Understanding Shortness of Breath: Neurological Insights and Solutions
Feeling of chest tightness and shortness of breath? Hello, doctor. I used to occasionally feel the need to take deep breaths throughout the day for comfort, but recently this has become a frequent occurrence. Now, I feel very fatigued after walking a short distance, and I experie...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. It is possible that you are using your breathing to regulate discomfort. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "r...[Read More] Understanding Shortness of Breath: Neurological Insights and Solutions
Understanding Neurological Symptoms: When to Seek Immediate Help
Hello, I am the questioner #165846? Hello Doctor: Thank you for your clarification. I am currently scheduled for a brain MRI at the hospital, but the appointment is set for a month from now. The doctor has advised me to return for a follow-up after the examination. During this ti...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may initially suggest common hyperventilation syndrome. Sudden weakness could also indicate cerebrovascular disease or abnormal electrical discharges. However, if the symptoms are urgent and you are concerned about further deterioration, it is advisable to vi...[Read More] Understanding Neurological Symptoms: When to Seek Immediate Help
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I am the person who asked question #166040. It seems that the answer to someone else's question was mistakenly applied to mine, so I am asking again. Thank you! I have a history of migraines, experiencing them about 2-3 times a m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms occurring at midnight may suggest a variant of migraine. Alternatively, it could be due to slow breathing during sleep, leading to increased cerebral blood flow and elevated intracranial pressure, which can cause headaches. It is recommended that you visit a ...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Understanding Lumbar Drainage Surgery for Neurological Recovery
Regarding lumbar drainage surgery? My father, who is 80 years old, suffered a ruptured cerebral aneurysm and underwent emergency surgery. It has been nearly three months since then. He has undergone a tracheostomy and is currently breathing on his own. The doctors say his recover...
Dr. Jiang Junyi Reply:
Hello: Since there has already been a drainage procedure for hydrocephalus, if there is still compression of the brain tissue causing impaired consciousness, a common assessment method is a lumbar puncture. This involves extracting 40-50 milliliters of cerebrospinal fluid from th...[Read More] Understanding Lumbar Drainage Surgery for Neurological Recovery
Understanding and Managing Sudden Rib Pain: Causes and Solutions
Neuropathic pain Hello! This issue has been troubling me for many years, starting around middle school. I experience sudden, severe pain on both sides of my ribcage, which worsens with breathing, talking, or laughing. However, the pain usually lasts only one to two hours; sometim...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of intercostal muscle cramps. The possible causes may include insufficient ventilation of the diaphragm and intercostal muscles, leading to spasms due to uncoordinated contractions, or slower blood circulation. During an episode, stretchin...[Read More] Understanding and Managing Sudden Rib Pain: Causes and Solutions
Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Tinnitus, along with intermittent wakefulness? Two years ago, I noticed that my right ear hears high-frequency sounds (like a ringing sound, but not very loud). I went to the hospital for an ear examination, and they suggested that it might be due to a thin eardrum. However, the ...
Dr. Jiang Junyi Reply:
Hello: If there are issues with sleep, it is important to observe whether there is a tendency to feel sleepy during the day due to insufficient sleep. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as...[Read More] Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Recently experiencing frequent dizziness, fatigue, chest tightness, and difficulty swallowing? Hello, doctor. I would like to inform you that I have mitral valve prolapse with mild regurgitation. For the past six months, I have been experiencing chest tightness and pressure near ...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms described above, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Understanding Breathing Difficulties After Bone Marrow Transplant
Shortness of breath or constant awareness of breathing? Hello Doctor: I previously had leukemia and just completed a bone marrow transplant a year ago. Recently, I felt a bit unwell and thought I might be relapsing, but it turned out to be nothing. I might have been too anxious a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the pulmonology outpatient clinic.[Read More] Understanding Breathing Difficulties After Bone Marrow Transplant
Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Numbness in both hands, both feet, and the face? About a week ago, I suddenly experienced numbness in the backs of both hands, the upper and lower arms, the backs of my feet and toes, the calves, the inner thigh of my left leg, and a tingling sensation in my lips and face. What c...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. This condition is characterized by a decrease in carbon dioxide levels in the blood, leading to an increase in pH, medically referred to as "respiratory alkalosis." This can trigger systemic reactions and sympt...[Read More] Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Head Injuries and Dementia: Understanding the Risks and Concerns
Head Trauma and Dementia Hello, Doctor. 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not exp...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is low, so there is no need to worry excessively. 2. If all other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psychosomat...[Read More] Head Injuries and Dementia: Understanding the Risks and Concerns
Head Injuries and Dementia Risk: Understanding the Connection
Head Trauma and Dementia Hello Doctor, 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not expe...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is relatively low, so there is no need to worry excessively. 2. If other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psyc...[Read More] Head Injuries and Dementia Risk: Understanding the Connection
Understanding Temple Pain: Causes, Symptoms, and Concerns
Temporalis pain Hello, doctor. I have been experiencing headaches for the past year, and I also have symptoms of anxiety. Occasionally, I get headaches in the afternoon, with pain on both sides of my temples, forehead, eye sockets, and the back of my neck. Could this be a serious...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome, as the decrease in carbon dioxide levels in the blood leads to an increase in pH, causing systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium levels in the blood. The red...[Read More] Understanding Temple Pain: Causes, Symptoms, and Concerns
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Leg Numbness During Exercise: Causes and Solutions
Numbness in the legs during exercise? Hello, doctor. I exercise 3-4 days a week, and I am 183 cm tall and weigh 110 kg. I primarily do aerobic exercises on the elliptical machine, and I used to be able to work out for over 50 minutes without any issues. However, in the past two d...
Dr. Jiang Junyi Reply:
Hello: Your symptoms of paresthesia may need to first consider "hyperventilation syndrome." When it occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, which triggers systemic reactions and symptoms. Commonly observed sy...[Read More] Understanding Leg Numbness During Exercise: Causes and Solutions
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Neck Tension and Its Impact on Your Well-Being
Hello, Dr. Jiang. Thank you for your assistance? I have had a long-standing question to ask you. Regardless of whether I am well-rested or fatigued, whenever I feel overly anxious or busy for two hours or focus on something, my neck starts to feel tight and warm. My lips suddenly...
Dr. Jiang Junyi Reply:
Hello, based on your description, dry mouth and muscle stiffness may indicate sympathetic nervous system overactivation. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one accelerates and the other decelerates. T...[Read More] Understanding Neck Tension and Its Impact on Your Well-Being
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Sweating in the summer? Hello, Doctor. I often go out to buy things around noon, and within 20 minutes, I'm drenched in sweat. I notice that others don't seem to sweat as much, while my back is completely wet, which feels quite embarrassing. I'm unsure if it's...
Dr. Jiang Junyi Reply:
Hello, based on your description, sweating is a natural response of the body to an increase in temperature. However, excessive sweating may indicate overactivation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and paras...[Read More] Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective