Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi Reply:
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Do Antibiotics Affect EEG Results? Insights on Amoxicillin and Welizen
Do antibiotics affect EEG (electroencephalogram) readings? Hello, doctor. I would like to ask if Amoxicillin 500mg and Welizen will affect the results of an EEG test? I have an EEG scheduled for tomorrow morning. I visited an ENT specialist for other reasons, and they prescribed ...
Dr. Hong Weibin Reply:
Hello: Neither of these medications will affect the EEG results, so there is no need to worry.[Read More] Do Antibiotics Affect EEG Results? Insights on Amoxicillin and Welizen
Understanding Brain Waves: Can They Indicate Brain Tumors?
Brain waves and brain tumors? The article you found discusses that electroencephalography (EEG) can detect abnormal waveforms in specific areas of the brain, indicating that there may be dysfunction in those regions. However, it emphasizes that while EEG and neurological examinat...
Dr. Hong Weibin Reply:
Hello: Essentially, an electroencephalogram (EEG) is a functional test used to assess the integrity of brain function. The concept of this article is correct. To completely rule out a brain tumor, imaging studies are still necessary. Brain tumors can be classified as benign or ma...[Read More] Understanding Brain Waves: Can They Indicate Brain Tumors?
Understanding Headaches: Could They Indicate a Brain Tumor?
Headache Brain Tumor Hello Doctor, I have been experiencing headaches that wake me up at night for the past three weeks. I feel a lot of pain when I think or engage in mental activities, making it difficult to continue. I often feel pain in my right temple, and for the past two d...
Dr. Jiang Junyi Reply:
Hello: 1. Does a normal EEG mean that there is no brain tumor? 2. The doctor mentioned that if there is a headache but the EEG is normal, then it should not be a brain issue. Is that correct? 3. Is it possible that my symptoms could be due to a brain tumor, or could they be somet...[Read More] Understanding Headaches: Could They Indicate a Brain Tumor?
How Sensory Perception Affects Thoughts in Neurological Disorders
Sensation influences thought? If you are experiencing symptoms such as feeling that your thoughts are affecting your emotions when looking around, having a foreign body sensation in your forehead, and noticing that the information you receive influences your thoughts, it is advis...
Dr. Jiang Junyi Reply:
Hello: Schizophrenia may be caused by dysfunction in brain activity. Since most patients with schizophrenia develop symptoms under stress, psychological stress may be a trigger for this condition. The exact cause of schizophrenia has not yet been determined, but it is believed to...[Read More] How Sensory Perception Affects Thoughts in Neurological Disorders
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights
Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Understanding Eye Movement Issues: When to See a Neurologist
Experiencing shaking or oscillation of the eyes while looking at objects, along with discomfort in the eyes and head? Recently, I've been experiencing a sensation of things shaking when I look at them, and my head feels uncomfortable. It feels like the movement frequency of ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to be considered in relation to issues involving the ocular muscles, optic nerve, and brain. If the symptoms persist, it is advisable to visit a major hospital's neurology department for further examination and discussion (including visual evoke...[Read More] Understanding Eye Movement Issues: When to See a Neurologist
Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Regarding tachycardia, palpitations, and dizziness? Hello Dr. Tsai, Two weeks ago, I visited the cardiology and neurology outpatient departments at Taipei Medical University due to symptoms of palpitations, discomfort, and dizziness. My dizziness is persistent with a floating se...
Dr. Cai Zongzhang Reply:
Entresto and Heart Care Room contain the same ingredients but differ in dosage. If symptoms are mild, taking Entresto may be sufficient. Please discuss with a neurologist before making a decision.[Read More] Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective