Numbness in Legs and Lips: Possible Causes and Relief Strategies
Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies
Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges
The patient has suffered a brainstem hemorrhage and remains in a coma post-surgery (for over 70 days)? The aunt has been in a coma (Glasgow Coma Scale score of 8) following a recent brainstem hemorrhage and subsequent brain surgery. At one point, her heart stopped but was revived...
Dr. Jiang Junyi Reply:
Hello Sir: I suggest that you invite the family members of your aunt and her attending physician to hold a "family meeting." Discuss the desire for aggressive treatment with the medical team to reach a consensus between your needs and the available medical options. If f...[Read More] Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi Reply:
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Dizziness, occasional migraines, and mild diplopia? I would like to ask the doctor about persistent dizziness and double vision for two weeks, along with occasional migraines. After consulting different hospitals, I received various opinions. What is the difference between "...
Dr. Jiang Junyi Reply:
Dear Mr. Fan, You mentioned experiencing "two weeks of dizziness and double vision." Vestibular neuritis can cause dizziness, but it typically does not present with double vision. Basilar-type migraine can cause headaches that mimic stroke symptoms due to vascular cons...[Read More] Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Headache, dizziness, ear congestion? Hello, doctor. Six days ago, after taking a shower, I suddenly felt dizzy. Since then, I've had persistent pain in the back of my head, a feeling of dizziness, and my ears feel clogged, making it hard to hear. I have a constant sense of i...
Dr. Jiang Junyi Reply:
Dear Ms. Jia, You mentioned experiencing "sudden dizziness, followed by persistent pain in the back of the head... sudden dizziness, difficulty hearing, and an overall feeling of imbalance." Your symptoms may suggest sudden sensorineural hearing loss, which is an otola...[Read More] Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Understanding Weakness and Numbness in the Left Leg and Foot
Weakness from the left calf to the dorsum of the foot? Hello doctor, this morning when I got up, I sometimes felt a strange sensation in my foot as if I were about to trip. When walking, it also feels like my left foot is making a heavy impact with the ground. At first, I didn&#x...
Dr. Jiang Junyi Reply:
Hello Mr. Ahong, You mentioned that "my left ankle cannot be lifted as easily as usual (I can do it with my hands), it feels a bit strenuous. When I lift my left ankle or the top of my left foot, I feel a tingling sensation in the dorsum of my foot, but not in my calf. Sinc...[Read More] Understanding Weakness and Numbness in the Left Leg and Foot
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained
Understanding Dizziness: Causes and Concerns After Neck Injury
Dizziness issues Bending down to wash my hair at a very low angle (almost similar to the yoga cat pose), I suddenly lost my sense of balance and felt dizzy, causing me to fall to the right side. However, I was still able to move my hands and feet freely, and I ended up in a posit...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the bending is very low (approximately similar to the angle of the yoga cat pose) and suddenly losing balance along with feelings of dizziness." This may indicate that we should first consider excessive traction on the cervical vertebrae&...[Read More] Understanding Dizziness: Causes and Concerns After Neck Injury
Managing Urinary Tract Infections While on Anticoagulants: A Guide
How to supplement with cranberry and related nutrients while taking Lisinopril? Hello, doctor. My family member had a stroke three years ago and is currently taking anticoagulant medication, Rivaroxaban. However, they have been experiencing recurrent urinary tract infections over...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Rivaroxaban anticoagulant medication, but there have been recurrent urinary tract infections over the past few years..." Anticoagulants can interact with cranberry: newer generation anticoagulants, such as Rivaroxaban, typically do not have signifi...[Read More] Managing Urinary Tract Infections While on Anticoagulants: A Guide
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Scalp Numbness: Causes and Concerns for Your Health
Scalp tingling? I've been experiencing frequent shoulder and neck pain over the past couple of days, and I feel a tingling sensation in the scalp at the back of my left head. I'm worried it might be a stroke or meningitis. My hands and feet also feel numb when I wake up...
Dr. Cai Zongzhang Reply:
Hello: The most common cause of the above symptoms is poor posture or prolonged bending of the head while using a mobile phone or laptop. Please avoid these activities and see if there is any improvement. If there is no improvement, please visit a neurology clinic.[Read More] Understanding Scalp Numbness: Causes and Concerns for Your Health
Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns
Multifaceted health conditions? Dear Doctor: I have some health concerns that I would like to ask you about. I previously had dry eye syndrome, and now I have noticed multiple issues with my body. Firstly, I often wake up feeling tired despite getting enough sleep. I experience s...
Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned: 1. If the neck makes a cracking sound during movement, could it harm the skull or cranial nerves? Is there a possibility of a stroke as a result? This sound is likely produced by the pulling of the intervertebral disc cartilage in the cervical spin...[Read More] Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Massive hemorrhagic stroke with severe coma? Hello, doctor! My father has a history of hypertension and has been a long-time smoker and drinker. A month ago, he underwent gallbladder removal surgery due to gallstones, during which arrhythmia was discovered. Two weeks after the in...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsueh: 1. Brainstem hemorrhage can lead to post-hemorrhagic hydrocephalus, and ventriculostomy is a reasonable medical intervention. However, the timing of the surgery should be determined based on the patient's condition, so please collaborate with your physicia...[Read More] Understanding Severe Coma After Massive Hemorrhagic Stroke: A Case Study
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery