Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi Reply:
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Navigating Multiple Sclerosis Treatment: Options Without Medication
Treatment for Multiple Sclerosis Hello, Doctor. I was diagnosed with multiple sclerosis this year. I found information online stating that if I do not start medication early to control it, I may develop disabilities within five years. However, my application for the major illness...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned, "I was diagnosed with multiple sclerosis this year..." Clinically, doctors will conduct an MRI examination within six months to determine the progression of the disease. You also mentioned, "Patients can rely on diet, exercise, stress...[Read More] Navigating Multiple Sclerosis Treatment: Options Without Medication
Understanding Muscle Twitches: Insights from Neurology and Patient Concerns
Muscle twitching Hello, doctor. I am the person who previously consulted you about muscle twitching during my university years (about three years ago). Recently, I couldn't bear the fear and went to see a neurologist again, discussing the twitching in my left thenar eminence...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "This time I didn't have an electromyogram, and I can only listen to different doctors' opinions at various neurology clinics, but the body's twitching still cannot be eliminated. Besides seeing a doctor, what should I do?" The ...[Read More] Understanding Muscle Twitches: Insights from Neurology and Patient Concerns
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Mild Cognitive Impairment: Treatment Options and Insights
Dementia Issues - Mild Cognitive Impairment Hello, doctor. I would like to ask about my mother, who is currently 82 years old. Her memory has significantly declined over the past few years. Recently, she underwent a series of tests at the neurology department, where blood test re...
Dr. Jiang Junyi Reply:
Dear Ms. Ivy, You mentioned that "there are significant cavities in the gray matter... with an MMSE score of 22... indicating mild cognitive impairment." Regarding health insurance coverage, it is suggested that patients with an MMSE score between 10 and 26 or those cl...[Read More] Understanding Mild Cognitive Impairment: Treatment Options and Insights
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
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 SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT REPORT INQUIRY Dear Doctor, Thank you for taking the time to assist with my inquiries. Below are the results from my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to ask the followi...
Dr. Peng Shiwei Reply:
Each individual's condition and physical status are different, so it is advisable to discuss with the elder's original attending physician. Thank you.[Read More] Understanding SPECT Cerebral Perfusion Scan Results in Dementia Diagnosis
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Recurrent amnesia after brain tumor surgery? Hello Dr. Tsai, my older brother was diagnosed with a brain tumor in the fifth grade (he is currently 29 years old) and underwent immediate surgical resection. Post-surgery, he occasionally experienced transient amnesia and dizziness, ...
Dr. Cai Zongzhang Reply:
Hello: Post-operative residual epilepsy is a common sequela of brain tumors. The aforementioned symptoms may be attributed to seizure activity, and it is recommended to visit a neurology outpatient clinic.[Read More] Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Hypoglycemia Hello, Dr. Jiang. As a diabetes patient, I am using insulin to control my blood sugar levels. Recently, I experienced a hypoglycemic episode that caused me to lose consciousness. My family found me and took me to the hospital, where my blood sugar was measured at 40 ...
Dr. Jiang Junyi Reply:
Dear Mr. Jian, You mentioned that "hypoglycemic encephalopathy causes deterioration in memory and reaction." Aside from the initial acute management, there currently seems to be no directly effective medication for the encephalopathy. For neural repair, it is recommend...[Read More] Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
The sensation of body swaying and dizziness has persisted for six months? Hello, Doctor. Since being diagnosed at the end of May last year, I have been experiencing symptoms of hypoxia, such as blackouts and dizziness. By October, my hypoxia symptoms had improved, but recently I ...
Dr. Jiang Junyi Reply:
Dear Ms. P: You mentioned experiencing "sudden lapses of memory for 1 to 2 seconds while walking, without any symptoms of numbness in the limbs or face." Your symptoms may suggest postural hypotension. Additionally, conditions such as anemia, autonomic dysfunction, and...[Read More] Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Do Screen Time and TV Watching Affect Memory in Teens?
Brain issues Is it true that prolonged use of mobile phones and watching television can impair memory, as often mentioned by older generations? I've been watching TV and using my phone all day since I was young. I'm currently in my second year of high school, and I stil...
Dr. Cai Zongzhang Reply:
Hello: Watching mobile phones and television does not directly affect memory; however, spending too much time on these activities can deprive individuals of self-learning time, which can indirectly impact the retention of learned material.[Read More] Do Screen Time and TV Watching Affect Memory in Teens?
Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Sudden loss of consciousness leading to a fall, with the head striking the floor, followed by persistent fever? Hello Doctor, last night I stood up from a chair and suddenly felt dizzy, then lost consciousness and fell to the ground, hitting my head on the floor. When I regained ...
Dr. Wu Mukhan Reply:
Hello, sudden dizziness accompanied by altered consciousness can be dangerous, as it may be caused by conditions such as cerebrovascular disease, epilepsy, encephalitis, or central nervous system infections, all of which require thorough examination. If symptoms persist, it is ad...[Read More] Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Can Piracetam Improve Brain Development and Focus in Adults?
Piracetam medication consultation? As a 27-year-old who has been taking piracetam, you have experienced slower cerebellar development since childhood, which has affected your learning and comprehension abilities, impacting your work and studies. You are currently seeking to impro...
Dr. Jiang Junyi Reply:
Hello Mr. A-Yang: You mentioned, "Does piracetam enhance concentration in the brain? Can it increase the release of dopamine?" Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting neuronal metabolism. It...[Read More] Can Piracetam Improve Brain Development and Focus in Adults?