Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Understanding Nerve Sensations: Addressing Tingling and Discomfort
Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...
Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei Reply:
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She is taking medication in the morning and evening, bu...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. In addition to cerebral discharges, we should consider lumbar nerve root compression. I wou...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Persistent Dizziness: Causes and Anxiety Connections
Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...
Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She has been taking medication in the morning and eveni...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. It resembles symptoms of localized cortical discharges. May I ask if this occurs before tak...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Headaches When Lying Face Down: What You Need to Know
Experiencing headaches when lying down? Hello, I would like to ask about a situation where I do not experience any issues while sitting, lying flat, or standing, but sometimes when I lie face down (with my elbows propped up), I experience a buzzing sensation in my head along with...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it may be related to a transient increase in intracranial pressure due to straining. However, a detailed assessment by a physician in person would be preferable. If this situation is causing you significant distress, I recommend consulting...[Read More] Headaches When Lying Face Down: What You Need to Know
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Sudden Leg Tremors: Causes and When to Seek Medical Attention
Sudden involuntary shaking of the legs? Hello, doctor. Today, while sitting in a meditation position on my toes, my left calf and thigh suddenly began to tremble violently. The shaking stopped when I placed my foot flat. I've never experienced this before; today was the firs...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is more likely that the tremors are caused by excessive muscle contractions. However, a detailed assessment by a physician through an in-person consultation and physical examination is necessary for a definitive diagnosis. You may continue to mon...[Read More] Sudden Leg Tremors: Causes and When to Seek Medical Attention
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Understanding Sudden Dizziness: Causes and Treatment Options
Dizziness and vertigo? Hello, doctor! I usually feel fine, but today I suddenly experienced dizziness. No matter if I'm standing or sitting, I feel like the world is spinning, and I can't seem to maintain my balance. Occasionally, I feel nauseous but can't vomit, a...
Dr. Peng Shiwei Reply:
Hello, based on your age and symptoms, it is likely that you are experiencing peripheral vertigo caused by inner ear imbalance. I recommend consulting an otolaryngologist. Thank you for your inquiry.[Read More] Understanding Sudden Dizziness: Causes and Treatment Options
Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Pain in the left occipital region accompanied by a throbbing sensation? Hello Doctor, I have recently started practicing freediving, but I often experience severe pain in the left posterior part of my head when descending to depths of about five to ten meters, despite normal ear ...
Dr. Jiang Junyi Reply:
Hello Chris, You mentioned experiencing "severe pain in the left occipital region during ascent, which evolved into a throbbing pain accompanied by a heartbeat after resting." Your symptoms may warrant consideration of "decompression sickness." Compared to fr...[Read More] Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Muscle pain Hello, doctor. Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements. This sensation disappears immediately after I stop the movement, and there is no pain when I press on it. However, I noticed that when...
Dr. Jiang Junyi Reply:
Hello Mr. TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue. This could be due to muscle compression of nearby nerves and blood vessels in specific positions. Symptoms of peripher...[Read More] Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi Reply:
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Dizziness in the right posterior part of the brain / similar to intoxication / inflammation? Hello, doctor. I apologize for the lengthy description of my condition; I hope you don't mind. Background: About ten days ago, I visited Qingjing Farm. After being exposed to some su...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the infection may have been caused by insect bites in the wild, and I was prescribed antibiotics along with anti-nausea and pain relief medications. After three days, I asked my family to check, and the redness and swelling at the back of my right ...[Read More] Understanding Right Occipital Dizziness: Possible Inflammation and Treatment