Family medicine, Neurology FAQ - Page 2

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Understanding Persistent Dizziness: Seeking the Right Medical Guidance

Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...


Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...

[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance


Unexplained Tingling: Understanding Nerve Issues and Symptoms

Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...


Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...

[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms


Understanding Facial Changes After Tension Headaches: A Neurology Perspective

The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...


Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...

[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective


Should I Seek Further Medical Attention for Neck Pain and Dizziness?

Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...


Dr. Jiang Junyi Reply:
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...

[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?


Persistent Throat Discomfort and Vision Issues: A Neurological Perspective

Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...


Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...

[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective


Understanding Neurological Symptoms: Left Head Pain and Hand Numbness

Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...


Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...

[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness


Could Improper Massage Techniques Lead to Nerve Damage?

Is there a possibility of nerve damage? Hello, doctor. During the pandemic, my mother felt unwell after carrying heavy objects and has been experiencing persistent headaches. She used an old handheld massager for full-body massage (not a fascia massage gun), and during the massag...


Dr. Jiang Junyi Reply:
Dear Ms. Hu, Your mother is likely over 65 years old, and if she is experiencing an atypical fracture at the junction of the shoulder and chest, it may be necessary to consider osteoporosis. An evaluation for an elderly patient should include: bone density testing, metabolic syn...

[Read More] Could Improper Massage Techniques Lead to Nerve Damage?


Persistent Dizziness: When to Seek Further Medical Evaluation

Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...


Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...

[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation


Addressing Breathing Difficulties: When to Seek Medical Help

Issues related to sleep apnea? Hello, doctor! I would like to ask you three questions: 1. I have recently noticed that I sometimes forget to breathe during the day and at night, and I have to force myself to take deep breaths. Which specialty should I consult for treatment? Neu...


Dr. Jiang Junyi Reply:
Hello Mr. A-Shun, 1. I have recently noticed that I experience episodes of forgetting to breathe both during the day and at night, and I need to force myself to take deep breaths. Which specialty should I consult for treatment? Neurology? Family Medicine? Psychiatry? A: The ac...

[Read More] Addressing Breathing Difficulties: When to Seek Medical Help


Discomfort While Reading: Understanding Neurological Impacts

Reading text can cause discomfort? I experience discomfort in my head while reading, as if my thoughts are affecting my understanding of the text. I have been diagnosed with schizophrenia for many years. Could this be related to my diagnosis? What should I do?


Dr. Hong Weibin Reply:
Hello: Have you experienced discomfort in your head while reading something? Have you considered factors such as the font, color, screen or book, and lighting that might be contributing to this? Additionally, do you experience any eye discomfort? It may be helpful to consult a fa...

[Read More] Discomfort While Reading: Understanding Neurological Impacts


Unsteady on Feet: When to Seek Medical Advice for Neurological Issues

Sudden loss of balance? I'm asking for my mother, and I'm not very clear about the situation, nor does she want to see a doctor. In recent years, I've noticed that my mother occasionally has difficulty standing (I'm not sure if it's dizziness, just for a ...


Dr. Hong Weibin Reply:
Hello: There are many causes of dizziness, and the main systems affecting the body's balance are the vestibular system and semicircular canals in the inner ear, as well as the brainstem and cerebellum. However, other issues such as cardiopulmonary problems, liver and kidney ...

[Read More] Unsteady on Feet: When to Seek Medical Advice for Neurological Issues


Understanding Left Leg Numbness and Discomfort: When to See a Neurologist

Left leg soreness and numbness? Hello Doctor, about a year ago, I started experiencing swelling and numbness in my left leg. Initially, the swelling was more pronounced in the calf and ankle compared to my right leg, but it resolved after a few days. The numbness also lasted for ...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, as posture can lead to sensations of numbness or tingling. However, the swelling you mentioned may warrant consideration of deep vein thrombosis (DVT). Poor ve...

[Read More] Understanding Left Leg Numbness and Discomfort: When to See a Neurologist


Understanding Breathing Difficulties After Bone Marrow Transplant

Shortness of breath or constant awareness of breathing? Hello Doctor: I previously had leukemia and just completed a bone marrow transplant a year ago. Recently, I felt a bit unwell and thought I might be relapsing, but it turned out to be nothing. I might have been too anxious a...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the pulmonology outpatient clinic.

[Read More] Understanding Breathing Difficulties After Bone Marrow Transplant


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 Numbness in the Lower Lip: Possible Causes and Solutions

Numbness in the lower lip? Hello, I would like to ask about a recent issue I've been experiencing. When I brush my teeth, I feel a tingling sensation in my left lip, and when I touch the skin on my left jaw, I also feel a tingling sensation. Could you please explain what mig...


Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is suspected to be a trigeminal nerve disorder. It is recommended to consult a neurologist for examination and treatment.

[Read More] Understanding Numbness in the Lower Lip: Possible Causes and Solutions


Unexplained Height Increase in Adults: Causes and Concerns

Questions about unexplained height increase in adults? Hello, Dr. Jiang. I am 27 years old this year. I started my menstrual period in the sixth grade of elementary school, and at that time, my height was 163 cm. After graduating from high school until I was 25, my height remaine...


Dr. Jiang Junyi Reply:
Hello: (1) Today, when reviewing the report, it was mentioned that if the size is less than one centimeter, there is no need for concern, surgery, or medication. However, I still have doubts about whether the pituitary gland could enlarge in this condition, or if regular follow-u...

[Read More] Unexplained Height Increase in Adults: Causes and Concerns


Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders

Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...


Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...

[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders


Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions

Autonomic Nervous System and Panic Disorder Issues Hello Dr. Jiang: I have been suffering from respiratory compulsions for many years (since transitioning from elementary school to junior high). I have developed a habit of controlling my breathing. This condition has led to high ...


Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause elevated blood pressure symptoms, such as metabolic syndrome (hypertension, hyperglycemia, hyperlipidemia, and obesity), autonomic nervous system dysfunction (excessive stress), and medications (such as the a...

[Read More] Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions


Understanding Dopamine Deficiency and Its Impact on Anxiety Medications

Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...


Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...

[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications


Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation

Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...

[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation


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