Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may lead to daytime lack of concentration and frequent drowsiness. However, sleep apnea can be classified into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue...[Read More] Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may cause daytime concentration issues and frequent drowsiness. However, sleep apnea can be categorized into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue n...[Read More] Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Long-Term Use of Antiepileptic Medication: Risks and Considerations
Dizziness and epilepsy issues? Hello Doctor: About 3.4 years ago, I fainted unconsciously and had a motorcycle accident. At that time, the doctor diagnosed me with epilepsy and mentioned that there was a missing segment of a blood vessel in my right brain (cerebrovascular disease...
Dr. Jiang Junyi Reply:
Hello: Based on your description, Shunao capsules primarily act as a relaxant for cerebral blood vessels, and the medication does not have effects for stroke prevention or epilepsy treatment. Clinically, it is mainly used for treating migraines or dizziness. Long-term use may lea...[Read More] Long-Term Use of Antiepileptic Medication: Risks and Considerations
Understanding Dizziness and Mental Fog: Neurological Insights
Dizziness and a feeling of heaviness in the head? Doctor, I'm sorry, but I've been feeling dizzy without the sensation of spinning. It's more like a state of confusion where I'm not quite aware of what I'm doing. The dizziness seems to worsen with fatigue...
Dr. Jiang Junyi Reply:
Hello: I would like to know if you have any issues with sleep disorders? Are you experiencing high blood pressure? Generally, individuals with high blood pressure have a higher risk of stroke. I would also like to inquire if you have metabolic syndrome (such as increased waist ci...[Read More] Understanding Dizziness and Mental Fog: Neurological Insights
Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Xinsuping and Katie Heart Hello Dr. Hong, This article continues from the previous question <a href="https://adoctor.tw/article/153145">#153145</a>. I will list my questions for easier reading, and I kindly ask for your clarification. Thank you. 1. I ofte...
Dr. Hong Weibin Reply:
Hello: 1, 2, 4. Diltiazem and Verapamil are both classified as calcium channel blockers in pharmacology, commonly used to treat hypertension and alleviate tachycardia. However, they are not recommended for use in cases of bradycardia or in patients with atrioventricular (AV) bloc...[Read More] Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
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
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?
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
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
High Blood Pressure: Should You See a Neurologist or Cardiologist?
Hypertension Hello Doctor: My mother is 80 years old and has a history of stroke. Recently, her health check revealed high blood pressure (consistently measuring between 152 and 165 over the past week). Should we consult a neurologist or a cardiologist for her high blood pressure...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you consult a cardiologist. Thank you.[Read More] High Blood Pressure: Should You See a Neurologist or Cardiologist?
Post-Stroke Fitness: Can Seniors Safely Engage in Strength Training?
Post-stroke motor issues Hello Doctor: My family member is 65 years old and has had a stroke 2 years ago. One side of their limbs is not very agile, but they can take care of themselves. Their blood pressure is controlled at 110/70. Due to decreased physical strength after the il...
Dr. Hong Weibin Reply:
Hello: Rehabilitation after a stroke should be conducted gradually and progressively, ideally under the guidance of a rehabilitation physician or a physical and occupational therapist, with a gradual increase in exercise intensity. Starting directly in a regular gym may impose to...[Read More] Post-Stroke Fitness: Can Seniors Safely Engage in Strength Training?
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
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, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Central Respiratory Arrest Due to Medullary Stroke
Central apnea caused by medullary stroke? Dear Doctor, My father was hospitalized earlier this year due to respiratory failure (elevated carbon dioxide levels in the blood) and was advised by the physician to use a ventilator. In August of this year, he was again admitted for th...
Dr. Hong Weibin Reply:
Hello: Medullary strokes can indeed affect the respiratory centers in the body, leading to respiratory suppression during sleep. During sleep, the control of respiratory muscles diminishes, resulting in carbon dioxide accumulation, a condition known as Ondine's curse. It is ...[Read More] Understanding Central Respiratory Arrest Due to Medullary Stroke
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Understanding Persistent Headaches, Dizziness, and Breathing Issues
Headache, dizziness, chest tightness, shortness of breath, difficulty breathing? On Monday, after breakfast, I suddenly experienced unexplained dizziness, headaches, and an unknown fever that lasted all day. I thought it was heatstroke and drank some rehydration solution, which h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that drinking Jizhong Water has been effective, which contains ingredients such as chili pepper and rhubarb. These components may cause vasoconstriction and elevate blood pressure, potentially helping with blood pressure drops due to excessive sweating. I sug...[Read More] Understanding Persistent Headaches, Dizziness, and Breathing Issues
Understanding Poor Outcomes After rt-PA Treatment for Stroke
The effect of administering rt-PA after a stroke is suboptimal? Hello, my father-in-law, who is 65 years old, was found to have a stroke at 8 AM and was taken to the hospital. The doctors determined that he could receive rt-PA, but at 3 AM the following day, he developed increase...
Dr. Jiang Junyi Reply:
Hello: According to studies related to rTPA, the most significant side effect of administering thrombolytics is bleeding. Although the risk of intracranial hemorrhage from thrombolytic therapy is ten times higher than that of oral anticoagulants (approximately 6%), "the over...[Read More] Understanding Poor Outcomes After rt-PA Treatment for Stroke
Is There a Cocktail Therapy for Stroke Treatment? Exploring the Facts
Is there a concept of "cocktail therapy" in stroke treatment? Hello doctor, my father is 61 years old and has been suffering from a second stroke for 7 months. He was admitted to the emergency room and intubated due to damage to the cerebellum. Initially, he was complet...
Dr. Cai Zongzhang Reply:
Hello, there is indeed a cocktail therapy specifically for stroke patients; however, the applicable conditions vary depending on the symptoms of different patients. You may discuss with your father's physician to choose the appropriate treatment method. Additionally, the roa...[Read More] Is There a Cocktail Therapy for Stroke Treatment? Exploring the Facts
Can Hyperbaric Oxygen Therapy Help Stroke Patients After 7 Months?
Is hyperbaric oxygen therapy beneficial for patients who have had a stroke for 7 months? Hello, doctor. My father had a stroke about seven months ago, and the results of his rehabilitation have not been very promising. Recently, I came across hyperbaric oxygen therapy, which seem...
Dr. Cai Zongzhang Reply:
Hello, you can indeed use hyperbaric oxygen therapy in the treatment of stroke. I recommend discussing this with your father's physician. Thank you.[Read More] Can Hyperbaric Oxygen Therapy Help Stroke Patients After 7 Months?