Post-Drinking Dizziness: Understanding Alcohol's Effects on the Brain
Dizziness a few days after drinking alcohol? Hello, doctor: A few days ago, I consumed an excessive amount of sorghum liquor, and the next day I only experienced dizziness and slight nausea. On the second and third days, my condition improved, but I still felt a sense of dizzines...
Dr. Cai Zongzhang Reply:
Hello Lily: It is advisable to consume alcohol in moderation, as long-term excessive alcohol intake can lead to brain atrophy.[Read More] Post-Drinking Dizziness: Understanding Alcohol's Effects on the Brain
Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Autonomic nervous system dysfunction I would like to ask. I have stomach pain (I have undergone an endoscopy and have a gastric ulcer), chest tightness, difficulty breathing, and recently I've been experiencing dizziness, tingling sensations, and stiffness in my shoulders an...
Dr. Cai Zongzhang Reply:
Hello Ms. Chang: It is recommended to visit the neurology outpatient clinic for an examination to confirm the cause of your condition.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Understanding Dizziness: When to Seek Neurological Evaluation
I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...
Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.[Read More] Understanding Dizziness: When to Seek Neurological Evaluation
Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...
Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Understanding Dizziness After Jarring Movements: Possible Causes
Experiencing dizziness after a head injury? Hello doctor, recently whenever I ride a bike or take a vehicle over bumps that cause vibrations, I feel dizzy for about a second. Sometimes I also experience this dizziness when walking if I encounter vibrations. What could be the issu...
Dr. Hong Weibin Reply:
Hello: The balance system in humans is primarily managed by the vestibular system and semicircular canals located in both inner ears. Dizziness during vibrations often originates from the vestibular system. Generally speaking, staying well-hydrated and getting a good night's...[Read More] Understanding Dizziness After Jarring Movements: Possible Causes
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Persistent Dizziness and Heaviness After Vaccination
Feeling of heaviness in the head accompanied by a sensation of dizziness and swaying of the body? Hello, doctor. I am 41 years old. In February 2021, I slipped and fell in the bathroom, hitting the back of my head, which swelled up. At the time, I didn't have any issues and ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "about three days after receiving the BNT vaccine, I felt a heaviness in my head, and occasionally I feel dizzy, as if I'm swaying." The issue of dizziness may also be related to factors such as poor inner ear circulation, inadequ...[Read More] Understanding Persistent Dizziness and Heaviness After Vaccination
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin Reply:
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Sudden headache with numbness, curling, and weakness in the limbs? I experienced a sharp pain at the top of my head that made me vomit, followed by numbness in my limbs (including my abdomen) that progressively worsened. My hands felt cold and curled up, and I had a sensation of ...
Dr. Jiang Junyi Reply:
Dear Miss Long, The symptoms you mentioned may need to be considered in two parts. The first symptom, "sharp pain at the top of the head leading to vomiting," should raise concerns about headache related to cerebrovascular diseases, such as thunderclap headache. This t...[Read More] Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi Reply:
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I previously visited a neurologist due to mild tingling sensations in my limbs and underwent nerve conduction studies for my upper and lower extremities (but did not have an electromyography). The doctor said the results were very normal. Recently, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing a "slight tingling sensation in your limbs," which may suggest symptoms of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition know...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Neuromuscular Disease Testing: Insights and Next Steps
"Neuromuscular Disease Examination" Hello Dr. Jiang, thank you for your response. I am currently in Kaohsiung. I first visited Kaohsiung Medical University for an emergency consultation around March of last year due to unexplained dizziness. At that time, the resident p...
Dr. Jiang Junyi Reply:
Hello, sir: Generally, when abnormalities are observed in electromyography (EMG), an MRI is performed to locate the tissue for a planned biopsy of the muscle. This is because it is not easy to locate the tissue once the surgery begins. It is recommended to follow up with Dr. Chen...[Read More] Understanding Neuromuscular Disease Testing: Insights and Next Steps