Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Understanding Body Numbness: When to See a Neurologist
The body may experience numbness? Hello Doctor: Recently, I have been experiencing occasional numbness in my body, with varying frequency. Sometimes it affects my hands, sometimes my feet, and at times my face, neck, and the area around my collarbone. Additionally, I feel that my...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, You mentioned feeling bodily numbness and experiencing faster-than-usual breathing, which may indicate hyperventilation leading to decreased carbon dioxide levels in the blood. This can result in an increase in blood pH, causing systemic reactions and symptoms. Com...[Read More] Understanding Body Numbness: When to See a Neurologist
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Sudden Dizziness and Weakness: Could It Be Epilepsy?
Dizziness and weakness in the limbs? Hello doctor, I suddenly felt dizzy and weak all over while walking, and I lost control of my body, almost losing consciousness. During this episode, I felt twitching at the junction of my neck and head (but there was no twitching in my limbs)...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are not indicative of epilepsy; they are suspected to be related to orthostatic hypotension. It is recommended to visit a neurology outpatient clinic.[Read More] Sudden Dizziness and Weakness: Could It Be Epilepsy?
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Dizziness and Leg Weakness: Understanding Neurological Symptoms
Dizziness, leg numbness, and tremors? Hello, doctor. Today, I felt like the floor was shaking while standing on one leg, which I didn't experience last night or before. The leg I was standing on also felt particularly shaky. Sometimes, I experience numbness and slight weakne...
Dr. Jiang Junyi Reply:
Dear Ms. Bei, You mentioned that "when standing on one leg, I always feel like the floor is shaking, but this was not the case last night or before, and the leg I stand on is particularly shaky. Sometimes my legs and feet feel numb and slightly weak, but it does not affect ...[Read More] Dizziness and Leg Weakness: Understanding Neurological Symptoms
Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Multiple Sclerosis / Autonomic Nervous System Dysregulation Hello, doctor. I have been feeling very anxious lately due to symptoms such as dizziness, palpitations, elevated body temperature, a sensation of something stuck in my throat, and difficulty breathing that appeared a few...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Understanding Facial and Limb Numbness: Possible Causes and Solutions
Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...
Dr. Jiang Junyi Reply:
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Why Do My Fingers Tingle After Intense Soccer Matches?
Numbness in the hands after intense exercise? Hello doctor, I usually play soccer regularly. Generally, I don't have any issues, but if I play more intensely on a given day (for example, during a match), my fingers on both hands start to feel numb after the activity and this...
Dr. Jiang Junyi Reply:
Dear Mr. George, You mentioned that "after a day of intense kicking (such as during a match), my fingers on both hands start to feel numb." I would like to know if your numbness has a band-like distribution. We need to rule out the possibility of cervical nerve compres...[Read More] Why Do My Fingers Tingle After Intense Soccer Matches?
Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi Reply:
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Unbalanced Dizziness: Exploring Treatment Options for Seniors
Dizziness characterized by unsteadiness while walking? Hello: My family member is 70 years old and had shingles in the left ear last April. After recovery, they have experienced issues with imbalance and dizziness while walking, but these symptoms do not occur when stationary. Th...
Dr. Hong Weibin Reply:
Hello: Currently, there are limited treatment options for dizziness. Besides pharmacological treatment, physical therapy such as balance training can be beneficial. Additionally, cognitive behavioral therapy, which is a form of psychological treatment, can also help.[Read More] Unbalanced Dizziness: Exploring Treatment Options for Seniors