Understanding Sudden Hand Numbness: Causes and When to Seek Help
Sudden unexplained hand numbness? Hello Dr. Jiang, I would like to briefly describe my physical condition. I am 158 cm tall and weigh 58 kg, with an average build. I have never had any blood pressure issues, but in the past week or two, I have experienced intermittent numbness i...
Dr. Jiang Junyi Reply:
Dear Miss Zhenzhen, Your symptoms may suggest peripheral nerve involvement. Your cardiovascular disease risk is relatively low. It may be worth considering compression of the nerve roots at the seventh cervical or first thoracic vertebrae. If the peripheral neuropathy is due to ...[Read More] Understanding Sudden Hand Numbness: Causes and When to Seek Help
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Issues with taking Ambien for autonomic nervous system dysfunction? Hello Doctor, I tend to be anxious and overly worried. Since March of this year, I have noticed issues with autonomic nervous system dysfunction. The most prominent symptoms include tightness in my neck leading t...
Dr. Cai Zongzhang Reply:
Hello Mr. Wu! Amberning does not harm the stomach and is used for the treatment of anxiety disorders. It is recommended to discuss the dosage with your physician.[Read More] Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Understanding Facial and Scalp Numbness: When to Seek Medical Help
Scalp numbness and facial numbness? Hello Doctor, I have been experiencing tingling in my scalp for the past few days, and now my left face has started to feel numb as well. Occasionally, my left hand also feels numb, but not as much as my face. Due to the pandemic, I haven'...
Dr. Jiang Junyi Reply:
Dear Ms. Ching, Your symptoms are occurring on the same side, affecting both your face and limbs. It is advisable to rule out any structural issues in the brain, starting with cerebrovascular diseases. Generally, individuals with high blood pressure have a higher risk of experie...[Read More] Understanding Facial and Scalp Numbness: When to Seek Medical Help
Understanding Facial and Scalp Numbness: When to Seek Medical Attention
Scalp tingling and facial numbness? Hello Doctor, I have been experiencing tingling sensations on my scalp for the past few days, and then my left face started to feel numb as well. Occasionally, my left hand also feels numb, but not as frequently as my face. Due to the pandemic,...
Dr. Jiang Junyi Reply:
Dear Ms. Ching, Your symptoms are occurring on the same side, affecting both your face and limbs. It is advisable to rule out structural issues in the brain, starting with the exclusion of cerebrovascular diseases. Generally, individuals with high blood pressure have a higher ri...[Read More] Understanding Facial and Scalp Numbness: When to Seek Medical Attention
Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Discomfort while standing and dizziness after prolonged standing? I have a flat foot, and I tend to walk slightly to the left unless I concentrate hard to walk in a straight line. I find it difficult to maintain stability while standing, and I often experience chest tightness and...
Dr. Cai Zongzhang Reply:
Hello Dale! There are many reasons for difficulty standing for long periods. Based on the symptoms mentioned, possible causes could be low blood pressure or insufficient physical activity, leading to decreased muscle tone in the lower extremities. It is recommended to visit a neu...[Read More] Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Genetic predisposition to migraine and its association with the risk of stroke? Hello, doctor. I have had a predisposition to migraines since I was a child, experiencing them intermittently around the age of six or seven. In addition to unilateral headaches, I also experienced sy...
Dr. Cai Zongzhang Reply:
Clinical cases have confirmed that severe migraine attacks can trigger strokes; however, rare instances suggest that neurologists should monitor these patients. Proper management of migraines can help prevent strokes.[Read More] Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Unsteady on Feet: When to Seek Medical Advice for Neurological Issues
Sudden loss of balance? I'm asking for my mother, and I'm not very clear about the situation, nor does she want to see a doctor. In recent years, I've noticed that my mother occasionally has difficulty standing (I'm not sure if it's dizziness, just for a ...
Dr. Hong Weibin Reply:
Hello: There are many causes of dizziness, and the main systems affecting the body's balance are the vestibular system and semicircular canals in the inner ear, as well as the brainstem and cerebellum. However, other issues such as cardiopulmonary problems, liver and kidney ...[Read More] Unsteady on Feet: When to Seek Medical Advice for Neurological Issues
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Head heaviness and lightness in the feet, resulting in imbalance? Hello Doctor: Two nights ago, I stayed up late on Saturday night. I felt fine during the day on Sunday, but on Sunday night, before going to bed (after another late night), I experienced a sensation of heaviness in...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for the imbalance you are experiencing. First, it is important to consider the possibility of insufficient sleep. If the timing of your symptoms correlates with your menstrual cycle, the likelihood of vascular dizz...[Read More] Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...
Dr. Cai Zongzhang Reply:
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Understanding the Link Between Ischemic Stroke and Car Accidents
Ischemic stroke Before the car accident, my mother had stable blood pressure. After the accident, her blood pressure has been consistently high, around 200. She is now hospitalized for treatment of an ischemic stroke. I would like to understand whether the ischemic stroke is rela...
Dr. Hong Weibin Reply:
Hello: Clarifying the causal relationship is not easy because common risk factors for stroke include age, chronic hypertension, diabetes, hyperlipidemia, and smoking. If there was a hemorrhagic stroke immediately after the car accident, it could lead to vascular spasm and result ...[Read More] Understanding the Link Between Ischemic Stroke and Car Accidents
Car Accidents and Stroke: Understanding Risks and Treatment Options
Car accidents and strokes? The mother was involved in a car accident where she sustained a head impact, but there were no external injuries. She was taken to a nearby hospital's emergency department, where a head X-ray was not performed. At the time of the accident, her bloo...
Dr. Hong Weibin Reply:
Hello: It is unclear whether it is a hemorrhagic stroke or an ischemic stroke. A car accident is unlikely to directly cause a stroke, but it could potentially lead to a brain hemorrhage, which may subsequently cause vascular spasms and result in an ischemic stroke. I recommend di...[Read More] Car Accidents and Stroke: Understanding Risks and Treatment Options
Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Fainting after experiencing abdominal pain? Last night, I suddenly experienced abdominal pain and got up to go to the bathroom (I have been eating spicier foods these past few days). After walking just a few steps, I fainted. When I regained consciousness, I found myself sitting ...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include tra...[Read More] Understanding Fainting After Abdominal Pain: Causes and When to Seek Help