Understanding Central Nervous System Issues: When to See a Neurologist
Central nervous system issues? Hello, doctor. I have noticed since I was very young that one side of my body sweats a lot while the other side does not sweat at all. During winter, one side of my hands and feet feels cold while the other side is warm. I haven't seen a doctor...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a autonomic nervous system disorder. Relevant tests can be conducted at a medical center. If the symptoms continue to progress, it may be necessary to consider abnormalities in brain structure, particularly with unilateral sweating. I recommend th...[Read More] Understanding Central Nervous System Issues: When to See a Neurologist
Understanding Pain at the Back of the Head: Causes and Concerns
Pain in the posterior part of the head? 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Could this be a sign of a brain hemorrhage? 2. Besides imaging studies, are there any other characteristics or methods to detect arterioven...
Dr. Jiang Junyi Reply:
Hello: 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Is this a precursor to a brain hemorrhage? A: These symptoms are more indicative of a vascular headache; typically, a brain hemorrhage would present with focal neurological s...[Read More] Understanding Pain at the Back of the Head: Causes and Concerns
Understanding Recurrent Dizziness: Causes and Solutions
Recurrent dizziness? Hello, doctor: I would like to inquire about a recent issue I've been experiencing. I've been having frequent episodes of dizziness, where I suddenly feel lightheaded while walking, and at times my vision becomes blurry. I have to squat down to alle...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or sudde...[Read More] Understanding Recurrent Dizziness: Causes and Solutions
Understanding Dizziness: Insights from Neck Ultrasound Findings
Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...
Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Persistent Dizziness for Two Months: Seeking Answers and Solutions
Dizziness for the past two months? Hello, I noticed dizziness when I woke up on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, occurring whether I was standing, sitting, or lying down. My balanc...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology clinic for an examination.[Read More] Persistent Dizziness for Two Months: Seeking Answers and Solutions
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Dizziness, nausea, and weakness or numbness in the limbs? Hello, I started experiencing dizziness upon waking up on June 9th, initially thinking it was due to getting up too quickly. However, the dizziness persisted throughout the day, occurring whether I was standing, sitting, o...
Dr. Jiang Junyi Reply:
Hello, based on your description, I'm not sure if you have issues with sleep apnea. Some symptoms may suggest autonomic nervous system dysfunction. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as the accelerator, ...[Read More] Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Persistent Dizziness: Understanding Causes and Seeking Solutions
Persistent dizziness, extremely distressing? Hello, I started experiencing dizziness on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, regardless of whether I was standing, sitting, or lying dow...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness. I'm not sure which antihypertensive medication you are taking, but it may help alleviate your discomfort. If it is a beta-blocker, you might need to consider issues related to autonomic nervous ...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Understanding Dizziness: Exploring Causes and Seeking Solutions
Dizziness and discomfort? Hello, Dr. Jiang! I consider myself health-conscious and have a habit of exercising daily. Recently, due to bone pain, I underwent X-ray and MRI examinations (with contrast agent). The results indicated that there was no joint degeneration; however, the ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be caused by insufficient rest, leading to sympathetic nervous system activation, which in turn affects blood pressure and causes muscle tension. According to current medical trends, rehabilitation combined with regenerative therapy can address some joint...[Read More] Understanding Dizziness: Exploring Causes and Seeking Solutions
Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Suspected spontaneous intracranial hypotension headache causing hearing issues? Hello Doctor, thank you for your response. Background information: 1. Normal weight, no hypertension. I have never had headaches in my life. 2. In 2016, I was hit from behind by a motorcycle. There wa...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed raise a high suspicion of intracranial hypotension headache. The treatment for this condition primarily involves identifying the location of the cerebrospinal fluid leak and applying a blood patch to "seal the hole." Considering your relative...[Read More] Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Pulsatile tinnitus I remember experiencing a high spike in blood pressure once, and since then, I've been hearing a tinnitus sound that matches the frequency of my pulse. Could you please advise if this is significantly related to abnormalities in the blood vessels of the br...
Dr. Jiang Junyi Reply:
Hello: Based on your description, tinnitus can be classified into two types: 1. Subjective tinnitus, which can only be perceived by the individual, primarily caused by issues with the auditory system. 2. Objective tinnitus, which can be perceived not only by the individual but al...[Read More] Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
The mother had a minor stroke a year ago and has recently been experiencing frequent dizziness and vomiting? Hello Doctor, my mother had a mild stroke a year ago, and her stroke-related symptoms have improved. Her blood pressure and blood sugar levels are being managed with medic...
Dr. Hong Weibin Reply:
Hello: Indeed, dizziness caused by peripheral systems is more challenging to treat, and medication can only be used to manage the condition. It is recommended that you discuss with your physician to choose medications with fewer side effects and take them regularly to reduce the ...[Read More] Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Acute intracerebral hemorrhage Dr. Tsai, I hope you don’t mind me asking. My mother suddenly fainted while working, with left-sided movement, tremors, and urinary incontinence. She was urgently taken to the hospital, where it was immediately discovered that she had a right-sided ...
Dr. Cai Zongzhang Reply:
Hello, I understand that you are very anxious about your mother's condition and are seeking a second medical opinion. I recommend that you proactively discuss your concerns with your mother's attending physician. If you have any doubts, you can ask the medical team to p...[Read More] Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Severe Headaches: Understanding Causes and Seeking the Right Specialist
Severe headache? Hello, doctor. I am a patient with hypertension. I know that high blood pressure can cause headaches. However, in addition to experiencing headaches when my blood pressure is high, I also experience severe pain in the back of my head when riding a motorcycle over...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you seek further follow-up diagnosis and treatment from a neurosurgeon or neurologist.[Read More] Severe Headaches: Understanding Causes and Seeking the Right Specialist
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Long-Term Use of Antiepileptic Medication: Risks and Considerations
Dizziness and epilepsy issues? Hello Doctor: About 3.4 years ago, I fainted unconsciously and had a motorcycle accident. At that time, the doctor diagnosed me with epilepsy and mentioned that there was a missing segment of a blood vessel in my right brain (cerebrovascular disease...
Dr. Jiang Junyi Reply:
Hello: Based on your description, Shunao capsules primarily act as a relaxant for cerebral blood vessels, and the medication does not have effects for stroke prevention or epilepsy treatment. Clinically, it is mainly used for treating migraines or dizziness. Long-term use may lea...[Read More] Long-Term Use of Antiepileptic Medication: Risks and Considerations