Understanding Dizziness Symptoms: When to See a Neurologist
Dizziness symptoms Hello, I would like to ask which specialty I should consult regarding the following symptoms. Since March 9th until now, March 25th, every morning when I get up (from lying down to sitting), I experience dizziness in a clockwise direction, accompanied by a feel...
Dr. Hong Weibin Reply:
Hello: Based on your description, you may be experiencing vestibular migraine. I recommend that you consult a neurologist who specializes in headaches for evaluation and treatment. Additionally, it is advisable to maintain a regular schedule and limit the use of electronic device...[Read More] Understanding Dizziness Symptoms: When to See a Neurologist
Understanding Dizziness and Mental Fog: Neurological Insights
Dizziness and a feeling of heaviness in the head? Doctor, I'm sorry, but I've been feeling dizzy without the sensation of spinning. It's more like a state of confusion where I'm not quite aware of what I'm doing. The dizziness seems to worsen with fatigue...
Dr. Jiang Junyi Reply:
Hello: I would like to know if you have any issues with sleep disorders? Are you experiencing high blood pressure? Generally, individuals with high blood pressure have a higher risk of stroke. I would also like to inquire if you have metabolic syndrome (such as increased waist ci...[Read More] Understanding Dizziness and Mental Fog: Neurological Insights
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
High Blood Pressure: Should You See a Neurologist or Cardiologist?
Hypertension Hello Doctor: My mother is 80 years old and has a history of stroke. Recently, her health check revealed high blood pressure (consistently measuring between 152 and 165 over the past week). Should we consult a neurologist or a cardiologist for her high blood pressure...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you consult a cardiologist. Thank you.[Read More] High Blood Pressure: Should You See a Neurologist or Cardiologist?
Post-Stroke Fitness: Can Seniors Safely Engage in Strength Training?
Post-stroke motor issues Hello Doctor: My family member is 65 years old and has had a stroke 2 years ago. One side of their limbs is not very agile, but they can take care of themselves. Their blood pressure is controlled at 110/70. Due to decreased physical strength after the il...
Dr. Hong Weibin Reply:
Hello: Rehabilitation after a stroke should be conducted gradually and progressively, ideally under the guidance of a rehabilitation physician or a physical and occupational therapist, with a gradual increase in exercise intensity. Starting directly in a regular gym may impose to...[Read More] Post-Stroke Fitness: Can Seniors Safely Engage in Strength Training?
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Persistent Headaches, Dizziness, and Breathing Issues
Headache, dizziness, chest tightness, shortness of breath, difficulty breathing? On Monday, after breakfast, I suddenly experienced unexplained dizziness, headaches, and an unknown fever that lasted all day. I thought it was heatstroke and drank some rehydration solution, which h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that drinking Jizhong Water has been effective, which contains ingredients such as chili pepper and rhubarb. These components may cause vasoconstriction and elevate blood pressure, potentially helping with blood pressure drops due to excessive sweating. I sug...[Read More] Understanding Persistent Headaches, Dizziness, and Breathing Issues
Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions
Autonomic Nervous System and Panic Disorder Issues Hello Dr. Jiang: I have been suffering from respiratory compulsions for many years (since transitioning from elementary school to junior high). I have developed a habit of controlling my breathing. This condition has led to high ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause elevated blood pressure symptoms, such as metabolic syndrome (hypertension, hyperglycemia, hyperlipidemia, and obesity), autonomic nervous system dysfunction (excessive stress), and medications (such as the a...[Read More] Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions
Understanding Fluctuating Blood Pressure and Dizziness in Older Adults
Inquire about the reason? Hello, doctor. I would like to ask about my mother, who is 63 years old. She has been experiencing long-term dizziness, and when she stands for too long, she also feels dizzy and needs to lie down to feel some relief. Additionally, when she consumes salt...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic nervous system dysfunction, and inner ear imbalance. Your symptoms appear after standing for a while, so it is essential to first rule out symptoms caused by l...[Read More] Understanding Fluctuating Blood Pressure and Dizziness in Older Adults
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness
Understanding Afternoon Limb Weakness: Possible Neurological Causes and Solutions
Every day, around 4 to 6 PM, I experience a brief and mild sensation of weakness in my limbs? Hello Doctor: My symptoms are a bit strange → I consistently experience mild weakness in my limbs around 4-6 PM every day, accompanied by palpitations (at other times, I feel fine; it se...
Dr. Jiang Junyi Reply:
Hello: Have you considered the possibility of medication-related issues? The side effects of medications? Or cardiovascular instability due to inconsistent medication adherence? It is advisable to choose a specific hospital for examination and analysis, as the reliability of data...[Read More] Understanding Afternoon Limb Weakness: Possible Neurological Causes and Solutions
Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang Reply:
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Some aspects of life after a stroke and the pain of measuring blood pressure? The first minor stroke caused weakness in the left side of my limbs, and I collapsed. I consulted at Hospital A, where they started measuring my blood pressure, but I felt discomfort from the cuff and t...
Dr. Cai Zongzhang Reply:
Hello, in advanced countries in Europe and America, seeking a second opinion has been a common practice for many years and is a recognized aspect of medical care. In Taiwan, some physicians and hospitals are gradually adopting this concept as well. You can consider the opinions o...[Read More] Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Can Injections Truly Prevent Stroke? Understanding the Facts
Stroke prevention injection Is there really an injection that can prevent strokes? My parents recently heard that there is a shot that can prevent strokes, and they are insisting on getting it despite my attempts to dissuade them. They claim that many people have received it with...
Dr. Cai Zongzhang Reply:
Hello, stroke is a cardiovascular disease. Are you referring to the use of intravenous therapy to prevent vascular blockage before a stroke occurs? There is no medical evidence supporting this method. Therefore, stroke prevention should focus on fundamental approaches, such as co...[Read More] Can Injections Truly Prevent Stroke? Understanding the Facts
Low Blood Pressure and Stroke Risk: What You Need to Know
Hypotension Stroke Examination Hello, Dr. Jiang. My blood pressure is low, with a systolic pressure around 100 and a diastolic pressure around 65. My pulse is often below 60, sometimes dropping to 50 (such as shortly after getting up in the morning or when I feel fatigued in the ...
Dr. Jiang Junyi Reply:
Hello: Generally, individuals with high blood pressure have a higher risk of experiencing a stroke. Conversely, low blood pressure can lead to insufficient cerebral circulation, which may cause borderzone ischemia in the brain. I wonder if you have metabolic syndrome (such as inc...[Read More] Low Blood Pressure and Stroke Risk: What You Need to Know
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes