Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding the Link Between Sleep Disorders and Stroke Symptoms
Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...
Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms
Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Could you please clarify your question regarding dizziness? Hello Dr. Tsai: In my twenties, I experienced occasional dizziness, but it was mild. Recently, over the past month, the symptoms have become particularly pronounced, with a feeling of pressure in my head and dizziness. I...
Dr. Cai Zongzhang Reply:
Hello Winnie: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
How to Determine Disability Status for Parkinson's Disease in Taiwan
How is the determination of disability for Parkinson's disease made? Recently, my dad was diagnosed with severe obstructive sleep apnea and needs to purchase a CPAP machine. I came across information stating that if one has a disability certificate, they can receive governme...
Dr. Peng Shiwei Reply:
Hello, if you wish to apply for disability benefits, please directly consult your attending physician to assess whether you meet the eligibility criteria. Generally, you need to take the initiative to apply. Thank you for your inquiry.[Read More] How to Determine Disability Status for Parkinson's Disease in Taiwan
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi Reply:
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Involuntary twitching of the left index finger? Hello, doctor. For about a week now, my left index finger has been experiencing sudden involuntary twitching, occurring both during the day and while sleeping, with a frequency of about five times a day, sometimes more. The twitchin...
Dr. Cai Zongzhang Reply:
Hello Doris Liu: It is recommended to visit the neurology outpatient clinic for an examination to determine the cause.[Read More] Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Understanding Numbness in Fingers and Toes: When to See a Doctor
Numbness in the fingers and toes while lying flat, resembling the sensation of ants crawling? Recently, I have been experiencing numbness in my fingers and toes before sleeping and upon waking up. I'm uncertain about the possible causes. If I need to see a doctor, which spec...
Dr. Peng Shiwei Reply:
Hello, regarding your issue, it is recommended to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness in Fingers and Toes: When to See a Doctor
Feeling Off Balance When Standing: Could It Be a Neurological Issue?
When standing up, the center of gravity tilts to the right, making it impossible to stand straight without leaning against the wall? As mentioned, I have experienced a similar situation before. When I wake up, I feel like my body is tilting to one side, as if gravity has changed ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended that you consult a neurologist at a major hospital. Additionally, stroke symptoms are typically persistent, so your symptoms do not seem to align with those of a stroke. Thank you for your inquiry.[Read More] Feeling Off Balance When Standing: Could It Be a Neurological Issue?
Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Electroencephalogram (EEG) Report Type of Recording: Routine Condition: Awake 1. EEG Diagnosis: Abnormal Mild occasional diffuse slow waves 2. EEG Description: a. Background Activities: Alpha 9-10Hz 20-40µV, posterior dominant rhythm; symmetry +; reactiv...
Dr. Jiang Junyi Reply:
Dear Ms. Jim, You mentioned "Theta 5-6Hz, 20-40uV, occasional, diffuse" slow waves in a localized area, indicating potential damage to that brain region, which requires special attention. The presence of diffuse slow waves typically suggests that the subject may be dro...[Read More] Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Uncontrollable Body Shaking: Causes and Solutions
The body may occasionally experience involuntary muscle spasms or twitching? Hello Doctor: I would like to ask on behalf of my father! My father has diabetes, kidney disease, and hypertension, and he also suffers from ischemia. He experiences severe shaking every day, not just mi...
Dr. Jiang Junyi Reply:
Dear Ms. Fen, You mentioned that your father is experiencing "intense shaking accompanied by discomfort," which may warrant consideration of structural issues in the brain, commonly seen after cerebrovascular diseases. Tremors can often be attributed to essential tremo...[Read More] Understanding Uncontrollable Body Shaking: Causes and Solutions
Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Understanding Unilateral Head Numbness: Causes and Relief Strategies
Unilateral head numbness Hello Doctor, I am 22 years old and a few weeks ago I suddenly started experiencing numbness on the left side of my head, specifically from the back of my skull to the top of my head. This occurs whether I am sitting, standing, or walking, and even while ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned experiencing numbness on the left side of your head, specifically from the back of your skull to the top of your head. This symptom may be related to cervical nerve inflammation, particularly in individuals who frequently look down or overuse their c...[Read More] Understanding Unilateral Head Numbness: Causes and Relief Strategies
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello, doctor. I have had a cervical disc herniation at the C3-C4 and C5 levels for over ten years. My symptoms fluctuate; sometimes they improve, and other times they worsen. Occasionally, I experience neck and shoulder pain, as well as arm pain. This a...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually not related to brain lesions, but if they persist and worsen, it is recommended to visit an outpatient clinic for evaluation by a physician. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Is this similar to Stiff Person Syndrome? For the past six months, I have only experienced mid-back and upper abdominal pain while sleeping until the morning. However, all symptoms disappear upon getting out of bed. Is this similar to Stiff Person Syndrome, or could it be related...
Dr. Peng Shiwei Reply:
Hello, it is usually related to posture and the mattress. If your symptoms persist and worsen, it is advisable to consult a neurologist. Thank you for your inquiry.[Read More] Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions