Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Understanding Balance Issues: Possible Causes and Concerns
Imbalance while walking? Hello Doctor, about a month ago, I started experiencing symptoms of unsteadiness while walking, and sometimes I felt a sensation similar to being on a boat. Occasionally, I also felt dizzy. This lasted for about a week, and then I returned to normal. Howe...
Dr. Jiang Junyi Reply:
Hello Mr. Winnie: You mentioned that "there is a sensation similar to being on a boat, sometimes accompanied by dizziness, which lasted for about a week, and then returned to normal." This may warrant consideration of vestibular neuritis or symptoms related to eustachia...[Read More] Understanding Balance Issues: Possible Causes and Concerns
Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Numbness in the fingers accompanied by dizziness? In the past, I occasionally experienced numbness in my fingers and dizziness. Recently, due to the need to work while preparing for exams, my sleep time has been relatively insufficient, leading to an increased frequency of these ...
Dr. Jiang Junyi Reply:
Hello, Miss Minzhu: You mentioned experiencing "numbness in the fingers and dizziness." I would like to know the specific area of your finger numbness. If the numbness occurs around the lips and fingers, it may be indicative of symptoms caused by hyperventilation syndr...[Read More] Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Inability to move the entire body, eyelid twitching, and tinnitus? I'm sorry to hear that you're feeling this way. Earlier today, I felt a bit tired and decided to lie down for a rest. Just as I was getting up, I suddenly experienced tinnitus, followed by an inability t...
Dr. Jiang Junyi Reply:
Hello Mr. Tony, You mentioned experiencing "tinnitus, inability to move, eyelid twitching, and being unable to make sounds," which may suggest the possibility of "syncope." The primary cause could be vasodilation of the skin microvasculature in a hot outdoor ...[Read More] Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Weakness in the hands? Waking up in the morning with sudden body aches and dizziness, which later progressed to weakness in the right arm.
Dr. Jiang Junyi Reply:
Dear Miss Yu-Fang, I would like to know if you have any other neurological deficits besides the weakness in your right hand. If you are experiencing sudden weakness in your right side, it is advisable to first rule out cerebrovascular diseases. I am also curious if you have meta...[Read More] Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Numbness and Dizziness: Causes and Solutions
Various sensations of numbness and lightheadedness? Hello Doctor, recently I have been experiencing various sensations of numbness and slight dizziness after feeling a bit anxious, which can last up to half an hour before subsiding. Initially, I feel mentally alert but slightly d...
Dr. Cai Zongzhang Reply:
Hello, Chang-Feng! Most of these symptoms are caused by emotional stress, but it is essential to rule out neurological disorders. I recommend visiting a neurology clinic for an examination![Read More] Understanding Numbness and Dizziness: Causes and Solutions
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Dizziness, headache, and a sense of imbalance? Hello, doctor. Last month, one day, I suddenly started feeling dizzy (not the spinning type, but more like a sensation of an earthquake). Then, I felt unbalanced with any movement (for example, when leaning forward, it felt like ther...
Dr. Jiang Junyi Reply:
Dear Ms. Yoss, I believe you have already consulted a neurologist. If there are currently no neurological deficits, the likelihood of a brain tumor is low. The symptoms of a brain tumor typically depend on its location and size, and they usually worsen over time. Increased intra...[Read More] Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Symptoms such as brain movement and discomfort after a concussion lasting more than two months? Dear Dr. Jiang, In June, I was rear-ended by a large truck while driving, and I hit the back of my head inside the car. I did not lose consciousness or experience any bleeding at the ...
Dr. Jiang Junyi Reply:
Dear Miss Jia-Jia, Your symptoms are likely indicative of post-concussion syndrome. The symptoms following a concussion can be categorized into three main types: 1. Physical symptoms: headache, fatigue, photophobia, neck pain, nausea, decreased balance, dizziness, etc. 2. Emoti...[Read More] Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?