Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Dizziness and Eye Twitching: Neurological Insights
Dizziness, frequent eyelid twitching, and inability to focus the eyes? Hello Doctor: Over the past month, I have been experiencing intermittent dizziness, and at times, I mistakenly think there is an earthquake. Additionally, my left lower eyelid has been twitching intermittently...
Dr. Jiang Junyi Reply:
Hello, based on your description of muscle twitching and pain under the eyelid, it may be necessary to consider the possibility of nerve instability. Eyelid movement is controlled by the facial nerve, and if the eyelid is continuously twitching, the physician will first carefully...[Read More] Understanding Dizziness and Eye Twitching: Neurological Insights
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Unexplained Dizziness, Fatigue, and Heat: Seeking Answers in Neurology
Headache, dizziness, head pressure, unexplained fever, irritability, fatigue? Since May 20, after finishing breakfast, I suddenly felt very dizzy, similar to heat exhaustion. My body felt unusually hot and restless, but I was also sweating cold. My colleagues thought I was suffer...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should first consider the possibility of an infection. If the infection is caused by a virus, it has been a week since 5/28, and your body should be mostly recovered by now. During the summer, due to increased fluid loss, it is important to stay well-hydrated...[Read More] Unexplained Dizziness, Fatigue, and Heat: Seeking Answers in Neurology
Understanding Persistent Headaches, Dizziness, and Breathing Issues
Headache, dizziness, chest tightness, shortness of breath, difficulty breathing? On Monday, after breakfast, I suddenly experienced unexplained dizziness, headaches, and an unknown fever that lasted all day. I thought it was heatstroke and drank some rehydration solution, which h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that drinking Jizhong Water has been effective, which contains ingredients such as chili pepper and rhubarb. These components may cause vasoconstriction and elevate blood pressure, potentially helping with blood pressure drops due to excessive sweating. I sug...[Read More] Understanding Persistent Headaches, Dizziness, and Breathing Issues
Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Wearing a VR headset can immediately cause severe dizziness. Could this be a sign of a serious illness? Hello Doctor: I have never played VR (virtual reality) games before, and during my first attempt, after putting on the VR headset, I started feeling dizzy (a spinning sensation...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider panic symptoms caused by past experiences. Additionally, dizziness should also be taken into account, characterized by episodes of vertigo lasting a few seconds, related to changes in head position, such as bending...[Read More] Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Understanding Dizziness: Tension in Head and Neck Muscles Explained
Dizziness with tightness in the muscles around the head and behind the ears? I have been experiencing sudden episodes of dizziness that last for a few seconds over the past few days, whether I am sitting or walking. It feels like my head goes numb, my mind goes blank, and I feel ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of tightness in the back of the neck is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder pain. Initially, restin...[Read More] Understanding Dizziness: Tension in Head and Neck Muscles Explained
Assessing Long-Term Effects of a Baseball Head Injury in Teens
Hit on the head by a falling baseball? I am 18 years old now, but about 6 to 8 years ago, when I was in elementary school, I was hit on the head (slightly towards the back right side) by a hard baseball that was thrown high into the air while playing on the playground. At that mo...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there was no loss of consciousness at the time of the head injury, no use of anticoagulants, or significant local hematoma, the head injury is mostly minor. Common symptoms of brain injury from head trauma typically occur w...[Read More] Assessing Long-Term Effects of a Baseball Head Injury in Teens
Understanding Scalp Sensations and Discomfort During Naps in Young Adults
During napping, I often experience scalp irritation, and sometimes I feel discomfort between my eyebrows? Hello, doctor. I am a 22-year-old university student currently taking mirtazapine 30mg for anxiety, and I am in my second month of treatment. Although I have experienced simi...
Dr. Jiang Junyi Reply:
Hello: The medication you mentioned, mirtazapine 30mg, is classified as an antidepressant that enhances the neurotransmission of norepinephrine and serotonin in the central nervous system. Such medications typically require 2-4 weeks to achieve stable therapeutic effects. Common ...[Read More] Understanding Scalp Sensations and Discomfort During Naps in Young Adults
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Consult a physician? Hello Doctor: Two weeks ago, when I tried to get up and turn over to sit up, I noticed that the scenery in front of me was spinning. I felt dizzy to the point where I couldn't maintain my balance (at the moment of turning over). That day, I was so dizzy ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that over the past two weeks, you have experienced dizziness frequently when turning your head, bending over, looking down and then up, or getting up from a lying position for a few seconds (especially noticeable when turning to the left, though not every tim...[Read More] Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
What is wrong with me? Doctor, I have a tendency to be easily anxious and can be startled by minor things. I have a history of epilepsy, and often after sudden events (like being startled by a loud noise), I experience shallow and rapid breathing, increased heart rate, and cold s...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of "hyperventilation." Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, a condition known medically as "respiratory alkalosi...[Read More] Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
Understanding Fluctuating Blood Pressure and Dizziness in Older Adults
Inquire about the reason? Hello, doctor. I would like to ask about my mother, who is 63 years old. She has been experiencing long-term dizziness, and when she stands for too long, she also feels dizzy and needs to lie down to feel some relief. Additionally, when she consumes salt...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic nervous system dysfunction, and inner ear imbalance. Your symptoms appear after standing for a while, so it is essential to first rule out symptoms caused by l...[Read More] Understanding Fluctuating Blood Pressure and Dizziness in Older Adults
Understanding Migraine Triggers: Posture, Medication, and Symptoms
Migraine specific postures Hello Doctor, around January 5th, I took Ritalin for the first time because I had an exam. I had previously taken Adderall but hadn't taken it for over a year. Shortly after taking Ritalin, I experienced palpitations for about 10 minutes, and then ...
Dr. Jiang Junyi Reply:
Hello, Ritalin is a mild to moderate central nervous system stimulant. Its mechanism of action in the human body is not fully understood, but the stimulating effect is believed to occur through the inhibition of dopamine reuptake in the striatum without inducing dopamine release,...[Read More] Understanding Migraine Triggers: Posture, Medication, and Symptoms
Head Injury Symptoms: Dizziness and Headache After a Hit
Head trauma, dizziness, and headache? Two days ago (January 6th), I accidentally got hit on the head while playing with my classmates, specifically on the upper left side and the top of my head. At that moment, I was fully conscious and did not feel any significant pain in the ar...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should seek emergency care: (1) Deterioration...[Read More] Head Injury Symptoms: Dizziness and Headache After a Hit
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Persistent Dizziness: Causes and Treatment Options
Dizziness for a long time? Hello Doctor: I started experiencing sudden dizziness (the sensation of the surroundings spinning) in June of last year (2017). After visiting an otolaryngologist and taking medication for a week, I felt better. However, three weeks later, I experienced...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the effectiveness of taking Cinnarizine may need to consider the issue of unstable microcirculation in the brain. Cinnarizine is a highly effective vasodilator that can directly promote cerebral circulation, ensuring that brain tissue receives adequate o...[Read More] Understanding Persistent Dizziness: Causes and Treatment Options
Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Head issues Hello, I have a sensation of pressure near the back of my head close to my neck. I do not experience dizziness or headaches, and this symptom has persisted for over a year. It feels very much like muscle tension, as if my neck lacks the strength to support my head. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of pain in the posterior neck is cervical myofascial pain. This issue is primarily characterized by degeneration of the cervical spine on CT scans, while brain imaging is mostly normal. Prolonged periods of looking down can ...[Read More] Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness