Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
When speaking more excitedly, I experience dizziness for about 1-3 seconds? Hello Doctor: I would like to ask, when I speak more excitedly (or when I am more emotionally elevated), I sometimes experience sudden dizziness for about 1-3 seconds, and then it returns to normal. What ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common causes of poor cerebral circulation are as follows: 1. Decreased peripheral vascular tone due to neurogenic reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension caused by cha...[Read More] Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Managing High Blood Pressure and Dizziness: Essential Tips and Tests
High blood pressure... dizziness... how to manage it? 1. After experiencing bloating, I discovered that I have a blood pressure issue. Currently, after medication, my morning readings are mostly around 135/95, and in the evening, about 145/100. The doctor mentioned that my heart ...
Dr. Jiang Junyi Reply:
Hello: Your age has presented issues with hypertension. In addition to external factors or physical discomfort, it may be necessary to consider the possibility of secondary hypertension. Primary hypertension, which accounts for about 90% of cases, is of unknown origin and is beli...[Read More] Managing High Blood Pressure and Dizziness: Essential Tips and Tests
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Understanding Dizziness: Causes and Solutions for Young Adults
Dizziness and discomfort? I have been experiencing dizziness since elementary school, and now I am about to enter university. For the past few years, regardless of whether I have eaten breakfast, whenever I stand in the sun for more than ten minutes in the morning, I start to fee...
Dr. Jiang Junyi Reply:
Common causes of fainting are due to insufficient cerebral circulation: 1. A decrease in peripheral vascular tone caused by neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension triggered by changes in posture, su...[Read More] Understanding Dizziness: Causes and Solutions for Young Adults
Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Dizziness and transient amnesia? At the beginning of the month, I fell off my bike and sustained abrasions. Since my head hit the ground, I experienced brief dizziness and a few seconds of blankness. I consulted a doctor and underwent a CT scan, which showed no bleeding. I was as...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, use of anticoagulants, or obvious local hematomas tends to be mild, and the sequelae of a concussion are usually not significant. As for the occurrence of fainting, it is important to...[Read More] Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Understanding Dizziness and Fainting: Neurological Insights and Causes
Dizziness, loss of vision, loss of hearing, and unconsciousness? Hello, Dr. Jiang. Early this morning, I traveled from the north to the south without any issues. While enjoying the next scenic spot, shortly after getting off the bus, I suddenly felt hot and extremely unwell. My v...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of fainting due to insufficient blood flow to the brain. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow ...[Read More] Understanding Dizziness and Fainting: Neurological Insights and Causes
Understanding Right-Sided Dizziness: Causes and Concerns
Dizziness predominantly on the right side? Hello Doctor: I have been experiencing occasional nerve pain (in one of the nerves on the right side of my neck) since my university days. It wasn't until my military service that I began to experience dizziness on the right side of...
Dr. Jiang Junyi Reply:
Hello, if fainting occurs with symptoms of convulsions, it may be necessary to consider epilepsy. Seizures can sometimes cause sudden collapse, resembling fainting, and may involve limb jerking and prolonged confusion. It is recommended that you consult a neurologist to discuss e...[Read More] Understanding Right-Sided Dizziness: Causes and Concerns
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Can Internal Medicine Conditions Ever Be Fully Cured?
Is it really impossible to completely eliminate it? Hello, doctor. In the past, when I would get up from lying down (this only happened after lying down for a long time), I would experience dizziness and blurred vision, which would recover in a few seconds. I have also experience...
Dr. Jiang Junyi Reply:
Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Orthostatic hypotension caused by changes in posture, such as when standing up su...[Read More] Can Internal Medicine Conditions Ever Be Fully Cured?
Morning Dizziness and Nausea: Understanding Neurological Symptoms
Upon waking up in the morning, experiencing dizziness and vomiting? Hello Dr. Hong: This incident occurred on January 19, 2017. When I woke up in the morning and opened my eyes around 8:00 AM, everything in front of me was spinning violently. After taking a Difendin, I waited for...
Dr. Hong Weibin Reply:
Hello: Your condition is referred to as vertigo, which can be classified into central and peripheral types. Based on your description, it appears to be peripheral vertigo, with possible causes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere...[Read More] Morning Dizziness and Nausea: Understanding Neurological Symptoms
Muscle Cramps and Dizziness: Understanding the Connection
Dizziness after a muscle cramp? A few days ago, while exercising, I experienced a cramp in the area just below my buttocks near my thigh. After standing and resting for a few minutes, I felt dizzy, and eventually, I became so dizzy that I couldn't stand. It wasn't until...
Dr. Jiang Junyi Reply:
Hello, the reasons you mentioned for experiencing dizziness and nearly fainting may include: 1. A decrease in peripheral vascular tone due to neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain (this is the more likely cause). ...[Read More] Muscle Cramps and Dizziness: Understanding the Connection
Cold Weather Causing Weakness and Fainting: What to Do?
Feeling faint or experiencing weakness in the limbs when the weather is cold? I have high blood pressure and have been experiencing weakness and fainting spells for the past few days, fainting twice a day. The duration of my consciousness is increasing, and although I was hospita...
Dr. Jiang Junyi Reply:
Hello, based on your description of the fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffici...[Read More] Cold Weather Causing Weakness and Fainting: What to Do?
Fainting and Head Injury: Understanding Symptoms and Risks
Fainting while standing and hitting the back of the head? Hello, doctor! A few years ago, I had a drink with friends after a meal, and afterward, I felt dizzy and fainted after urinating in the bathroom, hitting the back of my head (it felt very dizzy and painful, and the impact ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, in cases of head trauma without post-traumatic amnesia, loss of consciousness, vomiting more than twice, severe headache, post-traumatic seizures, significant subcutaneous hematoma, multiple injuries, penetrating injuries, sku...[Read More] Fainting and Head Injury: Understanding Symptoms and Risks
Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Unexplained fall resulting in impact to the back of the head? Hello Doctor: On the 25th of this month, after taking a break and using the restroom (urinating), I fell and hit the back of my head. I have no memory of the fall or how I returned to the office. The surveillance foota...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope, which is typically due to a rapid drop in blood pressure or vasoconstriction leading to decreased cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a pe...[Read More] Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Why Do I Feel Dizzy and Heavy-Headed? Understanding Neurological Symptoms
What causes dizziness? During a video call with a friend, I suddenly felt very heavy-headed and collapsed onto the floor, lying there for four hours. My friend called me repeatedly, but I didn't hear any ringing at all. When I finally got up, my head felt heavy and my legs f...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or obvious local hematomas tends to be mild. However, if there are instances of fainting, it is important to continue monitoring. Common causes of fainting ...[Read More] Why Do I Feel Dizzy and Heavy-Headed? Understanding Neurological Symptoms
Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Shortness of breath, dizziness, fainting, tinnitus, nausea? Hello, doctor! My mother suddenly became very short of breath in the kitchen today and then collapsed, but she was conscious. Afterward, she described the situation as feeling extremely breathless, dizzy, experiencing ti...
Dr. Hong Weibin Reply:
Hello: Based on the situation you described, I recommend that you take your mother to a cardiology clinic as soon as possible. The combination of dizziness, shortness of breath, and chest pain necessitates prioritizing the exclusion of serious cardiovascular issues, such as angin...[Read More] Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Right-Sided Occipital Headache and Dizziness: Causes and Solutions
Right-sided occipital headache with dizziness? Hello Doctor: I have been experiencing pain on the right side of my occipital region when lightly pressed for several years. I had a car accident when I was younger, which resulted in a concussion in the back of my head. Until three ...
Dr. Gao Chunde Reply:
If it were previous symptoms along with the examination results, a general physician would typically consider just monitoring the situation. However, the pain, dizziness, and fainting that occurred this time, as well as any potential brief loss of consciousness, definitely requir...[Read More] Right-Sided Occipital Headache and Dizziness: Causes and Solutions