Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Post-Recovery Numbness in Hands and Feet: Causes and Solutions
After recovering from the diagnosis, there may be numbness in the hands and feet? I was diagnosed with COVID-19 last week. One day, I experienced low blood pressure that caused numbness throughout my body, starting from my hands and feet, then my chest. Now that I am recovering, ...
Dr. Hong Weibin Reply:
Hello: You can seek assistance from a neurologist, who can arrange for a nerve conduction velocity test to check for any nerve damage. If there is no damage, you may take neuroprotective medications such as B vitamins, which should help you gradually recover within 1 to 2 months.[Read More] Post-Recovery Numbness in Hands and Feet: Causes and Solutions
Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes
Sudden onset of generalized weakness ~ waiting for the ambulance ~ the body returns to normal ~ a troubling mystery illness? Hello, Dr. Jiang. My symptoms are as follows: I often experience sudden, generalized weakness without warning, lasting about 10 to 30 minutes each time. Re...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned feeling "generalized weakness... resting and lying down feels better." Your symptoms are more indicative of insufficient cerebral blood flow, leading to symptoms similar to syncope. A "tilt table test" can be used to diagnose vaso...[Read More] Unexplained Weakness: Understanding Sudden Fatigue and Possible Causes
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Palpitations are more pronounced when lying down or at rest? Six months ago, I suddenly became very aware of my heartbeat while sleeping (60-70 beats per minute, regular and stable, with normal blood pressure). It felt like my whole body was shaking. It was not like typical palpi...
Dr. Hong Weibin Reply:
Hello: If you have already undergone cardiac-related examinations and confirmed that there are no abnormalities, it is recommended to continue monitoring and follow-up.[Read More] Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...
Dr. Jiang Junyi Reply:
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Questions Regarding Discharge After Cerebral Hemorrhage Hello Doctor, my mother underwent successful surgery for a hemorrhagic stroke (left hemisphere) in early March of this year and is currently undergoing active rehabilitation (her recovery is going well). She is also taking t...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continuously record your morning and evening blood pressure readings and discuss the dosage and timing of antihypertensive medications with your physician.[Read More] Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Stroke Symptoms and Necessary Tests: A Guide
Symptoms of a stroke? Blood pressure is at 170, with audible sounds in the neck. There is a feeling of pressure in the back of the head, elevated intraocular pressure, and white matter lesions in the brain. Blood test results show: Creatinine is 0.57 (normal range is 0.6-1.2), MP...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Stroke Symptoms and Necessary Tests: A Guide
Severe Headache After Bathing: When to Seek Medical Attention?
Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...[Read More] Severe Headache After Bathing: When to Seek Medical Attention?
Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
On March 25, the MRI of my mother's brain showed a white area on the right side behind the ear. The doctor said it was a cerebellar embolism? On March 11, the third dose of Moderna was administered. On March 18, daily living difficulties appeared: (1) constantly wearing adul...
Dr. Hong Weibin Reply:
Hello: Based on your description, your mother may be experiencing apraxia, which could be caused by an acute stroke affecting the posterior circulation of the brain. It is recommended that you take her to the hospital for evaluation. Typically, hospitalization for examination wil...[Read More] Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
Understanding the Causes of Occasional Pain in the Back of the Head
Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...
Dr. Jiang Junyi Reply:
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...[Read More] Understanding the Causes of Occasional Pain in the Back of the Head
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns