Understanding Hand Tremors: When to Seek Neurological Advice
Tremor issues? Hello Doctor: Recently, I noticed that when I rest my wrist on the table and use my phone with one hand, I experience some shaking in my hand. The frequency is not fast, and the amplitude is not large; it just feels a bit unusual. I'm not sure if this has been...
Dr. Jiang Junyi Reply:
Hello, based on your description, our bodies can experience physiological tremors, primarily due to excessive use of large muscles or an overreaction of the sympathetic nervous system. However, these types of tremors tend to occur at a faster rate. Our autonomic nervous system is...[Read More] Understanding Hand Tremors: When to Seek Neurological Advice
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Is it narcolepsy? Hello Dr. Jiang: For the past two months, I have been feeling like I have been dreaming a lot almost every night and not getting enough sleep. Sometimes, even though I am fully aware, my limbs feel paralyzed and it takes a moment for them to return to normal. Ad...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a sleep disorder, but narcolepsy is somewhat different from your condition. Diagnosing narcolepsy typically requires a detailed medical history, as narcolepsy is usually not directly related to the sleep quality of the previous night. In a sleep ...[Read More] Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep concerns? Since elementary school, I have experienced nightmares where my body moves as I wake up, usually involving my legs or body. I can remember the last scene of the dream, and when I feel my body move, I immediately wake up with a racing heart. I often find myself rea...
Dr. Jiang Junyi Reply:
Hello, based on your description, if the body movements during the rapid eye movement (REM) sleep are caused by Parkinson's disease, patients typically have difficulty recalling the events upon waking. Your issue may warrant consideration of obstructive sleep apnea: this con...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Sleep issues Hello Doctor: Recently, almost every week, I experience a strange sensation while sleeping, where I feel completely awake but my body cannot move, and I am unable to speak. Then, I hear a low-frequency buzzing sound in my ears. After a while, I can slowly move again....
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate sleep paralysis, which is a type of sleep disorder. It typically occurs when a person is transitioning into sleep or waking up. Patients often feel as if they have just awakened; they can open their eyes and see their surroundings as well as hear...[Read More] Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Is It Hyperventilation or Autonomic Nervous System Disorder?
Is this considered hyperventilation or autonomic nervous system dysfunction? Hello Doctor: Several times in the past, when I felt nervous, I would start to breathe heavily without realizing it. One time, I was breathing so heavily that my whole body felt numb, and even though it ...
Dr. Jiang Junyi Reply:
Hello: Hyperventilation refers to a breathing rate that exceeds the body's needs. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocardial infarction. As for "hyperventilation syndrome," it ge...[Read More] Is It Hyperventilation or Autonomic Nervous System Disorder?
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Experiencing shortness of breath after walking a short distance? Hello doctor, recently whenever I walk a bit further (slowly for about 30 minutes or more), I experience an increased heart rate, a feeling of shortness of breath, and my legs feel weak and fatigued. I also feel hea...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart rate, mobilizing en...[Read More] Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips
Autonomic nervous system dysfunction Can individuals with autonomic nervous system dysfunction consume fried foods, satay, black pepper, barbecue, sweets, bitter melon, goji berries, sesame oil chicken, and mildly spicy foods? Additionally, if these foods are consumed once or twi...
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 revving up the body, while the parasympathe...[Read More] Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Post-Workout Headaches: When to Seek Medical Attention
Headache after holding your breath during weight training? Hello doctor, I usually have a habit of working out at the gym. A week ago, during weight training, I neglected to adjust my breathing and held my breath, which resulted in pain in the back of my head. I took a break imme...
Dr. Jiang Junyi Reply:
Hello: If you have localized pain points, you may want to consider cervical myofascial pain syndrome. Clinically, it often presents as pain at the site of onset, discomfort, muscle stiffness, or a heavy pressure sensation, and sometimes palpable myofascial trigger points can be f...[Read More] Post-Workout Headaches: When to Seek Medical Attention
Understanding Dizziness and Numbness: Neurological Insights
Dizziness and hand numbness? Hello: Here are my symptoms. It feels like my head has been knocked (a brief moment), but there is no pain, somewhat like the sensation of a pirate ship ride during the downward plunge. I experience dizziness and lightheadedness, which occurs both whe...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning your head. These episodes ...[Read More] Understanding Dizziness and Numbness: Neurological Insights
Dizziness While Chewing: Understanding the Neurological Causes
Dizziness while chewing? Hello doctor, recently when I eat and start chewing food, I experience a sensation of dizziness that feels like the world is spinning. This occurs only at the beginning of chewing and is not continuous. Could you please advise what might be the issue? Tha...
Dr. Jiang Junyi Reply:
Hello, you may want to consider issues related to the autonomic nervous system. Chewing stimulates the parasympathetic nervous system, which can slow down the heart rate and lead to decreased cerebral circulation. Generally, the autonomic nervous system is regulated by the sympat...[Read More] Dizziness While Chewing: Understanding the Neurological Causes
Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight
Could you please tell me if the following symptoms could possibly be caused by a brain tumor? Hello Doctor, I would like to ask for your advice. Since middle school, I have frequently experienced palpitations, dizziness, a sensation of my body vibrating, and a feeling similar t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system, specifically 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 "gas...[Read More] Could Your Symptoms Indicate a Brain Tumor? A Doctor's Insight
Understanding Nerve Issues: Why Are My Hands Numb?
Numbness in the hands? Hello: Since before the Lunar New Year, I have been experiencing a feeling of fullness and pressure in my ears, along with neck tightness. Sometimes I have dry mouth and fever, and I haven't been sleeping well at night. I visited an ENT specialist, but...
Dr. Jiang Junyi Reply:
Hello, you may want to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-rested, waking up frequently during ...[Read More] Understanding Nerve Issues: Why Are My Hands Numb?
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?