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 Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Understanding Shortness of Breath: Neurological Insights and Solutions
Feeling of chest tightness and shortness of breath? Hello, doctor. I used to occasionally feel the need to take deep breaths throughout the day for comfort, but recently this has become a frequent occurrence. Now, I feel very fatigued after walking a short distance, and I experie...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. It is possible that you are using your breathing to regulate discomfort. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "r...[Read More] Understanding Shortness of Breath: Neurological Insights and Solutions
Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Fainting after experiencing abdominal pain? Last night, I suddenly experienced abdominal pain and got up to go to the bathroom (I have been eating spicier foods these past few days). After walking just a few steps, I fainted. When I regained consciousness, I found myself sitting ...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include tra...[Read More] Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Loss of consciousness during blood draw, accompanied by whole-body tremors and wide-open eyes? Whenever I have a slightly larger blood draw (or if I haven't eaten before the blood draw), I experience a series of symptoms: my vision goes dark, I lose consciousness, my eyes wi...
Dr. Cai Zongzhang Reply:
This symptom is likely neurogenic syncope; it is recommended to undergo a detailed examination by a neurologist.[Read More] Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Understanding Dizziness: Insights from Neck Ultrasound Findings
Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...
Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings
Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Hello, doctor. I'm not sure which specialty to see? Hello, doctor. On the night of September 25th, I suddenly felt numbness starting from my shoulder to my head, felt cold all over, and had a near-death sensation. I went to the emergency room, but after no treatment, I felt ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "hyperventilation." During this condition, the level of carbon dioxide in the blood decreases, leading to an increase in pH, a medical condition known as "respiratory alkalosis." This can trigger systemic reactions and symptoms...[Read More] Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Myoclonic epilepsy with absence seizures Hello Doctor, I have been diagnosed with epilepsy since I was in the third year of junior high school. It started after I went on a roller coaster, and the next morning I suddenly knocked over a cup of water. I didn't think much of it...
Dr. Cai Zongzhang Reply:
Hello, you are continuing your medication, but are you regularly attending check-ups and undergoing relevant tests? The decision to discontinue antiepileptic medications must be carefully evaluated, weighing the benefits of stopping the medication against the risk of seizure recu...[Read More] Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Understanding Fainting After Running: Causes and Next Steps
Fainting after running occurred again a year later? Hello Doctor: Last March, I fainted after running (I had already eaten dinner, ran about 5 km, and fainted while walking home; I had been running normally for about two months). I was taken to the emergency department of a hospi...
Dr. Jiang Junyi Reply:
Hello: Experiencing dizziness and nearly fainting, squatting down to rest, and seeing darkness in front of your eyes. These symptoms are more indicative of insufficient cerebral circulation due to fluid deficiency. Symptoms can be improved by replenishing fluids and electrolytes,...[Read More] Understanding Fainting After Running: Causes and Next Steps
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
What is wrong with me? Doctor, I have a tendency to be easily anxious and can be startled by minor things. I have a history of epilepsy, and often after sudden events (like being startled by a loud noise), I experience shallow and rapid breathing, increased heart rate, and cold s...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of "hyperventilation." Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, a condition known medically as "respiratory alkalosi...[Read More] Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained
Numbness in the hands and feet, accompanied by cold sweats and a feeling of nausea? Hello, doctor. In the past month, whenever I take a bus, I experience nausea, cold sweats, and tingling in my hands and feet. These episodes last about 10-15 seconds and occur 3-4 times during a o...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of hyperventilation syndrome. When this occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH level, which triggers systemic reactions and symptoms. Common manifestations include dizziness and n...[Read More] Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions