Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Dizziness, bilateral temple pain, and blurred vision? Hello Dr. Tsai, my mother has been experiencing dizziness for over two years, with more severe episodes occurring around November to December and January to February each year. Recently, in the past two months, she has also be...
Dr. Cai Zongzhang Reply:
Hello: Based on the described symptoms, cerebrovascular circulation disorders are a possible cause. The use of the aforementioned medications is appropriate; however, if drowsiness occurs, it is advisable to reduce the dosage. It is recommended to consult a neurologist.[Read More] Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Yesterday, while sitting down, I hit the back of my head against a wooden podium. Occasionally, I experience pain in my left ear, which has become more frequent today. Additionally, I now have pain in my right ear and a feeling of drowsiness.
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and the patient should seek emergency care: (1...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Managing Dizziness and Drowsiness After a Stroke: Key Insights
Dizziness and drowsiness after a stroke? Hello Doctor: In July, I experienced paralysis and numbness on my left side. After being taken to the hospital, I was diagnosed with acute cerebral embolism located in a small vessel near the right brainstem. I received intravenous thrombo...
Dr. Hong Weibin Reply:
Hello: After a stroke occurs, even with the administration of thrombolytics, the blockage of blood vessels in the brain usually causes some degree of neurological damage, leading to certain sequelae. You may want to discuss this with your attending physician and evaluate whether ...[Read More] Managing Dizziness and Drowsiness After a Stroke: Key Insights
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin Reply:
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
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 Breathing Issues: Sleep Apnea and Its Impact on Your Health
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may lead to daytime lack of concentration and frequent drowsiness. However, sleep apnea can be classified into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue...[Read More] Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may cause daytime concentration issues and frequent drowsiness. However, sleep apnea can be categorized into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue n...[Read More] Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
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
Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Muscle twitching and weakness? Hello, Doctor: I would like to ask about frequently feeling muscle twitching throughout my body, without a specific location, usually just a few twitches. I also experience headaches and dizziness, along with a general sense of fatigue and weakness....
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are concerned about autonomic nervous system issues, you can undergo autonomic nervous system testing to check for any abnormalities in your heart rate variability. The symptoms you described may also warrant consideration of obstructive s...[Read More] Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Symptoms of epilepsy? Doctor, during my previous visit, the doctor mentioned that my condition was stable, so they did not increase my medication dosage. However, I also told the doctor that I have experienced dizziness and drowsiness once or twice recently. If I continue to feel...
Dr. Cai Zongzhang Reply:
Hello, you may be aware that dizziness is one of the symptoms of epilepsy. Recurrent dizziness can be distressing, especially when it occurs frequently or when effective treatment is not achieved. Medication is one solution, but it should be adjusted appropriately by a physician ...[Read More] Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Understanding Persistent Head Pressure: Could It Be Anxiety?
Could you please clarify what you mean by "head heaviness"? After experiencing a sudden episode of dizziness (the spinning type), I have frequently felt heavy-headed (almost every time I wake up) and have a sensation of pressure in my head (almost every time I wake up) ...
Dr. Jiang Junyi Reply:
Hello: I am not sure if you are taking any anti-anxiety medications. Your symptoms may need to consider the side effects of the medication. If you experience daytime inattention and frequent drowsiness, it may be worth considering a sleep disorder, with obstructive sleep apnea be...[Read More] Understanding Persistent Head Pressure: Could It Be Anxiety?
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness 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, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Persistent Dizziness After Cold: What Could Be the Cause?
Dizziness throughout the day? Hello, Doctor Jiang... Three weeks ago, I had a cold with fever, sore throat, cough, and overall body weakness and aches. After two weeks, most of the symptoms improved, leaving only a slight cough. However, since last Wednesday, I have been feeling ...
Dr. Jiang Junyi Reply:
Hello: There are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms appeared after a cold, it is important to first rule out side effects from medications (many decongestants or cold symptom relie...[Read More] Persistent Dizziness After Cold: What Could Be the Cause?
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Managing Excessive Sleepiness After Stroke: Tips for Recovery
Post-stroke sequelae Hello Doctor, my grandmother is 74 years old and experienced an ischemic stroke a month ago. Since the stroke, she has been frequently drowsy and often keeps her eyes closed during the day (though she can open them). After speaking a little, she falls asleep ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider central sleep apnea caused by conditions such as stroke, trauma, or other issues affecting the brain, which prevent it from sending respiratory signals, leading to sleep apnea. Additionally, some sedatives or muscl...[Read More] Managing Excessive Sleepiness After Stroke: Tips for Recovery