Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Recurrent dizziness? Hello Dr. Hong, I have been experiencing severe dizziness recently, accompanied by vomiting and diarrhea, which led me to visit the emergency department. They assisted with blood tests and a CT scan of my brain (which showed no issues). The dizziness and vomi...
Dr. Hong Weibin Reply:
Hello, I apologize for the late response. There are many causes of dizziness. If you have already undergone imaging studies of the head and confirmed that there are no structural issues in the brain, a detailed medical history inquiry is necessary for diagnosis. Generally, the ...[Read More] Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Nutritional Support and Medication Management for Epilepsy in Children
Nutrition and Medication in Epilepsy Hello, my son suffered from hypoxic-ischemic encephalopathy due to oxygen deprivation at birth, accompanied by seizures, and underwent hypothermia treatment. Initially, he only experienced minor seizures just before falling asleep, which occur...
Dr. Cai Zongzhang Reply:
Hello! Exaggerated startle reflex is a common sequela of hypoxic brain injury, which can be triggered by any stimuli (e.g., sound, touch). If the symptoms are mild, medication may not be necessary; if medication is required, low doses can be used to alleviate symptoms. For genera...[Read More] Nutritional Support and Medication Management for Epilepsy in Children
Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Inquiry about rare neurological diseases? The condition you are describing sounds like it could be related to a rare neurological disorder known as "hemiplegic migraine" or possibly "hemiplegia," which involves sudden weakness or paralysis on one side of the b...
Dr. Jiang Junyi Reply:
Hello, sir: I wonder if you are referring to Hemiconvulsion-hemiplegia-epilepsy syndrome? This is a relatively rare form of childhood epilepsy associated with genetic factors. This condition may need to consider abnormalities in the CACNA1A gene, as well as issues related to the ...[Read More] Understanding Rare Neurological Disorders: Sudden Muscle Weakness Explained
Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Inguinal tightness and related issues? I am a 41-year-old female, married with two children. Since March 2020, I have gradually felt tightness in my groin area (from the pubic bone to the buttocks), especially when sitting or lying down. When standing, I occasionally feel a forei...
Dr. Jiang Junyi Reply:
Dear Ms. Kelly, Your issues may be exacerbated by prolonged poor posture, so I recommend making adjustments in your daily life. Have you undergone a "dynamic weight-bearing MRI" examination? It might be worth considering: https://www.chinatimes.com/realtimenews/2019091...[Read More] Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Nerve Pain: Causes and When to Seek Medical Attention
Numbness issues? The ring finger and little finger of my left hand suddenly started to feel numb and painful two days ago. After about 3-4 hours, the numbness in my elbow and shoulder improved, but my fingers continued to feel numb. Suddenly bending my index finger causes pain, b...
Dr. Jiang Junyi Reply:
Dear Mr. Yuan, Your symptoms may suggest peripheral nerve involvement. It is possible that the ulnar nerve is being compressed, or that the nerve roots at the seventh cervical or first thoracic vertebrae are under pressure. If the nerve compression is causing peripheral neuropat...[Read More] Understanding Nerve Pain: Causes and When to Seek Medical Attention
Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck area? Dear Dr. Jiang, Thank you very much for your response. I will promptly visit the rehabilitation department for further examination, but I still have some questions I would like to ask. If we rule out t...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Lan, Regarding the out-of-pocket expenses, you might consider an "MRI of the brain." For fasciitis, will the inflammatory markers show up in blood tests? Typically, they are normal, but an ESR test can be conducted. If there are concerns about thrombosis...[Read More] Understanding Persistent One-Sided Head and Neck Pain: A Neurology Perspective
Do I Need Imaging Tests for My Persistent Migraines?
Do I need to undergo an examination? Hello, Dr. Tsai. Last week, I suddenly experienced a migraine that caused dizziness and vomiting three times, and my eyes also felt uncomfortable. I called an ambulance and went to the emergency room. After assessing my condition, the doctor a...
Dr. Cai Zongzhang Reply:
Hello Mr. Lin! It is recommended that you first consult a neurologist, who will then determine whether an MRI scan is necessary.[Read More] Do I Need Imaging Tests for My Persistent Migraines?
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...
Dr. Jiang Junyi Reply:
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...[Read More] Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Understanding Left Leg Numbness: Causes and When to Seek Help
Numbness in the left big toe? Hello, doctor. In recent months, I have been experiencing frequent pain in my left lower back, as well as occasional pain in my left pelvis and numbness in my left calf. Sometimes the pain is so severe that I cannot stand up straight. I would like to...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, The symptoms you mentioned may be related to nerve compression caused by posture. A herniated disc can lead to localized inflammatory responses resulting in lower back pain, which may extend to one or both sides of the buttocks or hips. If the herniated disc com...[Read More] Understanding Left Leg Numbness: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: I have noticed that since last week, the muscle below my right thumb has been twitching intermittently (visible to the naked eye). Sometimes it occurs every few minutes, and other times it can be hours apart. The twitching frequency varies, with lon...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, Your symptoms may suggest benign muscle twitching. Certain situations in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additio...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Issues with taking Ambien for autonomic nervous system dysfunction? Hello Doctor, I tend to be anxious and overly worried. Since March of this year, I have noticed issues with autonomic nervous system dysfunction. The most prominent symptoms include tightness in my neck leading t...
Dr. Cai Zongzhang Reply:
Hello Mr. Wu! Amberning does not harm the stomach and is used for the treatment of anxiety disorders. It is recommended to discuss the dosage with your physician.[Read More] Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Restless Legs Syndrome (RLS) Hello doctor, lately I've been experiencing a tingling sensation in my legs when I sleep or lie down, which makes me feel restless and has disrupted my sleep for the past few days. I found online that this might be Restless Legs Syndrome (RLS), b...
Dr. Jiang Junyi Reply:
Hello, sir: Your age is under 20 years. The likelihood of developing Restless Legs Syndrome (RLS) is lower. The average age of onset is 41 years. The pathophysiology of RLS is not yet fully understood; however, since patients respond well to iron and dopamine supplementation, it ...[Read More] Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Facial Twitching: Causes and Relief Strategies
Facial twitching? Hello, doctor. I have been experiencing this issue since middle school, where my cheek muscles tremble uncontrollably whenever I am on stage or in front of a crowd. Recently, it seems to be happening more frequently, even when I'm called on in class, which ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial tremors may be physiological tremors, which do not occur regularly but happen in certain situations such as stress, tension, or anger. Some medications, such as bronchodilators, as well as the consumption of beverages like coffee, tea, and co...[Read More] Understanding Facial Twitching: Causes and Relief Strategies