Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Medication issues Grandma had a stroke in the past, so she takes one tablet of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during her follow-up appointment at the end of August, her systolic blood pressure was only in the 90s when measured at the hosp...
Dr. Peng Shiwei Reply:
Hello, based on my assessment, it is possible to restore one of the fat veins. However, I still recommend that you take your mother to her usual follow-up clinic for an earlier appointment, as it would be better for the original physician to make the evaluation.[Read More] Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding CT Scans for Headaches: With or Without Contrast?
Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...
Dr. Hong Weibin Reply:
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...[Read More] Understanding CT Scans for Headaches: With or Without Contrast?
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Questions about vertebral artery dissection? Holding your breath for 5 to 10 seconds and then breathing again, or practicing diaphragmatic breathing to extend the inhalation and exhalation times, without engaging in other physical activities, may carry some risks. There have been...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned concerns about "vertebral artery dissection... using diaphragmatic breathing to prolong inhalation and exhalation." The clinical symptoms you are worried about regarding vertebral artery dissection may include severe pain near the back of the n...[Read More] Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Dizziness for two months, with fluctuations in severity? Hello Doctor: My condition began when I developed a stiff neck (twisted to the right) from sleeping while sitting, which caused dizziness with a spinning sensation and eye twitching when I moved. I could only lie flat in be...
Dr. Cai Zongzhang Reply:
Hello: Dizziness has not improved for two months; it is recommended to see a neurologist for a detailed examination.[Read More] Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Sudden weakness in the back of the head and limbs? Hello, doctor. Over the past month, I have experienced two episodes of symptoms similar to what I described in the subject. It feels like I am about to lose my balance, but my consciousness remains clear. Additionally, I have bee...
Dr. Jiang Junyi Reply:
Hello Mr. Shawn, You mentioned that "after the episode, my heart rate rises to about 150, and my blood pressure reaches 139/93, but after resting for about 20 minutes, both return to normal... I'm not sure if there might be an issue with the cerebellum or brainstem, or...[Read More] Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Dizziness, inability to measure blood pressure in the right arm, cold fingers, and numbness and soreness in the hand? The mother, aged 83, suffered a stroke while sleeping before the Mid-Autumn Festival. The doctor determined that it was beyond the 3-hour window for administering...
Dr. Hong Weibin Reply:
Hello: Please go to the emergency department as soon as possible, as there may be a peripheral artery occlusion.[Read More] Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
I'm not sure if it's autonomic nervous system dysfunction? Hello, Dr. Tsai. I have a symptom where I sometimes feel a swaying sensation while sitting. I have visited an otolaryngologist, but there were no findings related to vestibular imbalance. Recently, I had blood t...
Dr. Cai Zongzhang Reply:
Hello, Ah Wei: Based on the described symptoms, it may be a balance dysfunction. If the symptoms persist despite adequate rest, it is recommended to consult a neurologist for an evaluation.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked about <a href="https://adoctor.tw/article/186643">#186643</a>. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or ...
Dr. Jiang Junyi Reply:
You mentioned, "I have had my autonomic nervous system tested and found to have dysregulation. The medication prescribed by my doctor hasn't been effective, and I thought about exercising, but it made me feel even more dizzy, so I can't really exercise properly now...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Intracranial hemorrhage Hello Doctor, After having two upper molars extracted two years ago, I started feeling unwell. Later, at work, I was struck on the head by a heavy iron pipe that fell from above. 1. I am uncertain if I have hypertension; my company health check-ups hav...
Dr. Jiang Junyi Reply:
Hello Mr. Allen, You mentioned, "If there was a brain hemorrhage that was absorbed by itself, can it be seen on a CT scan? If the skull had previously fractured and healed, can a CT scan show that there was a prior injury?" Typically, in cases of severe brain injury, s...[Read More] Understanding Intracranial Hemorrhage: Symptoms, Risks, and Recovery
Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked question #186643. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or get out of bed; instead, I feel dizzy while walking, accompanied by...
Dr. Jiang Junyi Reply:
You mentioned, "I have tested my autonomic nervous system and found that there is a dysfunction. The medication prescribed by the doctor hasn't been effective, and I thought about doing some exercise, but it made me feel even more dizzy, so I can't exercise properl...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms
Unilateral tinnitus + dizziness + paresthesia of the head? Hello Doctor, 1. On the evening of August 22, 2022, I began to feel a slight pressure in my left ear, followed by the onset of tinnitus. While walking, I occasionally experienced brief episodes of dizziness (similar to ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "your left ear started to feel a bit stuffy, followed by the onset of tinnitus, and occasionally experiencing brief episodes of dizziness while walking." May I ask what your blood pressure is? Do you have any issues with hypertension, h...[Read More] Understanding Unilateral Tinnitus, Dizziness, and Head Numbness Symptoms
Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
When sitting or walking, it feels like there is an up-and-down motion, similar to being on a boat? Hello doctor, I have high blood pressure, and I experience tingling in my scalp while masturbating. I often look down while using electronic devices, which has led to a condition kn...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned that "sometimes when sitting or walking, it feels like you're swaying up and down like being on a boat." Your symptoms may suggest cervicogenic dizziness, which could originate from the cervical spine. Symptoms may include dizziness, ligh...[Read More] Feeling Dizzy Like on a Boat: Understanding Your Symptoms and Solutions
Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Numbness in the left palm, with no sensation when touched? I often wake up around 2:30 to 3:30 AM, and I have experienced numbness in my left hand 3 to 4 times. Today, I noticed that my left palm has no sensation, and even when I press my fingers hard, there is no feeling. Before...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned may be caused by nerve compression in the hand during sleep. If the symptoms persist and do not improve, it is recommended to visit a neurologist for further evaluation of the underlying causes.[Read More] Understanding Left Hand Numbness and Pulsatile Tinnitus: A Medical Inquiry
Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Numbness and weakness in the limbs? Hello Doctor: Recently, I have noticed that the numbness in my hands and feet has become increasingly severe. I usually sit cross-legged, and previously, if I sat for less than half an hour, my feet would definitely go numb. However, in the pas...
Dr. Cai Zongzhang Reply:
Hello, Ms. Zhao: The symptoms mentioned above are suspected to be caused by peripheral circulatory insufficiency leading to neurological symptoms. It is advised not to sit cross-legged. If the symptoms persist, it is recommended to see a neurologist for further evaluation.[Read More] Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...
Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits