Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I&#x...
Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Finger Tingling: Causes and When to Seek Help
Numbness in the fingertips? Hello, doctor. For the past three days, I have been experiencing a sensation in the fingertips of both hands (more so in the right hand) that feels like there is a foreign object present, intermittently. Occasionally, I also feel a tingling sensation, ...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jia, You mentioned that "sometimes there is, sometimes there isn't... occasionally feeling like an electric current flowing through the back of the hand and fingers," which may suggest a peripheral nerve issue. Common causes include sensory nerve abnorm...[Read More] Understanding Finger Tingling: Causes and When to Seek Help
Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Generalized weakness and tremors? Hello, doctor! My mother is 78 years old and started experiencing generalized weakness and trembling about a month ago. However, her condition improves significantly after she eats and replenishes her caloric intake. The key issue is that she nee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "as long as she eats... the situation will improve significantly, the key is that she needs to eat every 2-3 hours." It may be necessary to consider autonomic nervous system abnormalities. Generally, the autonomic nervous system is regulat...[Read More] Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Diaphragmatic muscle twitching The muscles in the middle of the diaphragm are continuously contracting and pulsating, accompanied by a slight feeling of pressure, similar to a heartbeat but at a faster rate, with a rhythmic "thump-thump-thump" sensation. It feels as if ...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the muscles in the middle of the diaphragm are continuously contracting and twitching." The diaphragm is primarily innervated by the phrenic nerve, which originates from the cervical spinal cord, typically from the nerve roots of C3 to...[Read More] Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Understanding Neck Tightness: Causes and Relief Strategies
Tightness in the back of the neck? Hello, doctor. Due to my work, I often sit in front of a computer desk or use my phone. Three days ago, after dinner, I suddenly felt tightness in the back of my neck, accompanied by mild headaches, dizziness, and nausea (I tend to be easily ner...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be caused by neck muscle tension resulting from prolonged posture, poor sitting habits, or computer use. Anxiety and stress can also lead to physical tension, which may trigger headaches and neck discomfort. It is recommended to avoid maintaining the same...[Read More] Understanding Neck Tightness: Causes and Relief Strategies
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Understanding Facial Twitching: Causes, Concerns, and Solutions
Facial twitching? Hello, doctor. I've been troubled by facial twitching for several years. The twitching mainly occurs on both sides of my cheeks. It used to happen primarily when I was nervous about going on stage, but now it occurs even during casual interactions like chat...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nervousness occurs when going on stage." When the body is under stress, excessive fatigue, mental tension, and psychological anxiety, it may lead to involuntary muscle twitching. Muscle tremors while awake may warrant consideration of cer...[Read More] Understanding Facial Twitching: Causes, Concerns, and Solutions
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Numbness in the body after a cold? Hello Doctor, After experiencing a mild fever due to a cold on February 16, I have been feeling numbness in my arms and legs. Sometimes, when I change my body position, I feel a tingling sensation from my back to the back of my head, especiall...
Dr. Jiang Junyi Reply:
Hello Mr. Yang, You mentioned that "there is a slight stabbing pain when the left side of my head is pressed or rubbed while sleeping, and my left palm also has some tingling sensations." Based on your description, we may need to consider cervical nerve root compressio...[Read More] Post-Cold Numbness: Understanding Neurological Symptoms After Illness
Concerns After Toddler Falls from High Chair: What Parents Should Know
The child stood up from the high chair and fell to the ground? Hello, doctor. My son is one year and ten months old. On February 14, he stood up from his high chair and fell onto the tile floor from a height of approximately 120 cm. After the fall, he cried but did not lose consc...
Dr. Jiang Junyi Reply:
Hello Cherry, You mentioned "confirming whether there is delayed bleeding in the brain." If the child is active and responsive within a week, a small amount of bleeding can be absorbed. Generally, radiation exposure should be minimized as much as possible. The anterior...[Read More] Concerns After Toddler Falls from High Chair: What Parents Should Know
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello, Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing difficulty breathing, panic, generalized weakness, and difficulty concentrat...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. Approximately 50% of patients wit...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Which Specialist Should I See for My Neurological Symptoms?
Could you please tell me which symptoms you are experiencing so I can recommend the appropriate specialty and tests for a detailed examination? Three months ago, while at work, I felt a tightness in my chest, so I stretched my arms out. However, the condition did not improve, and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may be advisable to first consult a cardiologist for a basic evaluation related to syncope.[Read More] Which Specialist Should I See for My Neurological Symptoms?