Understanding Post-Earthquake Dizziness: Neurological Insights
Regarding shaking? Hello, Dr. Jiang. Since the earthquake on September 19, I have been experiencing a sensation similar to swaying. I notice it more when sitting on a chair without a backrest, and it occurs less when standing. Riding a motorcycle does not trigger this sensation a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "only sitting on a chair without a backrest tends to make you feel unsteady." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), which occurs when turning the head, tilting the head back, or rising from a lying position. Dizz...[Read More] Understanding Post-Earthquake Dizziness: Neurological Insights
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for a while, which is usually relieved by applying a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departmen...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may indicate compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues wi...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Legs twitching before falling asleep? Hello Doctor, I am currently four months pregnant. Recently (over the past month), I have been experiencing involuntary leg movements just before falling asleep at night, which wakes me up and makes it difficult to fall back asleep. I am genu...
Dr. Cai Zongzhang Reply:
Hello Wendy: The symptoms mentioned above are suspected to be related to Restless Legs Syndrome. The underlying cause needs to be confirmed through examination, but it is not advisable to conduct tests during pregnancy. It is recommended to initially alleviate the symptoms throug...[Read More] Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Should You See a Doctor for Sudden Blurry Vision and Dizziness?
I would like to confirm whether I need to see a doctor? Sometimes I experience sudden blurred vision that lasts for about 15 to 30 minutes before recovering, followed by dizziness and nausea. This occurs even outside of physiological conditions. During the period of blurred visio...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be related to cerebrovascular disease, and it is recommended to visit a neurology outpatient clinic for examination.[Read More] Should You See a Doctor for Sudden Blurry Vision and Dizziness?
Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Dizziness, inability to measure blood pressure in the right arm, cold fingers, and numbness and soreness in the hand? The mother, aged 83, suffered a stroke while sleeping before the Mid-Autumn Festival. The doctor determined that it was beyond the 3-hour window for administering...
Dr. Hong Weibin Reply:
Hello: Please go to the emergency department as soon as possible, as there may be a peripheral artery occlusion.[Read More] Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Do Brain Health Medications Affect Blood Thinning During Checkups?
Chronic dizziness Dear Doctor, I have been experiencing long-term dizziness, and a doctor prescribed me a medication called Naoqing. Recently, I am considering undergoing a comprehensive health check-up, and I was advised not to take any anticoagulant medications. Could you pleas...
Dr. Jiang Junyi Reply:
Hello Ms. Lychee, You mentioned experiencing "long-term dizziness, and a doctor prescribed me medication for brain clarity. Recently, I want to undergo a full health check-up, and I was advised not to take any anticoagulant medications. Could you please tell me if Flunarizi...[Read More] Do Brain Health Medications Affect Blood Thinning During Checkups?
Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Brain issues I often experience twitching in my body or limbs lately. I am a heavy user of computers and smartphones, and sometimes my eyes feel blank while looking at the screen. Recently, I also feel that my vision has slightly declined. Could these two issues be symptoms of a ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "the body or limbs often twitch," which may initially suggest symptoms of neuroinflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. As for brain tumors, the s...[Read More] Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Neck Issues and Migraines: Understanding the Connection for Relief
It seems that the neck is causing the migraine? My symptoms have persisted for 4-5 years. I experience migraines when I wake up at night, and the frequency has increased in recent years. I don't take medication, and the pain usually subsides after noon. Taking pain relievers...
Dr. Jiang Junyi Reply:
Hello Mr. Bob, It seems you may have misunderstood the diagnosis of "migraine." The symptoms of a migraine typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea a...[Read More] Neck Issues and Migraines: Understanding the Connection for Relief
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to know if medication can help treat hand tremors. Can primary hand tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You mentioned, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors, and they typically become more pronounced when holdi...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to ask if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those for which a specific cause cannot be identified; they may be due to a unique constitution or hereditary factors. Typically, tremors are more pronounced when holding objects. Physiol...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had shaky hands when I was a child. I would like to know if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors. Typically, tremors are more pronounced when holding obje...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Understanding Facial Pain When Closing Eyes: Possible Causes and Solutions
Pain in the cheek while closing the eyes? Hello doctor, whenever I close my eyes, I experience pain on the left side of my cheek near my nose. It hurts more when I squeeze my eyes shut, and rubbing my eyes also causes pain. I have been wearing contact lenses for a long time, and ...
Dr. Jiang Junyi Reply:
Hello Ms. Ke: You mentioned that "when you close your eyes, the area near your left cheek close to the nose hurts a lot." Your symptoms may suggest inflammation of the tissues around the eye, and dysfunction of the nasolacrimal duct should also be considered. I recommen...[Read More] Understanding Facial Pain When Closing Eyes: Possible Causes and Solutions
How to Alleviate Nighttime Headaches: Tips for Relief and Management
Recently, I have been frequently awakened at night by headaches? Hello Doctor, I have been waking up in the middle of the night due to pain that extends from my temples to my eyes and the back of my head. In the mornings, I often feel a heavy, dull sensation in my head. I have pr...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, the headache may be caused by neuroinflammation. It is recommended to continue follow-up treatment with a neurologist.[Read More] How to Alleviate Nighttime Headaches: Tips for Relief and Management
Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
I'm not sure if it's autonomic nervous system dysfunction? Hello, Dr. Tsai. I have a symptom where I sometimes feel a swaying sensation while sitting. I have visited an otolaryngologist, but there were no findings related to vestibular imbalance. Recently, I had blood t...
Dr. Cai Zongzhang Reply:
Hello, Ah Wei: Based on the described symptoms, it may be a balance dysfunction. If the symptoms persist despite adequate rest, it is recommended to consult a neurologist for an evaluation.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Diagnosis
Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Twitching and numbness in the right corner of the mouth? Doctor, after I eat spicy food, the right corner of my mouth experiences muscle spasms and numbness for about a few seconds. This happens especially around noon, approximately every two weeks, or three times a month. Howeve...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih: You mentioned that "after eating spicy food, the right corner of my mouth experiences spasms and numbness for about a few seconds," which may indicate instability of the trigeminal nerve. Typical trigeminal neuralgia usually occurs unilaterally and...[Read More] Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked about <a href="https://adoctor.tw/article/186643">#186643</a>. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or ...
Dr. Jiang Junyi Reply:
You mentioned, "I have had my autonomic nervous system tested and found to have dysregulation. The medication prescribed by my doctor hasn't been effective, and I thought about exercising, but it made me feel even more dizzy, so I can't really exercise properly now...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure