Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Elderly individuals may experience hand tremors recently? Hello Doctor: My mother is currently 65 years old and runs a small eatery with my father, who has not yet retired. Recently, when I returned home, I noticed that while she was serving vegetables to customers, one hand was ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that your mother may have a tremor issue. Additionally, early-stage dementia should be considered. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathologica...[Read More] Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Recently experiencing frequent dizziness, fatigue, chest tightness, and difficulty swallowing? Hello, doctor. I would like to inform you that I have mitral valve prolapse with mild regurgitation. For the past six months, I have been experiencing chest tightness and pressure near ...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms described above, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Can Early Detection of Alzheimer's Disease Be Achieved?
Can dementia be detected early? I recently saw news online that people with herpes labialis have a higher risk of developing Alzheimer's disease. I've had herpes labialis since childhood, and it's been several decades now. Sometimes I worry about developing dementi...
Dr. Jiang Junyi Reply:
Hello: At 30 years old, your chances of developing dementia are very low. There are some early-onset genetic markers that can be tested, but if there is no family history, early testing is not recommended. For patients who exhibit symptoms, we typically inquire about their medica...[Read More] Can Early Detection of Alzheimer's Disease Be Achieved?
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Understanding Cognitive Decline: Memory Loss and Attention Issues
Decreased cognitive function and memory decline? Doctor, I have noticed that my attention has become scattered, and I cannot concentrate on tasks. Even when I am engaged in conversations and trying hard to listen, I find it difficult to understand the content. When studying, I st...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Cognitive Decline: Memory Loss and Attention Issues
Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...
Dr. Cai Zongzhang Reply:
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Understanding Memory Issues: Are They Signs of Brain Damage?
Memory problems Hello, doctor. I've often been told that I'm forgetful since I was young, and recently in high school, I occasionally forget to bring things when I leave home, as well as the names of NBA players and characters I like. Is this forgetfulness? Could it be ...
Dr. Hong Weibin Reply:
Hello: This situation is mostly caused by poor concentration. It is recommended that you relax your emotions, which can be enhanced through meditation or introspection to improve focus, and this condition can be alleviated.[Read More] Understanding Memory Issues: Are They Signs of Brain Damage?
Understanding Occasional Memory Lapses: When to Seek Medical Advice
I forgot what I wanted to say? Occasionally forgetting recent conversations or names of less familiar friends and famous athletes, but being able to recall them with some thought or prompts, can be considered a form of forgetfulness. This type of memory lapse is often normal and ...
Dr. Hong Weibin Reply:
Hello: This indicates forgetfulness, which is often caused by aging, poor concentration, or excessive stress. You can try to relax your emotions first; if the situation does not improve, you may seek assistance from a neurologist or a psychiatrist.[Read More] Understanding Occasional Memory Lapses: When to Seek Medical Advice
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging method is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years and have been taking medication for depression for 15 years: DOXEPIN 25 mg (2 tablets) and Escitalopram 10 mg (1 tablet). I have had insomnia for 20 yea...
Dr. Cai Zongzhang Reply:
Hello: For memory function disorders, a CT scan is typically arranged, and an MRI is only ordered if there is suspicion of a stroke. PET scans are not helpful for assessing memory function.[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Understanding Sympathetic Nervous System Overactivity and Its Effects
Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...
Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Epilepsy Issues and Solutions I am a law student preparing for the national examination. Several years ago, I was hospitalized in the intensive care unit due to encephalitis, and later developed postictal epilepsy, for which I was prescribed Sabril and Revotril for two years. Dur...
Dr. Jiang Junyi Reply:
Hello: Adjustments to epilepsy medication should be made under the guidance of a physician. The authority on epilepsy in Taiwan is at Taipei Veterans General Hospital. If you have concerns about your medication, you can consult with the epilepsy specialists at this medical center...[Read More] Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Headache, dizziness, nausea, forgetfulness? Hello, doctor. About two weeks ago, I started experiencing severe headaches around 2 PM every day, accompanied by dizziness and nausea. After taking painkillers, the pain subsides for just over an hour before the dizziness, headache, an...
Dr. Jiang Junyi Reply:
Hello: Although your symptoms are more indicative of tension-type headaches, they have been progressively worsening over the past two months. Additionally, there are signs of cognitive function impairment. It is strongly recommended that you seek medical evaluation to rule out an...[Read More] Understanding Persistent Headaches, Dizziness, Nausea, and Memory Issues
Understanding Memory Loss: Possible Causes and When to Seek Help
Memory loss Hello, Doctor! I would like to inquire about memory impairment. I have the following situation: my memories mostly only last for about the past two years, and memories from more than two years ago are mostly vague, and sometimes I can't even recall events or expe...
Dr. Hong Weibin Reply:
Hello: The human brain has a limited capacity, especially regarding "working memory." Working memory refers to the level of focus a person has at a given moment. For example, when a waiter is taking an order from a customer, they must concentrate and remember what the c...[Read More] Understanding Memory Loss: Possible Causes and When to Seek Help
Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Acute intracerebral hemorrhage Dr. Tsai, I hope you don’t mind me asking. My mother suddenly fainted while working, with left-sided movement, tremors, and urinary incontinence. She was urgently taken to the hospital, where it was immediately discovered that she had a right-sided ...
Dr. Cai Zongzhang Reply:
Hello, I understand that you are very anxious about your mother's condition and are seeking a second medical opinion. I recommend that you proactively discuss your concerns with your mother's attending physician. If you have any doubts, you can ask the medical team to p...[Read More] Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Understanding Head Pain: Symptoms and When to Seek Help
Headache issues Hello Doctor, I have been experiencing pain in the back of my head, dizziness, nausea, memory issues, and tinnitus recently. I visited a clinic where the doctor examined my ears and blood pressure, both of which were normal. The doctor suggested that it might be a...
Dr. Cai Zongzhang Reply:
Hello, both physiological and psychological factors can contribute to headaches. It is recommended that you relax and maintain a regular routine. If the headache does not improve, it is advisable to consult a neurologist.[Read More] Understanding Head Pain: Symptoms and When to Seek Help
Understanding Memory Lapses: Could They Indicate Early Dementia?
Forgot what I did about eight hours ago? 1. About six days ago, I seemed to have taken my daily medication (finasteride, quartered) at 8 PM, and then at 3 AM, I suddenly remembered this, but I had no clear memory of taking the medication and was uncertain if I had taken it or not...
Dr. Hong Weibin Reply:
Hello: It is not uncommon for individuals to suddenly forget things they have just done, but later recall them at some point, albeit without a complete memory of the event (for example, remembering that they took a shower but being unsure if they washed their hair; recalling that...[Read More] Understanding Memory Lapses: Could They Indicate Early Dementia?