Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips
Autonomic nervous system dysfunction Can individuals with autonomic nervous system dysfunction consume fried foods, satay, black pepper, barbecue, sweets, bitter melon, goji berries, sesame oil chicken, and mildly spicy foods? Additionally, if these foods are consumed once or twi...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up the body, while the parasympathe...[Read More] Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips
Understanding Sleep Tension: Causes and Solutions for Relaxation
Inability to relax during sleep? Sometimes I suddenly wake up while sleeping, and I often feel tightness in the temples of my head. During sleep, I experience a sensation where tension starts from the lower half of my body and gradually moves up to my upper body and then to my he...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck stiffness is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder pain that may even extend to the bilateral postauricular fascia. Initi...[Read More] Understanding Sleep Tension: Causes and Solutions for Relaxation
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Symptoms after a gravitational impact? Hello, doctor. I would like to inquire about an incident that happened several years ago when I was hit on the top of my head by a corner of a life jacket made of foam after falling from a height. I underwent some examinations at that time, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or the presence of significant local hematomas typically indicates mild symptoms. Additionally, since your symptoms have persisted for over two years, the c...[Read More] Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Understanding Neurological Symptoms After Eating Undercooked Crab
Brain issues, neck issues, infection issues? About 3.4 weeks ago, I ate an undercooked crab. A few hours after eating, I developed a headache. The next day, I woke up feeling dizzy, and during the first week, I experienced nausea and tingling in my scalp. I then visited a neurolo...
Dr. Jiang Junyi Reply:
Hello: You mentioned brain parasites, which should be quite rare in Taiwan. However, if you travel to other countries and consume undercooked food, you may become infected. For example, in the country where I am currently serving (Eswatini, Africa), traces of certain brain parasi...[Read More] Understanding Neurological Symptoms After Eating Undercooked Crab
Can My Mother Fully Recover from Stroke-Related Weakness?
Can one regain their previous health? My mother recently experienced a minor stroke, which left her weak and unable to walk. She was urgently taken to the hospital for treatment and was hospitalized for a period during which she had daily episodes. After some time, she began to r...
Dr. Jiang Junyi Reply:
Hello, 1. I feel that my leg strength and overall physical stamina are not what they used to be. Why is that? The mild stroke you mentioned could lead to weakness in walking. I'm curious if the physician has explained the relevant areas of the brain and the corresponding c...[Read More] Can My Mother Fully Recover from Stroke-Related Weakness?
Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...
Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns
Understanding Lip Twitching: Causes and When to Seek Medical Help
Twitching of the lower left lip? Hello Dr. Jiang, recently due to high stress, I have been staying up late until three or four in the morning. Last Tuesday night, when I closed my eyes to sleep, I felt like my left eyelid was twitching, but it returned to normal when I opened my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of facial nerve inflammation. Abnormal twitching can also be related to caffeine consumption. If it involves the trigeminal nerve, there may be sensations of abnormality. Generally, nerve inflammation typi...[Read More] Understanding Lip Twitching: Causes and When to Seek Medical Help
Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Hit on the chin, headache, and nausea? A few days ago, I bumped my chin against someone's shoulder while playing basketball. There were no external injuries, but the impact was quite strong. At the time, I did not lose consciousness or experience confusion. However, afterwar...
Dr. Jiang Junyi Reply:
Hello: Head trauma with the following medical history is usually more severe and requires further head CT examination: – Vomiting 2 times or more – Age over 65 years or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more ...[Read More] Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
請提供您想詢問的內容，我將為您翻譯 Hello, doctor. When I was in sixth grade, I suddenly woke up feeling nauseous while sleeping. I immediately ran to the bathroom, feeling like I needed to vomit, but I couldn't. I experienced tinnitus, my vision became very bright and blurry, my limbs felt w...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include pos...[Read More] Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Cervical rotation exercises produce cracking or popping sounds? Hello, Doctor. For the past couple of days, I've been experiencing tight pain in the left occipital region, and my neck and shoulders seem quite stiff. Therefore, I did some neck rotation exercises (similar to w...
Dr. Jiang Junyi Reply:
Hello: The sounds you mentioned are primarily due to friction occurring between the joint surfaces, the cartilage pads, and the tendons and joint capsule during joint movement. In most individuals, these sounds are not prominent, while in some, they may be more noticeable. If the...[Read More] Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Understanding Pulsating Head Sensations: When to See a Neurologist
The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...
Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist
Understanding Persistent Dizziness: Causes and Solutions for Your Symptoms
Feeling dizzy and bloated every day? Hello Dr. Jiang: About two years ago, I experienced similar symptoms where I felt dizzy every day, especially when moving or turning my neck, and even while chewing food. Although I felt dizzy, it wasn't severe enough to cause nausea or v...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over,...[Read More] Understanding Persistent Dizziness: Causes and Solutions for Your Symptoms
Does Drinking Tea Affect EEG Results for Headache Diagnosis?
Headache examination? Doctor, I had an EEG last month due to headaches, but I took a small sip of tea before the test. The results indicated no issues, but I'm a bit concerned whether that could have affected the results, such as the presence of a tumor.
Dr. Jiang Junyi Reply:
Hello: Brain waves are more easily affected by sleeping pills and hypoglycemia. Additionally, lack of sleep can also significantly impact the pattern of brain waves. As for brain tumors, more precise examinations are not primarily based on brain waves. Typically, brain imaging su...[Read More] Does Drinking Tea Affect EEG Results for Headache Diagnosis?
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Struggling to Wake Up: Understanding Morning Fatigue and Its Causes
I can't get up in the morning? I would like to ask why I have trouble getting up in the morning for work. Sometimes I can hear the alarm, but most of the time, the alarm wakes my family up, and they have to come knock on my door while I continue to sleep. Other times, I hear...
Dr. Jiang Junyi Reply:
Hello: Your concerns can be addressed in two parts: 1. Regarding hearing: You can consult an otolaryngologist at a hospital for a hearing test to determine if there is any hearing loss at specific frequencies or damage to the auditory nerve. 2. Regarding sleep: You can visit a sl...[Read More] Struggling to Wake Up: Understanding Morning Fatigue and Its Causes
Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps
Intermittent sharp pain and electric shock-like sensations in the right scapular region? This condition has persisted for nearly four months since June 30 of this year. On that day, while working in the morning, I suddenly experienced a very intense sharp pain in my right scapula...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of an intercostal muscle strain, which is typically associated with pain related to movement and posture. As for the intercostal nerves, they run along the ribs in the chest, passing from the back through the lateral abdomen to the front o...[Read More] Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms