Severe Pain Under Right Chest During Breathing and Speaking: Causes and Concerns
Severe pain in the lower right side of the chest while breathing or speaking? Hello doctor, I have noticed that for the past few days, I have been experiencing pain in the lower right side of my chest. The pain occurs even when I breathe or talk, and it also radiates to my right ...
Dr. Jiang Junyi Reply:
Hello, chest pain that radiates from the outside to the inside may initially suggest myofascial pain syndrome, which can present with pain, discomfort, and muscle stiffness. However, pleuritis may also exhibit similar symptoms. It is recommended that you consult a pulmonologist t...[Read More] Severe Pain Under Right Chest During Breathing and Speaking: Causes and Concerns
Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Recently, I have been experiencing frequent bloating and a lack of appetite. I have visited the gastroenterologist multiple times, but my condition has not fully improved, and I still feel unwell. My heart rate is somewhat elevated, ranging be...
Dr. Jiang Junyi Reply:
Hello, generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for stimulating the body, leading to increased ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, Doctor! I have been experiencing discomfort in my anus for over six months, with persistent mild pain, itching, and a sensation of something being there. I feel these symptoms constantly, except when I am asleep. I have consulted many p...
Dr. Jiang Junyi Reply:
Hello, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up the body, pushing it into action. In contrast, the parasym...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...
Dr. Hong Weibin Reply:
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Unconscious Hand Tension: Understanding Neurological Causes
Unconscious exertion? I often find that my hands unconsciously exert force. For example, when I'm holding something, I only realize my hands are tense and fatigued after a while. If the object is soft, it becomes deformed; if I'm holding an EasyCard, there will be impri...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to increased muscle tension or reduced proprioceptive sensitivity. When the sympathetic nervous system is activated, it can lead to an increased heart rate, muscle tightness, rapid breathing, and increased sweating. It is recommended t...[Read More] Unconscious Hand Tension: Understanding Neurological Causes
Understanding Sleep Disorders in Teens: When to Seek Help
Sleep issues Doctor: Hello! I would like to ask about my 16-year-old nephew who has been living with me for three months while attending high school. Recently, I noticed he has a strange symptom: no matter how late he goes to bed, as soon as he lies down, he falls asleep within t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your nephew is likely entering the "rapid eye movement (REM) sleep" phase, during which the brain is in a dreaming state. All muscles, except for those involved in breathing and the heart, are relaxed or even paralyzed. Waking up during...[Read More] Understanding Sleep Disorders in Teens: When to Seek Help
Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Why do our hands shake and our bodies move involuntarily when we experience intense emotions or anger? Hello Doctor: Why do I start to shake my hands and sway my body back and forth whenever I get angry or emotionally agitated? Sometimes, I unconsciously grab my head, and after m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider symptoms of hyperventilation associated with emotional intensity. Hyperventilation can lead to a sensation of suffocation and affect organ blood flow. When blood flow to the nervous system decreases, symptoms such as head...[Read More] Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Understanding Autonomic Nervous System Disorders and Appetite Issues
Autonomic nervous system dysfunction My mother has autonomic nervous system dysfunction. She has been taking medication without any improvement. Recently, she has had a poor appetite and feels full after just a few bites of food, then goes to vomit. Could this be anorexia, or is ...
Dr. Jiang Junyi Reply:
Hello, based on your description, autonomic nervous system dysfunction is actually a result; the most important thing is to identify the underlying cause of the condition. The autonomic nervous system primarily controls breathing, heart rate, body temperature, and blood pressure,...[Read More] Understanding Autonomic Nervous System Disorders and Appetite Issues
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Right Shoulder and Neck Pain: When to See a Specialist
Right shoulder and neck pain, tightness, right lower back pain, and numbness in the right hand and right foot? Hello Doctor: I usually work sitting at a computer, and for the past six months, I have been experiencing pain and tightness in my right shoulder that extends to my neck...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a herniated disc. Symptoms often worsen due to coughing or poor posture, but given your young age, the likelihood of simultaneous cervical and lumbar nerve root compression is low. It may be necessary to rule out o...[Read More] Understanding Right Shoulder and Neck Pain: When to See a Specialist
Understanding Dizziness and Unreality: A Neurological Perspective
Dizziness and derealization syndrome? Hello, Doctor! I need to start from October 31st. On that day, I had an ear infection (I have never had one before). At that time, I didn't experience dizziness. By November 2nd, the pain from the ear infection had decreased, but I felt ...
Dr. Jiang Junyi Reply:
Based on your description, the treatment for vertigo typically involves prescribing antihistamine anti-vertigo medications along with anxiolytics, which are usually effective in alleviating symptoms. However, these medications can often lead to neurological side effects, causing ...[Read More] Understanding Dizziness and Unreality: A Neurological Perspective
Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Tightness in the shoulders and neck can lead to difficulty breathing? Doctor, about six months ago, I started to occasionally feel tightness in my shoulders and neck while walking, along with some difficulty breathing. Now, whenever I stand up and walk, my shoulders and neck beco...
Dr. Gao Chunde Reply:
Standing posture can lead to tightness in the shoulders and neck, making it difficult to breathe, and it can be challenging to determine the underlying issue. In neurology, if your symptoms are accompanied by orthostatic headaches that improve when lying down, it may be related t...[Read More] Understanding Neck Tension and Breathing Difficulties: A Neurology Perspective
Understanding Numbness and Breathing Difficulties: When to Seek Help
Numbness in the limbs and difficulty breathing? I often experience shortness of breath whenever I sit for long periods. Occasionally, I have episodes of shortness of breath accompanied by numbness in my limbs, which makes it difficult for me to sleep at night. Recently, I have al...
Dr. Lan Shengxing Reply:
Hello, you can first visit the neurology or psychosomatic medicine outpatient clinic for an examination to determine whether the issue is related to physical or psychological factors.[Read More] Understanding Numbness and Breathing Difficulties: When to Seek Help
Understanding Frequent Back Pain: Possible Causes and Concerns
Back pain I would like to consult a doctor about the recent frequent back pain, which is located just below the left scapula, approximately between the scapula and the spine. I have a habit of playing sports like basketball and weight training. I'm unsure if I should tempora...
Dr. Gao Chunde Reply:
It could be inflammation or strain of the muscle itself, but the nerve at the seventh cervical vertebra may also be involved, causing referred pain in this area. Generally, rest is recommended. If there is no improvement with rest, it is advisable to consult a neurologist for an ...[Read More] Understanding Frequent Back Pain: Possible Causes and Concerns
Understanding Breathing Difficulties: Insights from Neurology
Shortness of breath? Hello doctor, I experienced difficulty breathing during my middle school years, often needing to take deep breaths to feel like I was getting enough air into my lungs. Eventually, this issue improved, but recently, similar symptoms have returned. I often feel...
Dr. Gao Chunde Reply:
Deep breathing or taking large breaths can enhance the effects of the parasympathetic nervous system. During times of tension or stress, the body instinctively engages in this action to compensate for insufficient parasympathetic activity, helping to achieve balance in the autono...[Read More] Understanding Breathing Difficulties: Insights from Neurology
Understanding Alcohol-Related Neurological Symptoms: A Guide
Alcohol-related issues I would like to ask about a symptom that occurs once every few years. Recently, after drinking alcohol, I experienced the same symptoms: my vision started to blur when I stood up, to the point where I couldn't see (not like myopia), along with tinnitus...
Dr. Gao Chunde Reply:
These symptoms are more indicative of severe hypotension, approaching shock. As for the cause, it is difficult to determine whether it is related to alcohol or other components within the alcohol, whether it is associated with anaphylactic shock, or simply due to vasodilation lea...[Read More] Understanding Alcohol-Related Neurological Symptoms: A Guide
Understanding Sudden Breathing Issues and Numbness: When to Seek Help
I would like to ask some urgent questions about health issues? I would like to ask the doctor, sometimes I suddenly feel short of breath and nauseous, then my body feels tingly, and I start to feel dizzy and have vision disturbances. Is this a problem with my body or is it just d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, numbness in the hands and feet, scalp tingling, and an inability to lie still in bed. Ph...[Read More] Understanding Sudden Breathing Issues and Numbness: When to Seek Help
Understanding Dizziness: Possible Links to Sleep Apnea and Other Conditions
Dizziness, I apologize for the previous text? Hello Doctor, on April 21st of this year, you asked me if I have sleep apnea. Seven years ago, I was diagnosed with sleep apnea, and the doctor recommended that I use a CPAP machine. I used it for a month but stopped. Could my persist...
Dr. Jiang Junyi Reply:
Hello, based on your description, the physician's professional judgment requires a complete medical history and examination data. If you plan to change healthcare facilities, comprehensive medical information is essential. This ensures continuity of care. I suggest you prepa...[Read More] Understanding Dizziness: Possible Links to Sleep Apnea and Other Conditions
Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective
Sensation of a foreign body in the throat, difficulty swallowing, and concerns about swallowing nerve relaxation? Hello Doctor, for the past month, I have frequently felt a sensation of a foreign body in my throat. I pay special attention to the feeling of food passing through my...
Dr. Gao Chunde Reply:
Since the endoscopy, gastroscopy, and X-rays have all shown no issues, the psychological component may be more significant. If you are still concerned about swallowing difficulties potentially caused by neurological factors, you can have a neurologist evaluate you to confirm. Thi...[Read More] Understanding Throat Sensations and Swallowing Anxiety: A Neurological Perspective