Understanding Recent Memory Decline: Causes and Concerns
Recent memory decline? For the past 2 to 3 months, I have frequently experienced a situation where I think about what information I need to look up one moment, and then the next moment I forget it. It takes about 20 seconds for me to remember. This happens very often, every day, ...
Dr. Jiang Junyi Reply:
Hello Mr. Sean, You mentioned, "I was thinking about what information I wanted to look up one second, and then the next second I forgot, and it takes about 20 seconds for me to remember." Your symptoms are indicative of short-term memory dysfunction. Short-term memory ...[Read More] Understanding Recent Memory Decline: Causes and Concerns
Can Tooth Extraction Affect Mental Health and Cognitive Function?
Dementia? Hello doctor, after having two teeth extracted last year, my mental state has been very poor, and I have experienced difficulties with memory, cognition, and awareness. I later found some information suggesting a connection between teeth and the brain. Can you tell me i...
Dr. Jiang Junyi Reply:
Hello Mr. Ashu, You asked, "Can tooth extraction really change a person's mental state?" Many case reports suggest that poor dental hygiene may increase the risk of dementia. However, systematic reviews indicate that the evidence is insufficient to draw such concl...[Read More] Can Tooth Extraction Affect Mental Health and Cognitive Function?
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Understanding Head Trauma: Recovery Time and Memory Issues in Seniors
Head trauma An elderly family member (approximately 71 years old) was struck by a motorcycle while walking, resulting in an external injury above the right ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, he has been discharged home,...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that there is trauma in the upper right area behind your ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, you have been discharged home, but your memory remains confused. You are wondering if this is re...[Read More] Understanding Head Trauma: Recovery Time and Memory Issues in Seniors
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Can Low Adrenaline Levels Lead to Dementia Symptoms?
Is insufficient secretion of adrenaline (epinephrine) a cause of dementia? Hello: I would like to inquire whether insufficient secretion of adrenaline can cause symptoms of dementia. After treatment, can dementia be cured?
Dr. Hong Weibin Reply:
Hello: Insufficient secretion of adrenocorticotropic hormone can indeed lead to symptoms of cognitive impairment, which may affect memory. If steroid treatment is administered promptly, recovery should be possible. References: 1. Matsuo, Kinya, et al. "Cognitive Impairment C...[Read More] Can Low Adrenaline Levels Lead to Dementia Symptoms?
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Repeated Concussions: Concerns About Future Cognitive Decline
Multiple concussions: Fear of future dementia? Hello doctor, I have experienced five mild concussions within the past two years, the most recent one occurring in mid-November. However, since my third concussion in March, I have been experiencing ongoing issues with attention, jud...
Dr. Jiang Junyi Reply:
Dear Mr. Liu, You mentioned that "the third concussion started at the end of March, with ongoing issues related to attention, judgment, and memory, and the CT scan showed no problems, so the physician believes it is a psychological issue..." Dementia is usually caused ...[Read More] Repeated Concussions: Concerns About Future Cognitive Decline
Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Brain issues Hello, Doctor. Recently, I've been feeling a bit dizzy at times, but it doesn't last long. I don't have much headache, but there's just a strange sensation. I've also been feeling quite fatigued lately, and my concentration and memory seem to...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned feeling "a bit dizzy... for a short duration, not much headache, but just a strange feeling... Is it a precursor to a brain tumor? Or is it simply due to lack of sleep?" The symptoms are more indicative of sleep deprivation or other causes s...[Read More] Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Numbness of the tongue accompanied by facial flushing? Recently, about an hour after dinner, while doing aerobic exercise at home, I suddenly experienced numbness in my tongue, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, after which I...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "suddenly my tongue went numb, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, which improved a bit, but the numbness in my tongue is severe, making it difficult to speak." I would like to know...[Read More] Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Symptoms of brain atrophy? Hello Dr. Jiang: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatmen...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned "Diffuse widening of sulci and cisterns suggesting brain atrophy," which refers to brain atrophy. If there are no signs of functional decline in daily living, there is no need to worry too much. In diagnosing cognitive impairment, in addit...[Read More] Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Understanding Dementia and Hydrocephalus: Key Questions and Insights
Consultation regarding dementia (suspected to be caused by hydrocephalus)? Hello, Doctor. I would like to ask about my father, who is 63 years old and has been diagnosed with early-onset dementia for over a year. His main symptoms include significant short-term memory decline and...
Dr. Hong Weibin Reply:
Hello: Diagnosing dementia requires not only imaging studies but also a thorough assessment of the patient's clinical symptoms and disease progression to make an accurate diagnosis. Generally, if dementia is caused by normal pressure hydrocephalus, the patient often presents...[Read More] Understanding Dementia and Hydrocephalus: Key Questions and Insights
Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Dizziness, headache, and a sense of imbalance? Hello, doctor. Last month, one day, I suddenly started feeling dizzy (not the spinning type, but more like a sensation of an earthquake). Then, I felt unbalanced with any movement (for example, when leaning forward, it felt like ther...
Dr. Jiang Junyi Reply:
Dear Ms. Yoss, I believe you have already consulted a neurologist. If there are currently no neurological deficits, the likelihood of a brain tumor is low. The symptoms of a brain tumor typically depend on its location and size, and they usually worsen over time. Increased intra...[Read More] Understanding Dizziness and Head Pain: When to Seek Further Evaluation
Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Symptoms such as brain movement and discomfort after a concussion lasting more than two months? Dear Dr. Jiang, In June, I was rear-ended by a large truck while driving, and I hit the back of my head inside the car. I did not lose consciousness or experience any bleeding at the ...
Dr. Jiang Junyi Reply:
Dear Miss Jia-Jia, Your symptoms are likely indicative of post-concussion syndrome. The symptoms following a concussion can be categorized into three main types: 1. Physical symptoms: headache, fatigue, photophobia, neck pain, nausea, decreased balance, dizziness, etc. 2. Emoti...[Read More] Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
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