Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Persistent Dizziness: Understanding Causes and Seeking Solutions
Persistent dizziness, extremely distressing? Hello, I started experiencing dizziness on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, regardless of whether I was standing, sitting, or lying dow...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness. I'm not sure which antihypertensive medication you are taking, but it may help alleviate your discomfort. If it is a beta-blocker, you might need to consider issues related to autonomic nervous ...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Understanding Dizziness: Exploring Causes and Seeking Solutions
Dizziness and discomfort? Hello, Dr. Jiang! I consider myself health-conscious and have a habit of exercising daily. Recently, due to bone pain, I underwent X-ray and MRI examinations (with contrast agent). The results indicated that there was no joint degeneration; however, the ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be caused by insufficient rest, leading to sympathetic nervous system activation, which in turn affects blood pressure and causes muscle tension. According to current medical trends, rehabilitation combined with regenerative therapy can address some joint...[Read More] Understanding Dizziness: Exploring Causes and Seeking Solutions
Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Sudden dizziness? Hello Doctor, I would like to ask about something. Since my job involves sitting at a desk, there have been a few instances while at work where I suddenly experience a brief moment of blankness in my vision and dizziness, lasting about one to two seconds, but ...
Dr. Cai Zongzhang Reply:
Hello, please be reminded that adequate rest is necessary and important. If your condition improves, it is recommended that you visit a neurology clinic for further evaluation to determine the possibility of vertigo.[Read More] Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Sleep paralysis and vertigo? Hello Doctor, sometimes when I wake up in the middle of the night, I find myself unable to move or even breathe. When I finally manage to get up, I experience intense dizziness and tinnitus. Recently, during my afternoon naps, I've started to fee...
Dr. Hong Weibin Reply:
Hello: If you are unable to move while sleeping at night, it may be a condition known as sleep paralysis. If you experience excessive daytime sleepiness, be cautious as it could be narcolepsy. It is advisable to seek assistance from a neurologist or a sleep specialist.[Read More] Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Numbness and Tension: When to Seek Medical Advice
Numbness issues? Hello Doctor, I have been experiencing tightness in my scalp recently, occasionally accompanied by tingling sensations. This has been going on for a while. I also feel discomfort on the left side of my neck, near the sternocleidomastoid muscle, which is sometimes...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, such as "discomfort on the left side of the neck near the sternocleidomastoid muscle occasionally accompanied by slight headaches," are more indicative of cervicogenic headache or tension-type headache. However, the "numbness in t...[Read More] Understanding Numbness and Tension: When to Seek Medical Advice
Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Headache, dizziness, nausea, forgetfulness? Hello, doctor. About two weeks ago, I started experiencing severe headaches around 2 PM every day, accompanied by dizziness and nausea. After taking painkillers, the pain subsides for just over an hour before the dizziness, headache, an...
Dr. Jiang Junyi Reply:
Hello: Although your symptoms are more indicative of tension-type headaches, they have been progressively worsening over the past two months. Additionally, there are signs of cognitive function impairment. It is strongly recommended that you seek medical evaluation to rule out an...[Read More] Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
The mother had a minor stroke a year ago and has recently been experiencing frequent dizziness and vomiting? Hello Doctor, my mother had a mild stroke a year ago, and her stroke-related symptoms have improved. Her blood pressure and blood sugar levels are being managed with medic...
Dr. Hong Weibin Reply:
Hello: Indeed, dizziness caused by peripheral systems is more challenging to treat, and medication can only be used to manage the condition. It is recommended that you discuss with your physician to choose medications with fewer side effects and take them regularly to reduce the ...[Read More] Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?
Chronic dizziness, currently experiencing slight improvement with anxiety medication? Hello Doctor, I have undergone a brain MRI which confirmed that there are no abnormalities. However, the ENT specialist mentioned that my dizziness is due to inner ear imbalance, and my left ear...
Dr. Jiang Junyi Reply:
Hello: The medication that is more likely to cause side effects is Venlafaxine: dry mouth, nausea, insomnia, sedation, agitation, and decreased appetite. The following two medications have fewer side effects. Clonazepam has side effects of sedation and drowsiness. Nilasen's ...[Read More] Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Occipital Pain and Nosebleeds After Sneezing
Occipital headache? Recently, every time I sneeze, I experience a nosebleed accompanied by pain in the back of my head, affecting both sides. The pain lasts about 5 to 10 minutes each time. However, I do not have symptoms like dizziness or nausea; it is just the pain in the back ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sinusitis or lesions in the nasopharynx. The locations of the sinuses are as follows: Maxillary sinus: This is the largest sinus, located on the lateral side of the nasal cavity, beneath the eyeball. Ethmoid sinus: Located between the two eye s...[Read More] Understanding Occipital Pain and Nosebleeds After Sneezing
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions