Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Inquiry Consultation Dear Dr. Tsai, My mother is 68 years old and has been experiencing blood pressure issues since last year. Initially, she would feel palpitations, with her blood pressure rising to 200/100 mmHg, accompanied by symptoms such as shortness of breath, instability...
Dr. Cai Zongzhang Reply:
Hello: Blood pressure measurements are the basis for hypertension treatment, so it is very important to measure blood pressure correctly. Blood pressure should be measured after a period of rest, and one should not become anxious about high blood pressure, as this can affect the ...[Read More] Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Dizziness, cervical spine issues? Hello, Doctor. I would like to ask about the cervical spine MRI. If no contrast agent was injected, to what extent can vascular issues be identified? I have been experiencing neck tightness and stiffness for the past three months (which is why th...
Dr. Peng Shiwei Reply:
Hello, your issue is related to the settings of the MRI machine used during the examination and its resolution, so I cannot provide you with a definitive answer. However, considering your age, neck stiffness is mostly not directly related to the cervical blood vessels, unless you...[Read More] Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
I have been experiencing dizziness upon waking up for the past ten days? Hello, doctor! For the past ten days, I've been experiencing dizziness upon waking up (sometimes it's immediate, and other times it occurs about an hour after having breakfast). I usually sleep aro...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like dizziness combined with a headache. If the symptoms persist, it is recommended that you visit a neurology outpatient clinic. Thank you.[Read More] Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness and a feeling of pressure in the head? Hello Dr. Peng, I would like to ask about the sensation of dizziness that feels like my head is very tight and my neck is also tense. Sometimes it gets worse, and I suddenly feel faint. It feels like my brain cannot relax. Is this ...
Dr. Peng Shiwei Reply:
Based on your current symptoms, I believe there is no immediate danger. However, if you are still concerned, you may return to your original physician for further evaluation. Thank you for your inquiry.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use
Migraine-associated vertigo Hello, Doctor. I am the person who asked question #195192. Thank you for your response. It seems that the symptoms you mentioned related to vestibular migraine did occur, and I sought medical attention in February of this year. The doctor prescribed Fl...
Dr. Jiang Junyi Reply:
Hello: Naoqing tablets belong to the class of calcium channel blockers. They are effective for both acute use and maintenance. They can be used for maintenance, and it is advisable to continue taking them for about two more weeks after symptoms have resolved. However, the symptom...[Read More] Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use
Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Involuntary twitching of the neck and face after exercise? Hello, doctor. My child is in sixth grade and has been practicing artistic roller skating for two and a half years. Recently, the difficulty level has increased, and they have been falling frequently and sweating profusel...
Dr. Wu Mukhan Reply:
Excessive exercise and prolonged training can lead to fatigue and muscle soreness, especially when there is insufficient rest and recovery time, which may result in more pronounced discomfort. Over-sweating can cause dehydration and electrolyte imbalances, potentially leading to ...[Read More] Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11?" Please come to the clinic at 6:00 PM to obtain a referral slip, and you can register for the appointment. We can arrange for a heart rate variability test, bu...[Read More] Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11th..." Please come to the clinic at 6:00 PM to obtain a supplementary appointment slip, and you will be able to register. We can arrange for a heart rate variabi...[Read More] Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Head issues In the past two to three weeks, I have noticed that my head doesn't feel the same as usual. Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation. When I focus on a task, I don't notice it, but after finishing,...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia. Maintaining an improper posture for extended periods can lead to overuse of the tra...[Read More] Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Cold Neck and Sweating: Understanding Possible Nerve Issues
Cold neck and sweating? Recently, after receiving a massage for back pain, I have been experiencing an inexplicable cold sensation in my neck during sleep or daily activities. I also feel pain in the 8th, 9th, 10th, 11th, and 12th vertebrae, and at times, I experience dizziness, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that the "cold sensation in the neck" may be related to nerve root compression at cervical levels 4-6? You also mentioned experiencing pain at thoracic vertebrae levels 8, 9, 10, 11, and 12. Are you referring to muscle pain adjacent to the t...[Read More] Cold Neck and Sweating: Understanding Possible Nerve Issues