Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions
My son wants to know, is it normal to experience hypoxia for about one minute during exercise on Mondays? Hello doctor, I would like to ask about my 15-year-old son who is a student athlete. He practices intensely from Monday to Friday, but he has been experiencing a situation wh...
Dr. Chen Weida Reply:
Hello! Regarding the issue of hypoxia during exercise, it may be caused by low blood pressure leading to insufficient blood flow and oxygen deprivation in the brain. When this occurs, it is advisable to stop the activity, sit down, and rest while maintaining regular breathing. Re...[Read More] Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Brain Fog: Symptoms, Causes, and Treatment Options
I have been feeling dizzy and forgetful for the past one to two months? Hello Doctor, I have been experiencing symptoms similar to brain fog for the past month or two, but I have not been diagnosed with COVID-19. My symptoms include dizziness, lack of energy, forgetfulness affect...
Dr. Jiang Junyi Reply:
Dear Mr. Ding, You mentioned that you have been experiencing symptoms similar to brain fog for the past month or two, along with difficulty sleeping and autonomic nervous system dysregulation (with a significant shift from the parasympathetic to the sympathetic nervous system). ...[Read More] Understanding Brain Fog: Symptoms, Causes, and Treatment Options
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Possible Symptoms of Tourette Syndrome in Adults
Symptoms of suspected Tourette syndrome? Hello, doctor. I have a friend who is 26 years old, and after spending a long time together, I've noticed several symptoms that seem to suggest Tourette syndrome. 1. He often makes a light coughing sound or clears his throat when he i...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that one shoulder tends to shrug habitually, which may suggest Tourette syndrome. However, if it does not affect your daily life, you can coexist with this condition peacefully. It is generally recommended to maintain a regular lifestyle, with early ...[Read More] Understanding Possible Symptoms of Tourette Syndrome in Adults
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Managing Hypertension Medication: Addressing Fatigue and Dizziness
Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....
Dr. Jiang Junyi Reply:
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness
Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Feeling dizzy after exercising following a bath? Hello, Doctor! As the title suggests, after taking a bath, I engaged in intense exercise without much rest and didn't pay attention to my breathing rate. I quickly experienced severe dizziness and a feeling of nausea. After re...
Dr. Jiang Junyi Reply:
Hello, Ms. Yue. You mentioned that you fainted while soaking in a hot spring outdoors during a cold wave, but after some time, you felt fine. It’s important to consider the issue of syncope. Fainting is more likely to occur when a person is standing because the cerebral blood flo...[Read More] Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...
Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Chronic Cough and Chest Discomfort: When to See a Neurologist?
Chronic cough with occasional chest tightness and chest (back) pain? Hello, doctor. I have been experiencing related symptoms for about two years. The frequency of my cough is relatively high but not severe. My main concerns are "chest tightness and chest (back) pain," ...
Dr. Wu Mukhan Reply:
Hello, palpitations may be related to autonomic nervous system dysfunction causing an increased heart rate, or they may be associated with psychological factors such as anxiety and stress. If no cause is found in cardiology, further evaluation can be sought in neurology or psychi...[Read More] Chronic Cough and Chest Discomfort: When to See a Neurologist?
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...
Dr. Jiang Junyi Reply:
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Autonomic Nervous System Disorders and Their Symptoms
Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Understanding Numbness: Causes and When to Seek Medical Help
Numbness in the hands and face? I'm not quite sure if it's due to my recent menstrual period combined with prolonged standing and walking, or if my hand came into contact with an electrical device while it was charging. Initially, I felt a tingling sensation in the palm...
Dr. Wu Mukhan Reply:
Your symptoms may be caused by hyperventilation or peripheral nerve issues. If there is no improvement, it is recommended to consult a neurologist for further evaluation.[Read More] Understanding Numbness: Causes and When to Seek Medical Help