Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Numbness and Dizziness: Causes and Solutions
Various sensations of numbness and lightheadedness? Hello Doctor, recently I have been experiencing various sensations of numbness and slight dizziness after feeling a bit anxious, which can last up to half an hour before subsiding. Initially, I feel mentally alert but slightly d...
Dr. Cai Zongzhang Reply:
Hello, Chang-Feng! Most of these symptoms are caused by emotional stress, but it is essential to rule out neurological disorders. I recommend visiting a neurology clinic for an examination![Read More] Understanding Numbness and Dizziness: Causes and Solutions
Understanding Symptoms of Autonomic Nervous System Dysfunction
The body feels tense and warm? Hello, Doctor: Recently, I have been feeling tightness in my shoulders and neck, and sometimes I also feel tightness in my right ear. I have been experiencing nerve pain, with occasional tingling in my calves and near my toes. My body feels warm, in...
Dr. Jiang Junyi Reply:
Dear Ms. Deddy, You mentioned "autonomic nervous system dysfunction," a term that is widely used because it is important to identify the underlying causes of this phenomenon. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic ne...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Could Improper Massage Techniques Lead to Nerve Damage?
Is there a possibility of nerve damage? Hello, doctor. During the pandemic, my mother felt unwell after carrying heavy objects and has been experiencing persistent headaches. She used an old handheld massager for full-body massage (not a fascia massage gun), and during the massag...
Dr. Jiang Junyi Reply:
Dear Ms. Hu, Your mother is likely over 65 years old, and if she is experiencing an atypical fracture at the junction of the shoulder and chest, it may be necessary to consider osteoporosis. An evaluation for an elderly patient should include: bone density testing, metabolic syn...[Read More] Could Improper Massage Techniques Lead to Nerve Damage?
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Anxiety and tension can cause bilateral facial discomfort near the mouth, presenting as tingling, numbness, tightness, and occasional twitching? Recently, due to some issues at home, I often feel easily tense. When I am tense, I experience symptoms such as rapid heartbeat, chest ...
Dr. Jiang Junyi Reply:
Dear Mr. Chiu, The symptoms you mentioned may be related to hyperventilation, which can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH and systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium le...[Read More] Understanding Facial Pain and Tension: Anxiety's Impact on Nerve Health
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Breathing Difficulties and Brain Oxygen Deprivation Symptoms
Frequently experiencing difficulty in breathing and cerebral hypoxia? Hello Doctor, I often experience periods of difficulty breathing, as if my airways are constricted, and I feel like oxygen is not reaching my brain. It's not extremely severe, but I need to take deep breat...
Dr. Cai Zongzhang Reply:
Hello, Ms. Lin! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Breathing Difficulties and Brain Oxygen Deprivation Symptoms
Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Elevator Sensation: Neurological Insights and Solutions
There is a sensation similar to the feeling of inertia after riding an elevator? Hello Doctor, I would like to ask a question. Since early March of this year, I have been experiencing a sensation similar to the aftereffects of riding an elevator, where it feels like my body is mo...
Dr. Jiang Junyi Reply:
Dear Ms. Ww, In addition to hyperventilation, your symptoms may warrant consideration of other diseases and causes that can lead to dizziness. If your headaches are related to your menstrual cycle, the likelihood of vascular headaches causing dizziness is higher. However, condit...[Read More] Understanding Elevator Sensation: Neurological Insights and Solutions
Addressing Breathing Difficulties: When to Seek Medical Help
Issues related to sleep apnea? Hello, doctor! I would like to ask you three questions: 1. I have recently noticed that I sometimes forget to breathe during the day and at night, and I have to force myself to take deep breaths. Which specialty should I consult for treatment? Neu...
Dr. Jiang Junyi Reply:
Hello Mr. A-Shun, 1. I have recently noticed that I experience episodes of forgetting to breathe both during the day and at night, and I need to force myself to take deep breaths. Which specialty should I consult for treatment? Neurology? Family Medicine? Psychiatry? A: The ac...[Read More] Addressing Breathing Difficulties: When to Seek Medical Help
Understanding Tongue Pain: Is It Related to Nerve Issues?
Tongue pain and oral pain? Could damage to the C5 vertebra or stiffness in the neck and shoulders lead to tongue pain or a burning sensation in the mouth? Three years ago, I started experiencing tongue pain due to stress, and I have consulted with oral and ENT specialists multipl...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest autonomic nervous system dysfunction, particularly excessive activation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the acce...[Read More] Understanding Tongue Pain: Is It Related to Nerve Issues?
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions
Understanding Neurological Symptoms: When to See a Specialist
Current main issues? I no longer feel that way; sometimes my thoughts affect my emotions, and at times I experience discomfort in my head. I suspect it might be related to allergic rhinitis. It doesn't feel like a headache; it's just a general discomfort in my head. I f...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. It typically occurs during times of cold, dehydration, or stress. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tigh...[Read More] Understanding Neurological Symptoms: When to See a Specialist