Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Should I See a Doctor Three Days After Hitting My Hand?
It has been three days since the injury; should I still see a doctor? Hello, Doctor. I would like to ask about an incident that happened two days ago when I forcefully bumped into the sharp corner of a table. Initially, I thought it was just swollen, but then I ended up bleeding ...
Dr. Jiang Junyi Reply:
Hello, Miss: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head injuries are mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergency room: (1) Deteri...[Read More] Should I See a Doctor Three Days After Hitting My Hand?
Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Sleep issues Hello, doctor. I visited the psychiatric department yesterday and received medication for my anxiety symptoms. My sleep issues have improved significantly, but I still wake up multiple times due to unusual actions, such as suddenly swallowing or taking deep breaths, ...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, It seems that you may have a sleep disorder. Besides taking sleep aids, there are many lifestyle adjustments that can improve sleep quality. 1. Avoid spicy foods before bedtime: Consuming spicy foods may increase metabolism and raise body temperature, leading to...[Read More] Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Understanding Hand Tremors: Possible Causes and Treatment Options
Tremor issues? Hello, Doctor! My father is 49 years old and a year ago he noticed that his right hand trembles when at rest, and it has become less agile. He also does not swing his right arm much while walking. He visited a neurologist once, but the mildest Parkinson's medi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Your father began experiencing movement disorders at the age of 49, which seems somewhat early, as such conditions typically manifest around the age of 60. It may be necessary to differentiate this from a stroke. A stroke generally occurs acutely and is accom...[Read More] Understanding Hand Tremors: Possible Causes and Treatment Options
Understanding the Effects of Sirdalud on Weight and Heart Rate
Shenda Heart Rhythm Tablets Hello Doctor: I have migraines, and the frequency of my attacks has increased recently, so I visited a neurologist. The doctor prescribed me Sotalol, two tablets a day, to be taken continuously for one month. I have been taking it for two weeks now, an...
Dr. Jiang Junyi Reply:
Hello, Miss: I would like to know if the neurologist has prescribed any other medications for migraine prevention for you. Propranolol works by reducing sympathetic nervous system activity. Side effects include dizziness, lightheadedness, dry cough, bradycardia, hypotension, and ...[Read More] Understanding the Effects of Sirdalud on Weight and Heart Rate
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Experiencing severe dry mouth while taking Tofacitinib (20mg)? Hello Doctor: I have been taking Tofacitinib for almost three months and was supposed to return for a follow-up appointment! However, due to the outbreak of the pandemic, I am hesitant to go to the hospital! Recently,...
Dr. Jiang Junyi Reply:
Dear Ms. Gao, Atorvastatin is indicated for: reducing the risk of myocardial infarction, lowering the risk of stroke, and decreasing the incidence of cardiovascular events in high-risk groups for coronary heart disease. Since you are 50 years old, I would like to know which risk...[Read More] Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Left Hand Finger Numbness and Heat After Shower: Causes and Concerns
Numbness and warmth in the fingertips of the left hand? Hello, doctor. Recently, I have been experiencing a tingling sensation in the fingertips of my left hand (particularly in the thumb, index, and middle fingers) after taking a shower with hot water. I would like to ask you a ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest carpal tunnel syndrome. You mentioned experiencing hand numbness after using a hairdryer; I wonder if you used your left hand to hold the hairdryer? Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movement...[Read More] Left Hand Finger Numbness and Heat After Shower: Causes and Concerns
Evening Discomfort: Understanding Symptoms and Seeking Help
I start to feel unwell every evening? Hello Doctor: When I was 19 years old, I underwent a unilateral thyroidectomy due to a thyroid nodule. Around the same time, I developed depression (which was later diagnosed as bipolar disorder) and was subsequently diagnosed with psoriasis ...
Dr. Cai Zongzhang Reply:
Hello Phoebe! Psoriasis is an autoimmune disease, which shares common characteristics with all autoimmune disorders. If you start experiencing discomfort in the evening, it is advisable to monitor your temperature in the morning and evening, engage in regular exercise, as this ca...[Read More] Evening Discomfort: Understanding Symptoms and Seeking Help
Sudden Facial Drooping After Injury: Understanding Possible Causes
Waking up suddenly with a crooked mouth? Hello Doctor: I have a history of hypertension. Last Wednesday, I was hit on the left big toe by a piece of wood, which turned black and caused me intense pain that nearly made me faint. That evening, I noticed some twitching on the left s...
Dr. Jiang Junyi Reply:
Hello, Ms. Juan: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometim...[Read More] Sudden Facial Drooping After Injury: Understanding Possible Causes
Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease
Differentiating between drug-induced Parkinsonism and primary Parkinson's disease? Hello, Doctor. I apologize for bothering you. My father has been experiencing tremors at the corners of his mouth since February of this year. He has consulted several neurologists and undergo...
Dr. Jiang Junyi Reply:
Hello, You mentioned the occurrence of drug-induced parkinsonism, which we frequently observe in clinical practice. It's not only Flunarizine; other medications can also have similar side effects. It is advisable to consolidate medications within the same hospital. 1. Fl...[Read More] Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I visited a psychosomatic specialist who diagnosed me with panic disorder. I experienced symptoms like numbness in my hands and head, discomfort throughout my body, and rapid heartbe...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I consulted a psychiatrist who diagnosed me with panic disorder. I experience symptoms like numbness in my hands and head, discomfort throughout my body, and increased heart rate in ...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to see a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Understanding Head Injuries: Symptoms and Recovery Tips
Head issues Hello Doctor: Last night I fell and hit my buttocks. After getting up, I experienced dizziness and blurred vision that lasted for about 20 seconds. During that time, I also hit the back left side of my head. After 20 seconds, I returned to normal but noticed that touc...
Dr. Jiang Junyi Reply:
Hello: You mentioned (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head? A: Yes, because the occipital lobe is responsible for vision, external force impacts can cause temporary visual symptoms, such ...[Read More] Understanding Head Injuries: Symptoms and Recovery Tips
Understanding Possible Seizures: A Guide for Epilepsy Patients and Caregivers
Seizure (suspected absence seizure?) Hello Doctor: A family member has developed acquired epilepsy (around 30 years old) and has been on antiepileptic medication for a long time. The medication has been reasonably effective, and there have been no major seizures for nearly two ye...
Dr. Cai Zongzhang Reply:
Hello, dear! There are various types of symptoms associated with seizures. Based on the symptoms described above, it is possible that a seizure may occur. It is advisable to inform a physician to facilitate making the most beneficial decision.[Read More] Understanding Possible Seizures: A Guide for Epilepsy Patients and Caregivers
Do Antibiotics Affect EEG Results? Insights on Amoxicillin and Welizen
Do antibiotics affect EEG (electroencephalogram) readings? Hello, doctor. I would like to ask if Amoxicillin 500mg and Welizen will affect the results of an EEG test? I have an EEG scheduled for tomorrow morning. I visited an ENT specialist for other reasons, and they prescribed ...
Dr. Hong Weibin Reply:
Hello: Neither of these medications will affect the EEG results, so there is no need to worry.[Read More] Do Antibiotics Affect EEG Results? Insights on Amoxicillin and Welizen
Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Tingling sensations in the body and itchy skin? Hello, doctor. On April 24th, I went for a ride in the mountains, and after returning, I started to feel itchy skin without a specific area. Initially, I suspected that I might have brought back some bugs (like fleas), but there are...
Dr. Hong Weibin Reply:
Hello: Generally speaking, the possible factors for skin itching can be categorized as follows: Dermatological factors: excessive dryness, eczema, psoriasis, scabies, parasites, burns, insect bites, allergic urticaria. Internal factors: liver disease, kidney disease, anemia, di...[Read More] Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions