Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Palpitations caused by autonomic nervous system dysfunction? Hello Doctor, I hope you are well. I remember that at the end of last year, my sleep schedule was irregular due to alcohol consumption. One night, I woke up in a panic with palpitations, feeling anxious and fearful, my ...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the body, driving it into acti...[Read More] Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Hand Tremors: Causes and When to Seek Help
Tremors when holding objects? Hello Doctor: I seem to have had a problem with hand tremors since I was a child. I heard from my dad that my kindergarten teacher once mentioned to him that I sometimes had tremors when using tools during class. I often notice that my hands shake wh...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider physiological tremors. The causes of shaking can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Anxiety and Allergic Reactions to Insect Bites
Mosquito bites, medical consultation, neurological issues? Hello Doctor, I apologize for asking so many questions. I have been experiencing long-term anxiety and am currently undergoing treatment. Due to numerous unfortunate events and injuries in my life, along with my genetic p...
Dr. Jiang Junyi Reply:
Hello: I wonder if you have any wounds on your body when you come into contact with certain substances? Our skin serves as a barrier against external materials. Therefore, after coming into contact with potentially contaminated substances, remember to follow proper handwashing pr...[Read More] Understanding Anxiety and Allergic Reactions to Insect Bites
Could Numbness in Hands and Feet Indicate Heart Issues?
Numbness in the hands and feet, is it a sign of heart problems? Hello, I have a slight mitral valve insufficiency and sought traditional Chinese medicine for treatment, along with gynecological care. During the three days of treatment, I experienced symptoms of numbness in my han...
Dr. Cai Zongzhang Reply:
Hello, the slight insufficiency of your tricuspid valve that you mentioned could potentially lead to symptoms such as cold extremities and numbness. It is advisable to continue monitoring and follow-up examinations. If you experience any related symptoms, please discuss them with...[Read More] Could Numbness in Hands and Feet Indicate Heart Issues?
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Can Migraines Cause Eye Pain and Blinking Issues?
Migraine headache Hello, doctor. I've been experiencing frequent migraines lately, which are causing my eyes to twitch and feel sore. I would like to ask if migraines alone can affect the eyes. Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the aura appears, y...[Read More] Can Migraines Cause Eye Pain and Blinking Issues?
Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Follow-up on sequelae after fever? Hello, doctor. Thank you for addressing the issue of tinnitus after fever in your previous response to #144833! In addition to the tinnitus question, I would like to ask: 1. Could the fever have exceeded 41 degrees Celsius, and with the thick bl...
Dr. Jiang Junyi Reply:
Hello: 1. Is it possible that the situation involved a fever exceeding 41 degrees Celsius, and under the condition of being covered with thick blankets, the high temperature caused brain damage, which led to the onset of tinnitus? A: Hearing should be assessed for any damage. 2. ...[Read More] Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Understanding Post-Fever Complications: Insights from Neurology
Post-fever sequelae Hello, doctor. After I had an eye stone removed from my upper eyelid, I may not have had clean hands and rubbed my eyes. The next morning, I started to have a fever. At that time, I was home alone and couldn't find a thermometer. I felt very tired and wan...
Dr. Jiang Junyi Reply:
Hello: According to your description, there are many causes of tinnitus, including external auditory canal inflammation, foreign body obstruction, and earwax buildup, all of which can lead to tinnitus. Even tooth extraction and temporomandibular joint inflammation can trigger tin...[Read More] Understanding Post-Fever Complications: Insights from Neurology
Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
The hand does not move back and forth? Hello Doctor: Recently, I noticed that my father’s hands involuntarily move back and forth while eating (for example, when he is picking up food, his hands sway back and forth) for a few seconds before returning to normal. When I asked him a...
Dr. Jiang Junyi Reply:
Hello, based on your description, involuntary shaking is typically associated with tremors or seizures. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors:...[Read More] Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
Understanding Muscle Pain and Weakness: A Neurological Perspective
Pain and weakness in the left thumb, right arm, and legs? Hello doctor, I started experiencing soreness in my arms and hands at the beginning of February due to working on assignments and frequently using the computer. At first, it didn't affect my daily life, so I didn'...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of numbness, the first consideration should be peripheral nerve compression symptoms. As for amyotrophic lateral sclerosis (ALS), it primarily involves motor function. This condition refers to problems with motor neurons, which control muscle movement. ...[Read More] Understanding Muscle Pain and Weakness: A Neurological Perspective
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
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
Understanding Hand Tremors: Causes and Concerns for Athletes
Tremor issues? Hello doctor, I am a baseball player. Sometimes my fingers tremble even when they are at rest, but it's not very pronounced. They also shake a bit when I write, but again, it's not severe. When I hold things, they tremble too, and sometimes my head feels ...
Dr. Cai Zongzhang Reply:
Hello, if you are engaging in intense exercise for an extended period, it is likely that fatigue may lead to muscle failure. If your team has a sports trainer, it is advisable to discuss this with them. If not, you may consult an orthopedic or rehabilitation physician with expert...[Read More] Understanding Hand Tremors: Causes and Concerns for Athletes
Understanding Hand Tremors: Causes and Concerns in Neurology
Tremor issues? I experience shaking in my hands when holding objects, though it's not very pronounced. Sometimes my hands feel weak, and my little finger occasionally goes numb. I also notice shaking during static moments, and it becomes more pronounced when I play mobile ga...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, which can affect the sensation in the little finger. Leaning your elbow on a table or other hard surfaces, as well as applying pressure to the elbow, can likely cause ulnar nerve neurop...[Read More] Understanding Hand Tremors: Causes and Concerns in Neurology
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
Understanding Neurological Symptoms: When to Consider an MRI
Cerebrovascular disease Hello, doctor. I have been experiencing numbness in my hands and feet, as well as in my head, for the past three years. I have undergone a carotid ultrasound, and the results were normal. Should I still consider getting an MRI?
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you continue to discuss relevant examinations and treatment matters with your physician.[Read More] Understanding Neurological Symptoms: When to Consider an MRI
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips