Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
How to seek further medical consultation? Hello, doctor. I'm sorry to bother you again. After my examination, I was diagnosed with mild sleep apnea (partly central). I have started using a ventilator, but I only feel a reduction in dizziness in the mornings upon waking. Abou...
Dr. Gao Chunde Reply:
Since half of the cases are central in nature, and the use of a ventilator only improves some symptoms, it may be time to consider a consultation with a neurologist. As for the examinations, we should not pre-determine what tests to conduct; rather, we should respect the professi...[Read More] Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
Understanding Dizziness vs. Fatigue: A Neurology Perspective
Dizziness or fatigue? Hello, doctor... I would like to inquire about my personal experience with poor sleep quality due to respiratory pauses, which leads to fatigue, excessive daytime sleepiness, and a lack of energy. Sometimes I also feel slightly dizzy and experience visual di...
Dr. Gao Chunde Reply:
Sleep apnea can significantly affect sleep quality, leading to symptoms such as daytime drowsiness, difficulty concentrating, and even memory impairment, as you described. The fundamental solution is not medication, but rather addressing the underlying issue of sleep apnea. Depen...[Read More] Understanding Dizziness vs. Fatigue: A Neurology Perspective
Buzzing Sounds in the Back of the Head: What Could It Mean?
A buzzing sound is coming from the back of the head? Hello doctor, I recently noticed that my occipital area occasionally produces a sound similar to a buzzing or crackling, like the sound of electricity passing through. I hear this about 4 to 5 times a day. There is no pain or d...
Dr. Gao Chunde Reply:
I'm not quite sure what the issue is; it could be the static electricity in my hair due to the cold weather, or it might be the temporary contraction and movement of the muscles under the scalp causing the sound of hair friction. If the greater occipital nerve or lesser occi...[Read More] Buzzing Sounds in the Back of the Head: What Could It Mean?
Dizziness and Nausea When Turning in Bed: What to Do?
Dizziness and nausea when turning over? In the past, I was diagnosed with anemia, so I pay close attention to my daily diet. However, recently, when I turn from lying on my left side to my right side while sleeping, I experience severe dizziness (the surroundings appear to be spi...
Dr. Gao Chunde Reply:
This is a type of positional vertigo, and you can consult an otolaryngologist or a neurologist. If there is a detection of otolith dislodgment, it can also be repositioned during the examination.[Read More] Dizziness and Nausea When Turning in Bed: What to Do?
Understanding Dizziness When Tilting Head Back: Causes and Concerns
Dizziness occurs when the head is tilted backward? Hello, doctor. Every time I lie down to sleep, I experience a wave of dizziness (very severe), and it gets better when I adjust my position. I also feel dizzy when I squat and then stand up. Could this be anemia? A previous docto...
Dr. Lan Shengxing Reply:
Dear Xiao Hong, your dizziness is likely due to BPPV, or Benign Paroxysmal Positional Vertigo. This condition is related to changes in your body position, so it's important to avoid situations that may trigger it. Please visit a nearby neurology department for a brainstem au...[Read More] Understanding Dizziness When Tilting Head Back: Causes and Concerns
Understanding Chronic Fatigue and Allergies: A Neurological Perspective
There is a tendency towards anxiety? I have been experiencing long-term issues since high school, which are now significantly affecting my work. 1. I have allergic rhinitis, but I exercise regularly (walking and light jogging, not too intense, as I feel too tired after work). I...
Dr. Lan Shengxing Reply:
Dear Mr. S, From the perspective of sleep medicine, the most likely condition you should address is obstructive sleep apnea (OSA) caused by nasal airway narrowing. This condition often leads to daytime concentration difficulties, which can contribute to feelings of depression. G...[Read More] Understanding Chronic Fatigue and Allergies: A Neurological Perspective
Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Dizziness, blurred vision, a feeling of pressure and heat in the temples, and nausea? Recently, my father-in-law has been experiencing dizziness, vision changes (seeing white), a sensation of heat in his temples, and nausea. He has several chronic conditions, including heart dise...
Dr. Lan Shengxing Reply:
Hello, if your eyes are turning white and it resembles the symptoms of rolling back, it may be related to dizziness. However, there are many potential causes for similar symptoms, making it difficult to explain each one. It would be more appropriate for you to take your father-in...[Read More] Understanding Dizziness and Nausea: Neurological Concerns in Chronic Illness
Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Dizziness accompanied by the sensation of blood flow? I have been experiencing headaches for six months, with a sensation of nerve pulsation. I can also feel the blood flowing. I hear a sound like water flowing in my ears, and sometimes when I turn my head, I hear a noise like sa...
Dr. Gao Chunde Reply:
Pulsating headaches, which can be accompanied by severe nausea, may indicate migraines or other types of headaches. It can be challenging to determine the exact symptoms when blood flow in the head is affected. Facial and bodily numbness is generally associated with discomfort fr...[Read More] Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Facial nerve issues Hello, Dr. Gao. Earlier this year, I experienced facial nerve paralysis on the right side of my face due to an unknown viral infection. After medication and rehabilitation, I have mostly recovered. However, last month I noticed that when I blink my right eye, ...
Dr. Gao Chunde Reply:
This is a complication following facial nerve paralysis, where the muscles of the ossicles in the middle ear, innervated by the facial nerve, become paralyzed and weak. This leads to a diminished ability to adjust to external sounds. Whenever there is loud external noise or when ...[Read More] Understanding Facial Nerve Issues: Symptoms and Recovery Insights
Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Harmony Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Could ...
Dr. Huang Yongquan Reply:
Hello: In response to your question, I cannot provide a further explanation of the test results without seeing your complete report. The aspirin you are taking is indeed the first-line medication for stroke prevention. Your blood pressure is also well controlled. Unless there are...[Read More] Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Understanding Frequent Dizziness: Causes, Symptoms, and Solutions
Frequent episodes of dizziness? I have been experiencing dizziness for about one to two months, often suddenly feeling chest tightness, dizziness, and nausea. There have been several instances at work where I felt so dizzy that I thought there was an earthquake or that someone ha...
Dr. Gao Chunde Reply:
There is a component related to emotional and stress phenomena, but there is also an aspect that resembles dysfunction of the inner ear. It is recommended to first consult an otolaryngologist to rule out any ear, nose, and throat issues, and then to thoroughly assess the emotiona...[Read More] Understanding Frequent Dizziness: Causes, Symptoms, and Solutions
Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective
Long-term palpitations and dizziness? Hello Doctor: After I graduated from junior high school and went on a trip where I rode roller coasters, I started experiencing dizziness. At that time, I often felt sensations similar to riding roller coasters and pirate ships, along with di...
Dr. Gao Chunde Reply:
In principle, there shouldn't be any major issues. It may be worth considering a consultation with a psychiatrist, as understanding the underlying cause could potentially improve the symptoms.[Read More] Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective
Post-Workout Dizziness and Stiffness: Understanding Neurological Concerns
Dizziness and stiffness in the limbs after exercise? Hello Dr. Huang, I hope you don't mind me asking you a question. My wife (44 years old) has been exercising at the gym for about 7 to 8 days. The day before yesterday, she went for a light jog at the gym (she had gone to...
Dr. Huang Yongquan Reply:
Hello: In response to your question, it is important to know if there were any pre-existing medical conditions. Ideally, it would be best to seek immediate medical attention at the time of the fainting to check for conditions such as hypoglycemia or dehydration. It can be challen...[Read More] Post-Workout Dizziness and Stiffness: Understanding Neurological Concerns
Exploring Ginkgo Biloba for Vertebral Artery Syndrome: Risks and Interactions
The use of ginkgo preparations? My father has been experiencing long-term dizziness. After undergoing a vascular ultrasound, he was diagnosed with Vertebral Artery Syndrome. However, due to the length of the blockage, surgery is not recommended, and he is only on medication for m...
Dr. Liu Yanliang Reply:
Currently, there is insufficient evidence to support the effectiveness of ginkgo biloba in the prevention of stroke. Additionally, the medications your father is taking, Acetylsalicylic Acid and Dipyridamole, are already classified as cardiovascular drugs. It appears that your at...[Read More] Exploring Ginkgo Biloba for Vertebral Artery Syndrome: Risks and Interactions
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...
Dr. Gao Chunde Reply:
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...
Dr. Gao Chunde Reply:
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Understanding Eye Twitching, Dizziness, and Treatment Options
Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual? I have been experiencing eyelid twitching for a week, accompanied by slight dizziness. There is a feeling of pressure in the b...
Dr. Gao Chunde Reply:
Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain. Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks. The first two medica...[Read More] Understanding Eye Twitching, Dizziness, and Treatment Options
Understanding Dizziness: Causes and When to See a Doctor
Dizziness. Please consult a physician? Doctor, I have been feeling dizzy for the past few days, as if everything is spinning. I am having trouble concentrating. What illness could I have? Previously, I would feel dizzy after sitting for too long, but now I feel dizzy even while s...
Dr. Lan Shengxing Reply:
The symptoms described by the dear patient resemble Meniere's disease, and it is advisable to consult a neurologist or an otolaryngologist.[Read More] Understanding Dizziness: Causes and When to See a Doctor
Understanding Dizziness and Numbness After Concussion Recovery
Dizziness and numbness? Hello, doctor. Over two months ago, I had a concussion due to a car accident, but I have since recovered (I underwent an MRI and there were no abnormalities). I no longer experience dizziness, and my neck is also normal. Recently, I caught a cold and have ...
Dr. Gao Chunde Reply:
If there is a change in ear pressure causing dizziness and even hearing issues after a concussion from a car accident, it may be due to a perilymph fistula in the inner ear, although this is rare and the symptoms tend to last longer. However, it would not be accompanied by numbne...[Read More] Understanding Dizziness and Numbness After Concussion Recovery
Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know
Cerebral atrophy inquiry? Hello, Doctor. I have been experiencing dizziness due to a concussion, but I have gradually returned to normal after about six weeks. An MRI examination was also normal (no bleeding). I found some research reports online indicating that concussions may l...
Dr. Gao Chunde Reply:
Concussions can increase the likelihood of developing dementia in the future, particularly in cases of repetitive head impacts, such as those experienced by boxers who are frequently struck in the head. The probability of a single impact leading to this outcome is extremely low. ...[Read More] Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know