Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Pain below the left chest, sputum production, and difficulty breathing? I have a female friend who has been experiencing pain below her left chest for several years. She almost constantly produces phlegm, which is often yellow and sometimes white. She feels numbness, and deep bre...
Dr. Jiang Junyi Reply:
Hello: Your friend is suffering from a difficult-to-treat illness. It is advisable to avoid multiple hospital visits and instead find a single medical center to focus on. After all, the physicians at the same hospital will have access to the same diagnostic information, which can...[Read More] Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Children wearing two layers of medical masks while sleeping? Hello Doctor: My son recently slept with two layers of medical masks on. Although he seemed fine upon waking, I still have some concerns about whether wearing two masks could obstruct his breathing and potentially cause...
Dr. Jiang Junyi Reply:
Hello: I am not sure why your son needs to wear two layers of medical masks while sleeping. If it is due to allergies, you should consult a rheumatologist or immunologist to identify the allergens. Regarding your concern about oxygen deficiency, I recommend purchasing a fingertip...[Read More] Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
What is wrong with me? Doctor, I have a tendency to be easily anxious and can be startled by minor things. I have a history of epilepsy, and often after sudden events (like being startled by a loud noise), I experience shallow and rapid breathing, increased heart rate, and cold s...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of "hyperventilation." Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, a condition known medically as "respiratory alkalosi...[Read More] Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
Understanding Migraine Triggers: Posture, Medication, and Symptoms
Migraine specific postures Hello Doctor, around January 5th, I took Ritalin for the first time because I had an exam. I had previously taken Adderall but hadn't taken it for over a year. Shortly after taking Ritalin, I experienced palpitations for about 10 minutes, and then ...
Dr. Jiang Junyi Reply:
Hello, Ritalin is a mild to moderate central nervous system stimulant. Its mechanism of action in the human body is not fully understood, but the stimulating effect is believed to occur through the inhibition of dopamine reuptake in the striatum without inducing dopamine release,...[Read More] Understanding Migraine Triggers: Posture, Medication, and Symptoms
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello, Doctor Jiang. My son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he experienced another seizure of unknown origin...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders often involve various genetic or metabolic diseases. Regarding epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should also be...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello Dr. Jiang, my son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he had another seizure of unknown origin. At 2 years...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders require consideration of various genetic or metabolic diseases. For epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should al...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Muscle twitching and weakness? Hello, Doctor: I would like to ask about frequently feeling muscle twitching throughout my body, without a specific location, usually just a few twitches. I also experience headaches and dizziness, along with a general sense of fatigue and weakness....
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are concerned about autonomic nervous system issues, you can undergo autonomic nervous system testing to check for any abnormalities in your heart rate variability. The symptoms you described may also warrant consideration of obstructive s...[Read More] Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Understanding Numbness and Pain in Limbs: Possible Neurological Issues
Numbness and pain in the hands and feet? Hello doctor: For the past month, I have hardly eaten anything and only drank water. I am gradually starting to eat again, but I feel numbness in my scalp, chest, hands, and feet. My hands and feet are also sore and weak, and I am experien...
Dr. Jiang Junyi Reply:
Hello: I wonder if you have undergone any medical tests? Many electrolyte imbalances can cause symptoms such as weakness or numbness in the limbs. For nerve repair, it is recommended to supplement with B vitamins. I suggest you consult an internist to discuss examinations and tre...[Read More] Understanding Numbness and Pain in Limbs: Possible Neurological Issues
Understanding Persistent Head Pressure: Could It Be Anxiety?
Could you please clarify what you mean by "head heaviness"? After experiencing a sudden episode of dizziness (the spinning type), I have frequently felt heavy-headed (almost every time I wake up) and have a sensation of pressure in my head (almost every time I wake up) ...
Dr. Jiang Junyi Reply:
Hello: I am not sure if you are taking any anti-anxiety medications. Your symptoms may need to consider the side effects of the medication. If you experience daytime inattention and frequent drowsiness, it may be worth considering a sleep disorder, with obstructive sleep apnea be...[Read More] Understanding Persistent Head Pressure: Could It Be Anxiety?
Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Dizziness / Eyes / Ears / Soreness Hello, I would like to ask about a sudden onset of dizziness I experienced one day, followed by discomfort and a feeling of pressure in one eye. After visiting an ophthalmologist, I was told everything was fine. Then, I started experiencing ear ...
Dr. Jiang Junyi Reply:
Hello: Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner ear imbalance, and even Meniere's disease. Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent ...[Read More] Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...
Dr. Hong Weibin Reply:
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Understanding Essential Tremor: Symptoms, Causes, and Concerns
Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns
Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Concerns About Propranolol: Side Effects and When to Stop Medication
I would like to ask a question about antiarrhythmic medications? A few days ago, I went for an examination due to slight hand tremors and was prescribed 245 mg of propranolol to take twice daily. The next morning, after taking the medication, I experienced several side effects, i...
Dr. Jiang Junyi Reply:
Hello, based on your description, the action of Propranolol is to reduce sympathetic nervous system activity. Our 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 sympat...[Read More] Concerns About Propranolol: Side Effects and When to Stop Medication