Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
The right occipital region was struck? 1. How long after a head injury can the possibility of delayed bleeding be ruled out? 2. The area of impact is slightly pink but disappeared after applying ice; there is some pain, but it is not significant (the pain is mainly in the right...
Dr. Jiang Junyi Reply:
Hello: If you are concerned, it is advisable to consult a neurologist to discuss examinations. 2. The area that was hit is slightly pink, but it disappeared after applying ice. There is some pain, but it is not significant (the pain is mainly in the right posterior part of the he...[Read More] Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Hello, doctor. I'm not sure which specialty to see? Hello, doctor. On the night of September 25th, I suddenly felt numbness starting from my shoulder to my head, felt cold all over, and had a near-death sensation. I went to the emergency room, but after no treatment, I felt ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "hyperventilation." During this condition, the level of carbon dioxide in the blood decreases, leading to an increase in pH, a medical condition known as "respiratory alkalosis." This can trigger systemic reactions and symptoms...[Read More] Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Understanding Leg Numbness During Exercise: Causes and Solutions
Numbness in the legs during exercise? Hello, doctor. I exercise 3-4 days a week, and I am 183 cm tall and weigh 110 kg. I primarily do aerobic exercises on the elliptical machine, and I used to be able to work out for over 50 minutes without any issues. However, in the past two d...
Dr. Jiang Junyi Reply:
Hello: Your symptoms of paresthesia may need to first consider "hyperventilation syndrome." When it occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, which triggers systemic reactions and symptoms. Commonly observed sy...[Read More] Understanding Leg Numbness During Exercise: Causes and Solutions
Experiencing Dizziness While Standing: When to See a Doctor?
Dizziness when standing? I have been experiencing sudden dizziness while standing for work for the past two days. Although I haven't fainted, this situation has occurred quite frequently over the past three years. I would like to know if I need to see a doctor, and if so, wh...
Dr. Hong Weibin Reply:
Hello: You can seek assistance from a neurologist or an otolaryngologist. Thank you.[Read More] Experiencing Dizziness While Standing: When to See a Doctor?
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin Reply:
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Head Injury from Medical Infrared Device: Recovery Tips and Risks
Hit on the top of the head? Hello Doctor: Yesterday, I was hit on the top of my head by a medical-grade low-temperature far-infrared device. When I went from sitting to standing, my head hit the device. At the moment, I only felt some pain, but today it still hurts. I do not have...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding and a visit to the emergency ...[Read More] Head Injury from Medical Infrared Device: Recovery Tips and Risks
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Sympathetic Nervous System Overactivity and Its Effects
Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...
Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
I'm not sure if I need to seek medical attention? I have always felt that my face is asymmetrical; the right side feels looser and weaker, the corners of my mouth droop, and my right eye appears larger and is more prone to dryness (which has led me to habitually blink harder...
Dr. Jiang Junyi Reply:
Hello, based on your description, the issue of facial asymmetry can be evaluated through facial nerve electrophysiological tests to help clarify whether there is any facial nerve damage. Regarding the dizziness and the sensation of vibrations you mentioned, it may be worth consid...[Read More] Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Chronic Dizziness: Causes and Solutions for Relief
Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief
Persistent Dizziness for Two Months: Seeking Answers and Solutions
Dizziness for the past two months? Hello, I noticed dizziness when I woke up on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, occurring whether I was standing, sitting, or lying down. My balanc...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology clinic for an examination.[Read More] Persistent Dizziness for Two Months: Seeking Answers and Solutions
Understanding Swallowing Difficulties: A Neurological Perspective
Dysphagia Hello, doctor. I have mitral valve prolapse and have been experiencing palpitations for the past six months (it became particularly uncomfortable on August 7, which led to an echocardiogram diagnosis). Recently, I have been having some difficulty swallowing while eating...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a detailed examination.[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Fell down a three-step staircase, bleeding below the right temple? Hello Doctor, I am currently working in Vietnam. Two days ago, after having dinner and drinking with colleagues, I lost my footing while going down the stairs and fell. I have a 4 cm laceration above my right temp...
Dr. Hong Weibin Reply:
Hello: In the days and months following a recent impact, you may experience dizziness and nausea, which could be caused by a mild concussion. It is advisable to follow up at a neurology clinic for further evaluation. Additionally, please make sure to rest adequately and limit the...[Read More] Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Understanding Persistent Postural-Perceptual Dizziness in Older Adults
Doctor, I apologize, but I am here today to ask questions on behalf of my mother? My mother is in her 50s, and this morning she woke up feeling like everything around her is shaking, similar to an earthquake. For the past few months, she has been experiencing dizziness, and any m...
Dr. Hong Weibin Reply:
Hello: If the symptoms have not improved, you can go directly to the emergency department for initial treatment and evaluation. Wishing your family member a speedy recovery.[Read More] Understanding Persistent Postural-Perceptual Dizziness in Older Adults
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Dizziness, nausea, and weakness or numbness in the limbs? Hello, I started experiencing dizziness upon waking up on June 9th, initially thinking it was due to getting up too quickly. However, the dizziness persisted throughout the day, occurring whether I was standing, sitting, o...
Dr. Jiang Junyi Reply:
Hello, based on your description, I'm not sure if you have issues with sleep apnea. Some symptoms may suggest autonomic nervous system dysfunction. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as the accelerator, ...[Read More] Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues