Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Memory Loss: When Familiar Experiences Fade Away
No memory or impression? Hello, Doctor. I have been experiencing something for quite some time now. I often have no memory of events I have shared with friends and family, even during outings. Regardless of whether my friends mention these experiences or I see photos of us togeth...
Dr. Peng Shiwei Reply:
Hello, I believe your condition warrants a visit to a neurology outpatient clinic to determine the specific issue. Thank you for your inquiry.[Read More] Understanding Memory Loss: When Familiar Experiences Fade Away
Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
I have been experiencing dizziness upon waking up for the past ten days? Hello, doctor! For the past ten days, I've been experiencing dizziness upon waking up (sometimes it's immediate, and other times it occurs about an hour after having breakfast). I usually sleep aro...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like dizziness combined with a headache. If the symptoms persist, it is recommended that you visit a neurology outpatient clinic. Thank you.[Read More] Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Long-Term Effects of Ice Water on Migraine and Cognitive Function
Several years ago, I drank ice-cold water during a migraine, and as a result, I immediately felt dizzy and have had difficulty concentrating ever since? I have experienced migraines since childhood, typically located at the back of my head. One day during my senior year of high s...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is best to visit a hospital and consult a neurologist for a detailed assessment. Thank you for your inquiry.[Read More] Long-Term Effects of Ice Water on Migraine and Cognitive Function
Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
I have been feeling distracted these past few days? I have been experiencing episodes of absent-mindedness lately, and after these episodes, my memory feels very fuzzy. I researched this situation and found that it could be associated with absence seizures, which makes me quite a...
Dr. Cai Zongzhang Reply:
Hello Jerry: The symptoms mentioned may be indicative of epilepsy. It is recommended to consult a neurologist for further evaluation to confirm the diagnosis.[Read More] Understanding Memory Fog: Causes and Concerns Beyond Epilepsy
Understanding Post-COVID Brain Fog: Concerns and Solutions
Regarding post-COVID-19 cognitive fog? Hello, Doctor: I have a mental illness that already affects my memory and concentration, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to dine in restaurants, fearing that contracting COVID-19 c...
Dr. Peng Shiwei Reply:
Hello, statistics from abroad indicate that the probability of experiencing post-COVID cognitive fog is around 20%. The likelihood of developing severe symptoms after vaccination is lower. Most post-COVID symptoms tend to improve within six months to a year, but approximately 25%...[Read More] Understanding Post-COVID Brain Fog: Concerns and Solutions
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while at work. At the time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray. The doctor said there was no fracture in the skull. After two months, I saw a neurol...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao: You mentioned: 1. I have always had concerns about whether a person can still function normally if there is a fracture or a slight crack in the skull. It has been two years since then; if there was a fracture at that time, could the person still be conscious? A...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
Memory issues after a cerebral aneurysm rupture? I have undergone surgery for a cerebral aneurysm rupture and it has been three months since the operation. I am currently hospitalized for rehabilitation, and my limbs have regained about 60% of their function. I do not feel any ph...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned whether "Suliqing" is helpful. May I ask the location of your cerebral hemorrhage? Is it in the left basal ganglia? If financially feasible, I recommend administering it for 1-3 weeks to supplement amino acids for the brain. Clinical experi...[Read More] Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Inability to move the limbs and facial twitching after consuming alcohol? After consuming less than a small beer glass of whiskey, the individual experienced inability to move their limbs (hands making an "OK" gesture but unable to move), facial twitching, weakness in t...
Dr. Peng Shiwei Reply:
Hello Mr. Huang, based on your symptoms, both epilepsy and transient ischemic attack are possible. The likelihood of alcohol intoxication is relatively low. If you have any concerns, please come to the hospital for a thorough evaluation by a physician. It is also advisable for yo...[Read More] Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin Reply:
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help
Occipital pain Two days ago, I went out and initially thought it was due to lack of sleep. I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation throughout the back of my head, and it is still painful. There is no vomiting, and my memo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a neurologist at a hospital for a personal examination by the physician.[Read More] Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help
Understanding Sudden Headaches: When to Seek Further Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As described in the title, there is a sudden pain sensation that occurs approximately every few seconds, but it is not particularly intense and does not last long. In the following days, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Headache is not the most common symptom of a brain tumor. It is recommended that if the headache persists and does not improve with medication, further evaluation should be conducted.[Read More] Understanding Sudden Headaches: When to Seek Further Evaluation
Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As mentioned in the title, there is a sensation similar to pressure building up, but it is not very painful. The episodes occur briefly and then reappear after a few seconds. For the past...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "during the neurology clinic appointment, the doctor inquired and performed some physical examinations (reflexes, vision, pupil size, etc.) and then stated that the likelihood of brain lesions is low, and it seems more like a headache cause...[Read More] Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Could you please clarify the relationship between dementia and occasional shortness of breath along with feelings of weakness? Hello Doctor, recently my father took my mother to the hospital for a neurology examination, and the doctor informed us that my mother has mild dementia....
Dr. Hong Weibin Reply:
Hello: In addition to pharmacological treatment for dementia, there are non-pharmacological interventions, including occupational therapy, cognitive training, reminiscence therapy, art therapy, and social activities, among others. You can contact the dementia care centers or long...[Read More] Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking