Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding Occasional Earthquake Sensations: A Neurological Perspective
Occasional sensation of tremors? Hello Doctor, over the past year, I occasionally feel like there is an earthquake, but in reality, there is none. When I am sitting, the sensation is quite pronounced, sudden, and lasts for a short time, but it happens from time to time. Sometimes...
Dr. Peng Shiwei Reply:
Hello, some people experience dizziness that feels like an earthquake. It is advisable to observe whether it occurs more frequently during movement or rotation. If the symptoms are frequent, it is recommended to consult a neurologist. Thank you for your question.[Read More] Understanding Occasional Earthquake Sensations: A Neurological Perspective
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness? Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle. (Before the emergency room, I could...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge. Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal...[Read More] Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Persistent Dizziness: Causes and Anxiety Connections
Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...
Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Understanding Sudden Dizziness: Causes and Treatment Options
Dizziness and vertigo? Hello, doctor! I usually feel fine, but today I suddenly experienced dizziness. No matter if I'm standing or sitting, I feel like the world is spinning, and I can't seem to maintain my balance. Occasionally, I feel nauseous but can't vomit, a...
Dr. Peng Shiwei Reply:
Hello, based on your age and symptoms, it is likely that you are experiencing peripheral vertigo caused by inner ear imbalance. I recommend consulting an otolaryngologist. Thank you for your inquiry.[Read More] Understanding Sudden Dizziness: Causes and Treatment Options
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Dizziness in the right posterior part of the brain / similar to intoxication / inflammation? Hello, doctor. I apologize for the lengthy description of my condition; I hope you don't mind. Background: About ten days ago, I visited Qingjing Farm. After being exposed to some su...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the infection may have been caused by insect bites in the wild, and I was prescribed antibiotics along with anti-nausea and pain relief medications. After three days, I asked my family to check, and the redness and swelling at the back of my right ...[Read More] Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Vertigo Hello, doctor! After getting up in the middle of the night to use the restroom and giving my child a pacifier, I suddenly experienced vertigo and vomiting upon returning to bed, which led me to the emergency room. I did not have any cold symptoms. The vertigo only occurre...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chen: It is recommended to visit an otolaryngologist to check for any ear disorders that may be causing vestibular nerve dysfunction.[Read More] Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Dizziness issues? Hello, doctor. I have been experiencing dizziness, but it is not severe and does not affect my daily life. The symptoms usually occur suddenly, making me feel like I'm swaying, and they are particularly noticeable in crowded places. I have previously underg...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that you "suddenly feel a sense of swaying, often thinking it's an earthquake, or that the symptoms become particularly pronounced in crowded situations." There are many causes of dizziness. If your dizziness is related to your menstr...[Read More] Understanding Persistent Dizziness: When to Seek Treatment and Management Tips