Managing Headaches: Medication Adjustments and Patient Concerns
Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...
Dr. Jiang Junyi Reply:
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...[Read More] Managing Headaches: Medication Adjustments and Patient Concerns
Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Head Injury Concerns: When to Seek Medical Attention After Trauma
Head issues Hello, doctor. My mother is 50 years old and was hit on the back of her head by a car door this morning. She is currently on anticoagulants due to vasculitis, and I am very concerned about the possibility of microvascular rupture and other issues. Which specialty shou...
Dr. Jiang Junyi Reply:
Hello Hue: It has been over 10 days now; how is your mother doing? If she is in her 50s and has not experienced loss of consciousness or significant localized hematoma, there may not be too much to worry about. Delayed intracranial hemorrhage typically occurs within 48 hours, wit...[Read More] Head Injury Concerns: When to Seek Medical Attention After Trauma
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...
Dr. Jiang Junyi Reply:
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Leg Numbness and Weakness After Walking: Diabetes Concerns
On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding Abnormal Brain Perfusion CT Results and Their Implications
Cerebral perfusion computed tomography (CT perfusion) I underwent a brain CT scan (perfusion imaging) at National Cheng Kung University, and the doctor informed me of some abnormalities. I would like to know what these results signify and whether they indicate the possibility of ...
Dr. Peng Shiwei Reply:
If the physician informs you of any abnormalities, please discuss the arrangement for further diagnosis or treatment with your primary care physician. Thank you.[Read More] Understanding Abnormal Brain Perfusion CT Results and Their Implications
Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Tinnitus and pulsatile tinnitus issues? Dr. Tsai, you just mentioned that I should see a neurologist for an examination. I would like to ask you, what specific tests should be conducted for tinnitus?
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: It is recommended to have a consultation first before deciding which tests to schedule.[Read More] Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns
Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Ming, You mentioned that "your back, waist, and hips feel hot and painful, and your legs feel tingling and numb while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc leading to localized inflammato...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello doctor, back in August, I strained my lower back and hips while exercising. I have been feeling a warm, painful sensation in my lower back and hips, and my legs have been experiencing tingling and numbness when I walk. I had an X-ray done, and the do...
Dr. Jiang Junyi Reply:
Hello Mr. Amin, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc, which can lead to lo...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist