Memory Issues at 23: Seeking Help for Cognitive Decline
23 years old, experiencing memory impairment? Due to gastrointestinal issues, I have been taking traditional Chinese medicine for nearly five years. In 2022, I was diagnosed with COVID-19, and since then, I have noticed a decline in my memory. As a result, I have developed a habi...
Dr. Jiang Junyi Reply:
Hello Mr. Confuse: You mentioned, "Yesterday I went to 7-Eleven to buy dinner, but when I looked at the receipt today, I couldn't remember what I bought... This afternoon, I boiled water and let it cool, but in the evening, I forgot whether that pot of water had been bo...[Read More] Memory Issues at 23: Seeking Help for Cognitive Decline
Sharp Pain in Left Shoulder When Coughing: What You Need to Know
Sharp pain in the left shoulder when coughing? Hello, doctor. I've been feeling a bit under the weather these past few days. On the first day, I had tonsillitis, and by the second day, I developed nasal congestion and a mild cough. On the third day of my illness, while I was...
Dr. Jiang Junyi Reply:
Hello Mr. Yoyo: You mentioned that "after a cough, I suddenly felt a sharp pain in my left shoulder, as if I was being electrocuted, and when I coughed again after a while, I experienced another sudden sharp pain." Your symptoms may suggest that the cervical nerve roots...[Read More] Sharp Pain in Left Shoulder When Coughing: What You Need to Know
Exploring Alternatives to Piracetam for Memory Improvement
Piracetam medication issues? I have poor memory and have been taking Piracetam for over a year, but there hasn't been much improvement in my memory. Is the medication ineffective? My memory has not improved, and my reaction time is slow. Are there any other medications that ...
Dr. Peng Shiwei Reply:
It is recommended that you return for a follow-up appointment with your attending physician to discuss whether any adjustments to your medication or other treatment methods are necessary. Thank you.[Read More] Exploring Alternatives to Piracetam for Memory Improvement
Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...
Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Mom is experiencing dizziness, but the cause cannot be identified? Hello, doctor. My mother's symptoms include dizziness, where her vision sways side to side as if experiencing an earthquake. She feels unsteady whether standing or sitting, but the symptoms improve or disappe...
Dr. Jiang Junyi Reply:
Dear Mr. Afu, You mentioned that your mother experiences dizziness that feels like the ground is shaking, making it difficult for her to stand, and that she can only lie in bed all day, with occasional relief allowing her to walk. The improvement when lying down suggests that we...[Read More] Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Which Specialist to See for Dizziness and Neck Tension?
Which department should I see? Hello doctor, I occasionally feel dizzy and can sense my pulse and heartbeat. I previously consulted an otolaryngologist regarding my dizziness, and the doctor mentioned it was due to vestibular dysfunction and prescribed medication for a while. I h...
Dr. Peng Shiwei Reply:
For the dizziness, it is recommended to follow up with an otolaryngologist to assess whether the condition has improved or if further treatment is needed. For other concerns, it is advisable to seek evaluation from a psychiatrist. Thank you.[Read More] Which Specialist to See for Dizziness and Neck Tension?
Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Magnetic Resonance Imaging Report Recently, I have been experiencing frequent dizziness and tinnitus. I underwent a head MRI, and the report indicated the following findings: (The completion time of the examination is displayed on the images) MRI - HEAD & NECK: Routine Brain:...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned, "Can a head MRI detect carotid artery stenosis? Could dizziness and tinnitus be caused by this?" It is recommended to also perform a carotid ultrasound, which can provide a clearer view of whether there is an increase in the intima-media t...[Read More] Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
A 94-year-old elderly person is talking to themselves with their eyes closed? The elderly person at home takes sleep aids like Eszopiclone and medication for prostate issues. He experiences hearing loss and during the day, he sits on the sofa with his eyes closed, talking to hims...
Dr. Peng Shiwei Reply:
It is recommended to take the elderly to a neurology outpatient clinic for evaluation by a physician. Thank you.[Read More] Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Managing Hypertension Medication: Addressing Fatigue and Dizziness
Issues with Hypertension Medications I am taking antihypertensive medication, and my blood pressure is normal after taking the medication, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have tried switching medications several times without improvement....
Dr. Jiang Junyi Reply:
Hello Mr. Liu: You mentioned that "after taking the medication, my blood pressure is normal, but I still feel very fatigued and dizzy, which is quite uncomfortable. I have also tried switching medications several times without improvement." I wonder if any of your medic...[Read More] Managing Hypertension Medication: Addressing Fatigue and Dizziness
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Post-Bath Dizziness: Understanding Symptoms and When to Seek Help
Feeling dizzy after exercising following a bath? Hello, Doctor! As the title suggests, after taking a bath, I engaged in intense exercise without much rest and didn't pay attention to my breathing rate. I quickly experienced severe dizziness and a feeling of nausea. After re...
Dr. Jiang Junyi Reply:
Hello, Ms. Yue. You mentioned that you fainted while soaking in a hot spring outdoors during a cold wave, but after some time, you felt fine. It’s important to consider the issue of syncope. Fainting is more likely to occur when a person is standing because the cerebral blood flo...[Read More] Post-Bath Dizziness: Understanding Symptoms and When to Seek Help