high blood pressure, as this can affect the ...[Read More] Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Cerebral hemispheric ischemic lesions Hello Dr. Jiang, About three years ago, I started experiencing occasional headaches that are so severe I can't concentrate and feel very uncomfortable. Sometimes, these headaches are accompanied by nosebleeds. I have a history of severe...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, Your report mentions "scattered hyperintensity in the periventricular and deep white matter with mild juxtacortical involvement." These lesions are commonly referred to as white matter lesions, indicating that the cells along the brain's conduction pa...[Read More] Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Anxiety issues Hello Dr. Jiang, thank you for allowing me to have an extra appointment the other day; it was very helpful. However, I have been worried about the issue of ventricular tachycardia (VT) since then. You mentioned that three consecutive ventricular premature contracti...
Dr. Jiang Junyi Reply:
Hello: Essentially, three ventricular premature contractions (VPCs) and ventricular tachycardia are two different issues, but the risk is increased. It is recommended to use a smart wristband for monitoring. If there is a sudden decrease in heart contractions or an abrupt drop in...[Read More] Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Traveling by Plane After a Stroke: Safety Tips for Patients
Flying After a Stroke Hello Doctor, my father is 58 years old. He had a mild stroke in early November 2021 (at that time, he was unable to speak, had complete weakness in his limbs, and was unable to manage his bowel and bladder functions, so he could only lie in bed). He has sin...
Dr. Jiang Junyi Reply:
Dear Mr. Hua, You mentioned that your father "had a stroke in 2021... has been undergoing dialysis since 2018, and underwent coronary artery bypass surgery at the end of 2018." Generally, for stroke patients, it is recommended to wait at least 2-4 weeks after the strok...[Read More] Traveling by Plane After a Stroke: Safety Tips for Patients
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Managing Low Blood Pressure Issues from Heart Health Medication
The issue of hypotension caused by heart health supplements? I have a history of low blood pressure, but it is not low enough to be classified as hypotension. However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and ...
Dr. Wu Mukhan Reply:
Hello, it appears that your blood pressure is indeed too low. It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician. There are various other medications available for the ...[Read More] Managing Low Blood Pressure Issues from Heart Health Medication
Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
I have been feeling distracted these past few days? I have been experiencing episodes of absent-mindedness lately, and after these episodes, my memory feels very fuzzy. I researched this situation and found that it could be associated with absence seizures, which makes me quite a...
Dr. Cai Zongzhang Reply:
Hello Jerry: The symptoms mentioned may be indicative of epilepsy. It is recommended to consult a neurologist for further evaluation to confirm the diagnosis.[Read More] Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Dizziness in the right posterior part of the brain / similar to intoxication / inflammation? Hello, doctor. I apologize for the lengthy description of my condition; I hope you don't mind. Background: About ten days ago, I visited Qingjing Farm. After being exposed to some su...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the infection may have been caused by insect bites in the wild, and I was prescribed antibiotics along with anti-nausea and pain relief medications. After three days, I asked my family to check, and the redness and swelling at the back of my right ...[Read More] Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Experiencing a sensation of heat in the back of the head during winter, inability to lie flat, and starting to feel dizzy after being awake for 16 hours, with the dizziness becoming progressively milder as the night goes on and having no desire to sleep? I started smoking at the ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to reduce smoking and consult a neurologist to check for any vascular diseases.[Read More] Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Understanding Dizziness: Causes and When to Seek Neurological Help
Dizziness, lightheadedness, or mild vertigo? For the past one and a half months, I have been experiencing dizziness (lightheadedness, heaviness) upon waking up in the morning while lying in bed. When I sit up, it feels okay, but when I stand and walk, I feel dizzy (lightheaded) a...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, postural changes in blood pressure and heart rate, as well as postural dizziness and inner ear imbalance, could all be potential causes. It is recommended that you visit a major hospital's neurology or otolaryngology outpatient clinic (you can ...[Read More] Understanding Dizziness: Causes and When to Seek Neurological Help
Managing Blood Pressure Concerns in Elderly Stroke Survivors
Concerns about Blood Pressure Grandma had a stroke in the past, so she takes one capsule of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systolic blood pressure was only in the 90s when measured at the...
Dr. Peng Shiwei Reply:
Hello, 1. When should Caboten be taken? For example, at what systolic blood pressure should it be taken? --> Generally, it can be taken when the systolic blood pressure exceeds 180 or if there are symptoms related to high blood pressure. For instance, if the systolic blood p...[Read More] Managing Blood Pressure Concerns in Elderly Stroke Survivors
Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Which department should I see? Patient: Female, Age 40-49, Date: 2022/12/05 Inquiry: My grandmother had a stroke in the past and takes one capsule of Lipitor (5mg/10mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systol...
Dr. Peng Shiwei Reply:
Hello, if there is a difference of more than 20 mmHg in systolic blood pressure between the left and right arms, further examination should be considered. A significant difference between systolic and diastolic blood pressure is generally associated with vascular stiffness and re...[Read More] Which Specialist to Consult for Blood Pressure and Stroke Concerns?