Understanding Morning Numbness: Causes and Solutions for Facial and Hand Tingling
Numbness in the face and hands? I usually don't eat anything in the morning, so I get hungry until noon. However, today during class, after sitting for an hour or two, I started to feel my mouth getting numb and a bit dizzy. Eventually, my mouth, nose, and eyes all felt numb...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation. This condition leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, medically referred to as "respiratory alkalosis." This can trigger systemic reactions and symptoms, with common man...[Read More] Understanding Morning Numbness: Causes and Solutions for Facial and Hand Tingling
Understanding Unexplained Dizziness: Causes and Solutions
Unexplained dizziness? Hello Doctor, I have been experiencing a pulsating sensation in the back of my head and a feeling of instability for five years. It feels like I am walking on cotton. I have undergone numerous tests and only found a small bone spur in my neck that does not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms may include pain at the affected site, discomfort, muscle stiffnes...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
I would like to know what causes these symptoms? Tonight, I suddenly feel very dizzy and have a heavy sensation in my head, but I don't have any cold symptoms (no cough, no sore throat, etc.). Along with the dizziness, I also suddenly feel very cold, my scalp is tingling, an...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers may include...[Read More] Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Head heaviness and lightness in the feet, resulting in imbalance? Hello Doctor: Two nights ago, I stayed up late on Saturday night. I felt fine during the day on Sunday, but on Sunday night, before going to bed (after another late night), I experienced a sensation of heaviness in...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for the imbalance you are experiencing. First, it is important to consider the possibility of insufficient sleep. If the timing of your symptoms correlates with your menstrual cycle, the likelihood of vascular dizz...[Read More] Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Recently experiencing frequent dizziness, fatigue, chest tightness, and difficulty swallowing? Hello, doctor. I would like to inform you that I have mitral valve prolapse with mild regurgitation. For the past six months, I have been experiencing chest tightness and pressure near ...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms described above, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Tinnitus + dizziness Hello Doctor, Since last Thursday, I have been experiencing tinnitus and dizziness, and it has been over a week now. The tinnitus sounds like a whooshing noise that is synchronized with my heartbeat, and I can only hear it in quiet environments. The dizzine...
Dr. Jiang Junyi Reply:
Hello: You mentioned that 1. The tinnitus you experience is pulsatile, synchronized with your heartbeat, which seems quite serious. However, during the consultation, the doctor said that if it were pulsatile tinnitus, it wouldn't be masked by background noise (I couldn'...[Read More] Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns
Understanding Headaches and Mood Changes: When to Seek Neurology Help
Headache and mood swings? Hello, doctor. Previously, I had a vague pain in the right occipital region, but I thought it was a migraine and didn't pay much attention. However, I recently noticed that this situation has become increasingly severe. I didn't notice when the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be a migraine. Migraine is a type of vascular headache caused by neurological factors, and it typically does not present with localized pain points. The more common cause of right-sided neck pain is cervical myofascial pai...[Read More] Understanding Headaches and Mood Changes: When to Seek Neurology Help
Understanding Post-Concussion Symptoms: When to See a Neurologist
Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist
Understanding the Effects of Occipital Impact: What to Expect After a Fall
Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Dizziness, bilateral temple pain, and blurred vision? Hello Dr. Tsai, my mother has been experiencing dizziness for over two years, with more severe episodes occurring around November to December and January to February each year. Recently, in the past two months, she has also be...
Dr. Cai Zongzhang Reply:
Hello: Based on the described symptoms, cerebrovascular circulation disorders are a possible cause. The use of the aforementioned medications is appropriate; however, if drowsiness occurs, it is advisable to reduce the dosage. It is recommended to consult a neurologist.[Read More] Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...
Dr. Cai Zongzhang Reply:
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Yesterday, while sitting down, I hit the back of my head against a wooden podium. Occasionally, I experience pain in my left ear, which has become more frequent today. Additionally, I now have pain in my right ear and a feeling of drowsiness.
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and the patient should seek emergency care: (1...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...
Dr. Cai Zongzhang Reply:
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal