Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...
Dr. Jiang Junyi Reply:
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Numbness of the tongue accompanied by facial flushing? Recently, about an hour after dinner, while doing aerobic exercise at home, I suddenly experienced numbness in my tongue, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, after which I...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "suddenly my tongue went numb, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, which improved a bit, but the numbness in my tongue is severe, making it difficult to speak." I would like to know...[Read More] Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Persistent Headaches After Vaccination: When to Seek Medical Attention?
I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...
Dr. Jiang Junyi Reply:
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Syncope: When to Seek Neurological Evaluation
Occasional syncope Hello, I have had normal health checks during my military service and school admissions. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I experience a sensation of almost fainting, accompanied by dry mouth and gradually...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vasovagal syncope. You may seek assistance from a specialist in autonomic nervous system function to arrange for examinations. Such specialists are typically found in neurology, psychiatry, or cardiology. ...[Read More] Understanding Syncope: When to Seek Neurological Evaluation
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi Reply:
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Inability to move the entire body, eyelid twitching, and tinnitus? I'm sorry to hear that you're feeling this way. Earlier today, I felt a bit tired and decided to lie down for a rest. Just as I was getting up, I suddenly experienced tinnitus, followed by an inability t...
Dr. Jiang Junyi Reply:
Hello Mr. Tony, You mentioned experiencing "tinnitus, inability to move, eyelid twitching, and being unable to make sounds," which may suggest the possibility of "syncope." The primary cause could be vasodilation of the skin microvasculature in a hot outdoor ...[Read More] Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Pain in the right limbs, sharp pain in the chest, and a feeling of fullness in the lower back without pain? Hello doctor, my mother (58 years old) is experiencing pain in her right limbs when the muscles relax, which may be related to her occupation as a cleaner or long-term fati...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned that your mother experiences symptoms of pain that persists even after a long period of rest, which may suggest degenerative spinal myofascial inflammation. Regarding the sudden, persistent stabbing pain in the chest around the xiphoid process that ...[Read More] Understanding Right-Sided Pain and Discomfort: A Guide for Caregivers
Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Stroke, facial twitching? Hello Doctor, on September 5th while cleaning the floor during my shower, I experienced a noticeable feeling of cerebral congestion, but it subsided after a while, occurring two or three times. Since I was cleaning a new house, the air quality was poor, ...
Dr. Jiang Junyi Reply:
Hello, Sir: (1) Doctor, could my symptoms be a precursor to a stroke or caused by autonomic nervous system dysfunction? Your symptoms seem more indicative of cervical spine issues. (2) I have intermittent strabismus with a significant angle, which makes it tiring to see thing...[Read More] Understanding Stroke Symptoms: Facial Twitching and Other Concerns
Understanding Symptoms of Autonomic Nervous System Dysfunction
The body feels tense and warm? Hello, Doctor: Recently, I have been feeling tightness in my shoulders and neck, and sometimes I also feel tightness in my right ear. I have been experiencing nerve pain, with occasional tingling in my calves and near my toes. My body feels warm, in...
Dr. Jiang Junyi Reply:
Dear Ms. Deddy, You mentioned "autonomic nervous system dysfunction," a term that is widely used because it is important to identify the underlying causes of this phenomenon. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic ne...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...
Dr. Jiang Junyi Reply:
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Shaking, chills, dizziness, and headaches after orgasm during masturbation? Dear Doctor, I am a 36-year-old male. I usually masturbate about 1-2 times a day, and this frequency has been consistent recently. Yesterday morning, I also ejaculated without any particular issues. Howe...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. If the ...[Read More] Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained