Understanding Chronic Fatigue: When to Seek Neurological Evaluation
How to check..? Hello doctor, I would like to ask about my symptoms. Despite getting 6-7 hours of sleep each night without insomnia, I still feel extremely fatigued, drowsy, and have a foggy mind throughout the day. Recently, a traditional Chinese medicine practitioner diagnosed ...
Dr. Gao Chunde Reply:
Cerebrovascular ultrasound will be performed under the National Health Insurance regulations, and physicians will use insurance coverage if there are indications such as stroke, transient ischemic attack symptoms, or suspected cerebrovascular abnormalities. If the criteria are no...[Read More] Understanding Chronic Fatigue: When to Seek Neurological Evaluation
Can I Take Berkey 100mg with Stomach Medication (MgO)?
Can Berkey 100mg be taken together with an antacid (MgO)? Dear Dr. Jiang, I was hospitalized for a week due to a cerebral artery embolism, and after discharge, my doctor prescribed a long-term medication regimen that includes Berkey 100mg, a stomach medication (MgO, 250mg), and ...
Dr. Jiang Junyi Reply:
Hello, according to your description, aspirin is an antipyretic analgesic that also has antiplatelet effects, making it widely used for the prevention of vascular occlusion and cardiovascular diseases. The dosage for preventing cardiovascular diseases is relatively low (usually b...[Read More] Can I Take Berkey 100mg with Stomach Medication (MgO)?
Understanding Dizziness: Causes, Treatments, and Dietary Tips
Dizziness follow-up issues? Hello, I asked about dizziness this morning, and I later saw a doctor who prescribed the same dizziness medication, but added an anti-nausea medication. I would like to ask again about my frequent burping; is this also caused by the dizziness? How can ...
Dr. Gao Chunde Reply:
Vestibular dizziness may occasionally be accompanied by initial burping, but taking medication can significantly improve the condition. If your dizziness is persistent and not related to the paroxysmal episodes or changes in posture, along with continuous burping, it is important...[Read More] Understanding Dizziness: Causes, Treatments, and Dietary Tips
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Numbness in the head? I had been taking sleeping pills for about three years, but switched to traditional Chinese medicine over a month ago, which has caused frequent headaches and a tingling sensation in my head. Now, I feel dizzy every day, and after a hospital examination, the...
Dr. Gao Chunde Reply:
To assess whether the headache, head numbness, and dizziness in the center of the head are longstanding issues or have recently emerged due to medication changes, it is important to consider that, from a Western medicine perspective, there are many causes for headaches, numbness,...[Read More] Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Pain and numbness in the right arm? Hello Doctor, my father is 56 years old, 172 cm tall, and weighs 68 kg. He smokes and is taking medication to lower his blood pressure. A few days ago, he experienced pain in his right arm, which was severe enough to cause numbness throughout t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, urgent issues like this may not be suitable for finding answers here. The symptoms you described could have several possibilities, ranging from serious conditions such as a stroke caused by arterial dissection to less severe issues like cervical nerve root compres...[Read More] Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Understanding Fetal-Type Posterior Cerebral Artery: Should You Be Concerned?
What is fetal-type posterior cerebral artery? Hello Doctor: I have been troubled by dizziness for many years. I have seen both an otolaryngologist and a neurologist, and I have undergone several tests, all of which were normal. I decided to pay out of pocket for an MRI, and the r...
Dr. Gao Chunde Reply:
The posterior cerebral artery is typically supplied by the posterior circulation of the brain, which includes the vertebral arteries ascending to the basilar artery. However, there is a collateral circulation system at the base of the brain that protects against temporary blood s...[Read More] Understanding Fetal-Type Posterior Cerebral Artery: Should You Be Concerned?
Dizziness and Sweating After Drinking: A Neurological Concern
Dizziness and sweating after drinking alcohol? After eating a little and drinking two to three glasses of beer, I stood up to go outside to talk about fifteen to twenty minutes later, and suddenly felt dizzy, with my vision going blank and sweating profusely.
Dr. Gao Chunde Reply:
If subsequent episodes of recurrent dizziness occur with changes in head position, lasting from a few seconds to one or two minutes, it is likely related to benign paroxysmal positional vertigo (BPPV) associated with otoliths in the inner ear. Sometimes, it may gradually resolve ...[Read More] Dizziness and Sweating After Drinking: A Neurological Concern
Concussion Concerns: Neck Tightness After Head Injury Explained
Concussion or Stroke!? Hello, I bumped my head last week and saw a doctor who diagnosed me with a mild concussion. However, after 8 days, I am experiencing tightness in the area just below my right earlobe, down to my chin and right cheek. Is this normal? I'm concerned there...
Dr. Gao Chunde Reply:
The area from the lower part of the right ear, extending to the neck and right cheek, is innervated by a peripheral nerve known as the greater auricular nerve. This nerve branches from the cervical plexus and is responsible solely for sensation, lacking any motor function. Occasi...[Read More] Concussion Concerns: Neck Tightness After Head Injury Explained
Sudden Severe Pain on Right Side of Head: Possible Causes and Next Steps
Sudden severe pain on the right side of the head? Hello, doctor. Around 7 PM today, while I was using the computer, I suddenly experienced a sharp pain on the right side of my head near the temple (it was instantaneous). The pain was so intense that I couldn't describe it, b...
Dr. Gao Chunde Reply:
The sudden and intense pain is generally more akin to neuropathic pain. As for the flashes, they do not resemble the aura associated with migraines. The duration of fifteen minutes is somewhat difficult to explain. This condition can begin as early as middle school. It is importa...[Read More] Sudden Severe Pain on Right Side of Head: Possible Causes and Next Steps
Sudden Weakness in Right Hand: Possible Causes and When to Seek Help
Sudden weakness in the right hand (unable to hold chopsticks), with normal sensation? My mother (71 years old, with hypertension and memory issues) suddenly experienced weakness in her right hand (unable to hold utensils), but her sensation is normal. What kind of condition could...
Dr. Jiang Junyi Reply:
Based on your description, your mother has hypertension and a history of cardiovascular diseases, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrova...[Read More] Sudden Weakness in Right Hand: Possible Causes and When to Seek Help
Should My Elderly Mother Undergo Surgery After a Stroke?
Does a stroke require surgery? Dear Doctor, My mother has suffered a stroke, which the physician described as hemorrhagic but small in size. She is over 80 years old, and we, her children, are uncertain whether to proceed with surgery. It is a difficult decision. I would like to...
Dr. Gao Chunde Reply:
The surgical intervention for intracerebral hemorrhage serves two primary purposes: one is to relieve pressure and save lives, as the formation of a hematoma can lead to increased intracranial pressure and pose a life-threatening risk; the other is to diagnose the cause of atypic...[Read More] Should My Elderly Mother Undergo Surgery After a Stroke?
Is Once Daily Pradaxa Dosage Sufficient for Mild Stroke Patients?
Medication Consultation (Supplementary Questions) First of all, I would like to express my gratitude to Dr. Huang for answering my questions. However, I would like to further inquire about my mother's situation. Our attending physician has expressed concerns that increasing ...
Dr. Huang Yingzhe Reply:
According to general experience, when a patient presents with hematuria after receiving warfarin, it is important to consider this issue when administering other anticoagulants as well. However, the benefits and risks must be weighed on a case-by-case basis, and there is no one-s...[Read More] Is Once Daily Pradaxa Dosage Sufficient for Mild Stroke Patients?
Is Once-Daily Pradaxa Dosage Sufficient for Stroke Prevention in Elderly Patients?
Medication Consultation Hello Dr. Huang, my mother is 64 years old and experienced a mild stroke in early March of this year. Her overall recovery status is stable (she can walk and manage daily activities independently without a catheter). However, due to atrial fibrillation, he...
Dr. Huang Yingzhe Reply:
According to the recommended dosage, it is indeed twice a day; however, in clinical practice, adjustments are often necessary based on individual patient circumstances. Therefore, it is advisable to consult the attending physician for further guidance.[Read More] Is Once-Daily Pradaxa Dosage Sufficient for Stroke Prevention in Elderly Patients?
Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Dizziness accompanied by the sensation of blood flow? I have been experiencing headaches for six months, with a sensation of nerve pulsation. I can also feel the blood flowing. I hear a sound like water flowing in my ears, and sometimes when I turn my head, I hear a noise like sa...
Dr. Gao Chunde Reply:
Pulsating headaches, which can be accompanied by severe nausea, may indicate migraines or other types of headaches. It can be challenging to determine the exact symptoms when blood flow in the head is affected. Facial and bodily numbness is generally associated with discomfort fr...[Read More] Understanding Persistent Dizziness and Blood Flow Sensations: A Neurology Perspective
Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use
Medication consultation Hello Dr. Huang, my mother is 64 years old. She was hospitalized for acute ischemic stroke (suspected in the midbrain region) one and a half months ago and has been receiving treatment. Her recovery is going well, and she has returned home to rest and acti...
Dr. Huang Yingzhe Reply:
Bokey has a preventive effect on heart and cerebrovascular blockages (though not 100%) and is applicable to both men and women (except in certain situations where other medications may be used instead).[Read More] Is Aspirin Safe for Women After a Stroke? Expert Insights on Medication Use
Understanding Numbness in Limbs: Causes and Concerns
Numbness in the hands and feet? Hello, for the past two days, I've been experiencing numbness in the left side of my body, including my arms and legs, lasting from half an hour to several hours. Sometimes, my left limbs feel cold, while the right side does not. I often have ...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient department of the hospital as soon as possible to determine the cause and receive symptomatic treatment. This symptom raises concern for transient ischemic attack (TIA), which is a warning sign of an ischemic stroke.[Read More] Understanding Numbness in Limbs: Causes and Concerns
Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Harmony Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Could ...
Dr. Huang Yongquan Reply:
Hello: In response to your question, I cannot provide a further explanation of the test results without seeing your complete report. The aspirin you are taking is indeed the first-line medication for stroke prevention. Your blood pressure is also well controlled. Unless there are...[Read More] Understanding Pontine Infarction: Symptoms, Risks, and Management Tips
Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
Health Check Report Hello, Doctor! I recently underwent a health check-up at the Shou-Li Double Happiness Hospital, which included a 64-slice CT scan of the brain. The report indicated a possible infarction or artifact in the left pons and recommended follow-up examinations. Coul...
Dr. Huang Yongquan Reply:
A pontine infarction is an ischemic stroke that occurs in the brainstem at the "pons" location. It is essential to implement stroke prevention measures, such as controlling blood pressure, taking antiplatelet medications like aspirin, and managing weight. If you have an...[Read More] Understanding Brainstem Infarction: Symptoms, Risks, and Follow-Up Care
Exploring Ginkgo Biloba for Vertebral Artery Syndrome: Risks and Interactions
The use of ginkgo preparations? My father has been experiencing long-term dizziness. After undergoing a vascular ultrasound, he was diagnosed with Vertebral Artery Syndrome. However, due to the length of the blockage, surgery is not recommended, and he is only on medication for m...
Dr. Liu Yanliang Reply:
Currently, there is insufficient evidence to support the effectiveness of ginkgo biloba in the prevention of stroke. Additionally, the medications your father is taking, Acetylsalicylic Acid and Dipyridamole, are already classified as cardiovascular drugs. It appears that your at...[Read More] Exploring Ginkgo Biloba for Vertebral Artery Syndrome: Risks and Interactions