Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness symptoms Hello, doctor. I've been troubled by dizziness for a long time, and the more I think about it, the worse it gets. My dizziness symptoms have persisted for over two months. I've seen an ENT specialist, a traditional Chinese medicine practitioner, and a...
Dr. Hong Weibin Reply:
Hello: Your condition may be peripheral vertigo, with a higher likelihood of Meniere's disease. You may seek assistance from an otolaryngologist or a neurologist specialized in the treatment of dizziness. Wishing you health and safety.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Consultation for Autonomic Nervous System Symptoms Hello, Dr. Jiang. Last year, I experienced palpitations and discomfort, and after seeing a cardiologist, I was diagnosed with mild benign arrhythmia. A subsequent evaluation by a psychiatrist revealed moderate to severe autonomic...
Dr. Jiang Junyi Reply:
Hello: The autonomic nervous system shows moderate to severe dysregulation. It may be important to understand the relative changes between the sympathetic and parasympathetic nervous systems in order to determine where adjustments are needed. Generally, the autonomic nervous syst...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Managing Chronic Headaches After Concussion: Symptoms and Solutions
Chronic headache Hello, Doctor: Three years ago, I was hospitalized for a concussion for a week, and since then, I have experienced issues such as depression, headaches, and gastric ulcers, which have been continuously monitored. However, my headaches have been occurring more fre...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to first treat the migraines, as young women are a common demographic for migraines. The symptoms of migraine with aura include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vi...[Read More] Managing Chronic Headaches After Concussion: Symptoms and Solutions
Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Weakness in the hands, feet, and eyes? Hello: I usually sleep on my right side. Recently, I have felt weakness in my right hand and foot. In the past few days, I suddenly noticed that the strength to close my right eye and mouth tightly is weaker than on the left side. My cholest...
Dr. Cai Zongzhang Reply:
Hello, weakness in the hands and feet may be related to muscle or nerve issues. You should consider visiting a hospital for relevant examinations. As for maintenance, it is recommended to maintain a regular routine and a balanced diet.[Read More] Is Weakness in Right Hand, Foot, and Eye a Stroke Warning Sign?
Understanding Autonomic Nervous System Disorders: Symptoms and Connections
Autonomic nervous system disorders? Hello doctor, two years ago, I suddenly felt a wave of dizziness one day, as if I were about to faint, but I never actually lost consciousness. Since that day, I have felt like I am constantly swaying, as if I were on a boat, whenever I am awak...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you maintain a regular sleep schedule and a balanced diet, identify sources of stress in your life, and practice stress-relief techniques. This should help improve your condition. If the issues persist, it is advisable to have regular follow-up appoi...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Connections
Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Prolonged hand cramps? I started feeling discomfort in my hand since last night. I used the restroom that day and had some alcohol before going to bed. When I tried to sleep, I experienced painful muscle cramps in my hand, which made it impossible to fall asleep. After some stret...
Dr. Cai Zongzhang Reply:
Hello, alcohol consumption may affect neuronal transmission, especially if you experienced fatigue the previous day. It is advisable to continue monitoring your condition, and if symptoms persist, it is recommended to seek further medical attention.[Read More] Understanding Hand Cramps: Causes, Symptoms, and Relief Strategies
Understanding Increased Headache Frequency: When to Seek Medical Advice
Increased frequency of headaches? Hello Doctor: I have experienced headaches since childhood, especially during stressful times. In the fourth grade, I underwent an EEG due to frequent headaches, which showed no abnormalities. Recently, the frequency of my headaches has increased...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a widespread area of pain. The nature of the pain is dull, aching, with...[Read More] Understanding Increased Headache Frequency: When to Seek Medical Advice
Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Body swaying sensation Hello Doctor, I have been experiencing a sensation of my lower body swaying back and forth or side to side a few times while sitting or lying down over the past three days. This occurs every 30 to 40 seconds, but I do not feel it when walking. Could this be...
Dr. Hong Weibin Reply:
Hello: The sensation of swaying while sitting or in a stationary position is referred to as disequilibrium. This is primarily caused by issues with the vestibular system in both ears, and to a lesser extent, by problems in the cerebellum. Common causes may include infections, tra...[Read More] Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Numbness in the Thigh: Causes and Next Steps
Numbness in the thighs while lying flat? Hello, Doctor. Symptoms: For about two years, when I lie flat to sleep, I often experience numbness on the outer side of my left thigh, but I do not have this issue when standing or sitting. Additionally, when I press on both thighs, the p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. Pain or numbness occurs in the anterior lateral thigh, generally in an area about the size of a palm, and may sometimes radiate to the lateral aspect of the knee...[Read More] Understanding Numbness in the Thigh: Causes and Next Steps
Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Facial twitching? Hello Doctor: I have two questions to ask. 1. I have been experiencing intermittent twitching in the philtrum area below my nose for several days, and I'm not sure what it could be; I am a bit worried. 2. I tend to sleep on my side and change positions whil...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the intermittent twitching in the philtrum area has been ongoing for several days, and you are unsure about the cause, which is causing some concern. If there are no other issues, this could be considered facial nerve instability, leading to minor muscle...[Read More] Understanding Facial Twitches and Sleep-Related Numbness: When to Seek Help
Burning Sensation from Calf to Sole: Possible Neurological Issues?
There is a warm sensation from the calf to the sole of the foot? It has been a while since I've experienced a warm sensation from my right calf to the sole of my foot. This feeling is more pronounced when sitting or standing, but it is less noticeable when lying down to slee...
Dr. Hong Weibin Reply:
Hello: It may be necessary to suspect the presence of varicose veins or poor venous return in the lower extremities. I recommend seeking assistance from a vascular surgeon.[Read More] Burning Sensation from Calf to Sole: Possible Neurological Issues?
Understanding Eye Twitching: Causes, Symptoms, and Treatment Options
Eyelid twitching has persisted for a year? Hello, Doctor: I have been experiencing intermittent twitching of the muscles in my right upper and lower eyelids for a year, and recently I have also felt a ringing in my ears. I have seen doctors who said that I am under a bit of stres...
Dr. Jiang Junyi Reply:
Hello, based on your description, the MRI report indicates: no significant intracranial lesions. There are localized changes anterior to the left ear canal, which may represent pneumatization of the left temporal bone apex. You mentioned that the muscles of your right upper and l...[Read More] Understanding Eye Twitching: Causes, Symptoms, and Treatment Options
Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Unintentionally making sounds? My grandfather is 87 years old, and over the past three months, he has frequently been making sudden loud sounds, which I don't remember him doing before. The sound resembles a loud "wēi" coming from his lower abdomen, and it usually ...
Dr. Jiang Junyi Reply:
Hello: It is advisable to document your grandfather's symptoms. If these are newly occurring symptoms, it may be necessary to consider structural issues or side effects from medications. It is recommended to visit a neurology outpatient clinic for examination and follow-up. ...[Read More] Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Facial twitching? Hello Doctor: Since yesterday, I have been experiencing involuntary muscle twitching on the right side of my face. During the twitching, the muscles under my right eye also twitch, and my right upper eyelid feels like it is drooping. The duration of the twitchin...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest blepharospasm, which often has an unknown cause and is three times more common in females than in males, typically occurring after the age of forty. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity...[Read More] Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Post-operative agitation and anxiety as side effects of using the medication Uriel after a subdural hematoma surgery? Hello Doctor, my father is 66 years old and has a history of epilepsy, Parkinson's disease, and head trauma. He used to take two tablets of Depakene 500mg an...
Dr. Jiang Junyi Reply:
Hello: You can first discuss your concerns with the primary care physician. If the primary care physician is unfamiliar with the medications, they typically consult with a specialist at the hospital via phone, which is the practice at our institution. Regarding the medications De...[Read More] Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms