Understanding Dizziness When Lying Down: Possible Causes and Next Steps
My dad feels dizzy when he lies down? Hello Doctor: I would like to ask some questions on behalf of my father, who is 63 years old. His symptoms are as follows: 1. Today, he suddenly felt dizzy while lying down (it felt like the bed was sinking, lasting about twenty seconds; look...
Dr. Huang Yingzhe Reply:
Dear Miss, This may be caused by an issue with the inner ear balance system. You can consult with an otolaryngologist or a neurologist. As for whether this could be a precursor to a stroke, it is rare for stroke warning signs to present with only these symptoms. However, a detai...[Read More] Understanding Dizziness When Lying Down: Possible Causes and Next Steps
Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
I'm sorry, but I need more information to assist you. Please provide additional details or context? My mother is 47 years old and had facial nerve dysfunction four years ago. Recently, she has started to experience numbness in her hands and feet (a tingling sensation), espec...
Dr. Huang Yingzhe Reply:
Dear Ms. Hsi, Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health, Executive Yuan, responds: The symptoms you described are quite "diverse." Some are commonly associated with issues in the brain, while others are more typical of...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
Understanding Left-Sided Numbness: Symptoms and Concerns
Numbness in the left hand and foot? Hello, Dr. Yeh. Since February 10, I have been experiencing stiffness and pain in my shoulders and neck upon waking up. Starting February 23, I noticed some tingling in my left middle finger, and in the past two weeks, I've also felt some ...
Dr. Ye Boshou Reply:
Hello: Based on your age, you are not considered to be in a high-risk group for stroke. Additionally, stroke symptoms typically occur suddenly and rarely worsen progressively. It is recommended that you visit a neurology outpatient clinic to check for any cervical spine issues. T...[Read More] Understanding Left-Sided Numbness: Symptoms and Concerns
Am I Experiencing a Stroke? Understanding Symptoms and Next Steps
Do I have a stroke? Hello, I am currently 21 years old, weighing 145 kg and standing at 178 cm tall. I have symptoms of high blood pressure and have been taking antihypertensive medication continuously for over six months. I have not controlled my diet or exercised, and my daily ...
Dr. Cao Wenlong Reply:
Hello: After an examination by an ophthalmologist, there are no issues with the eyes. Prolonged computer use may lead to hand numbness, which should be considered as muscle fatigue or strain in the neck, potentially referring pain to the eye area, and this is unrelated to a strok...[Read More] Am I Experiencing a Stroke? Understanding Symptoms and Next Steps
Understanding Blood Pressure Changes: Dizziness and Stroke Risks Explained
Usually, my blood pressure is low, but now it has returned to normal levels, and I feel a bit dizzy? I usually have low blood pressure around 60-90, but now it's 85-110. Recently, I've been feeling a bit dizzy, as if I've had a little beer; sometimes it feels bette...
Dr. Huang Yingzhe Reply:
Dear hy11688, This is Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health. Based on your description, it is important to understand why your blood pressure is higher than before. Are you currently experiencing any discomfort, such as dizzine...[Read More] Understanding Blood Pressure Changes: Dizziness and Stroke Risks Explained
Can Cervical Disc Herniation Cause Stroke-Like Symptoms?
Can cervical disc herniation cause symptoms of a stroke? After a CT scan of the neck, the physician diagnosed the patient with cervical disc herniation. The main symptoms include weakness in the limbs, but the patient also exhibits symptoms of "stuttering." What could b...
Dr. Cao Wenlong Reply:
Hello: In principle, cervical spine lesions only cause symptoms in the arms and legs and do not affect speech. If there is slurred speech, neurological issues should be considered, and it is recommended to consult a neurologist for diagnosis and treatment. Dr. Wen-Long Tsao[Read More] Can Cervical Disc Herniation Cause Stroke-Like Symptoms?
Effective Strategies for Managing Thalamic Pain After Stroke
How to effectively manage thalamic pain? I would like to inquire about treatment options for thalamic pain. My father has been experiencing thalamic pain symptoms for over four years due to a cerebral hemorrhage, and he has not received effective treatment so far. Therefore, I wo...
Dr. Huang Yingzhe Reply:
Dear Jessica, Hello. Pain caused by central nervous system damage is quite challenging to manage. If there are no contraindications for medication use, I would consider prescribing Neurontin, Tofranil, Tegretol, or other pain management methods. Please discuss the treatment opti...[Read More] Effective Strategies for Managing Thalamic Pain After Stroke
Could My Symptoms Indicate High Brain Pressure or Stroke Risk?
I would like to inquire whether my symptoms could possibly indicate elevated intracranial pressure or a stroke? Hello Doctor, I would like to ask whether I need to seek medical attention. My current symptoms are as follows: I usually operate high-risk investment products, which h...
Dr. Huang Yingzhe Reply:
Dear Mr. Peng, You can schedule an initial consultation at the Department of Neurology to assess whether you may have a neurotic disorder or if there are other factors related to your head that could be contributing to your condition. The Tainan City Hospital is concerned about ...[Read More] Could My Symptoms Indicate High Brain Pressure or Stroke Risk?
Understanding Facial Symptoms in Teens: A Guide for Concerned Parents
Daughter's face Dear Doctor, My daughter is in the second year of junior high school and has excellent grades. This week, my younger daughter noticed that when my older daughter smiles, her mouth is crooked (only one side smiles, with the right side appearing more rigid). S...
Dr. Ye Boshou Reply:
Hello: It resembles Bell's palsy, but further examination is needed. Please see a physician (neurologist) as soon as possible. In cases of isolated Bell's palsy, the chances of complete recovery are very high, so there is no need to worry.[Read More] Understanding Facial Symptoms in Teens: A Guide for Concerned Parents
Understanding Tinnitus, Sleep Issues, and Neck Pain: A Neurology Perspective
Tinnitus ~ insomnia ~ shoulder and neck pain ~ nasal mucosa redness and swelling? Hello Dr. Yeh, I have been increasingly unable to tolerate some physical discomforts. I know I have some unhealthy beliefs; I am aware that my body is unwell, but I really dislike going to the hospi...
Dr. Ye Boshou Reply:
Hello: Based on the above situation, the diagnosis should be autonomic nervous system dysfunction, which can be simply described as poor adjustment in daily activities and sleep. Improvement methods include returning to normal activities, working during the day, exercising, and m...[Read More] Understanding Tinnitus, Sleep Issues, and Neck Pain: A Neurology Perspective
Managing Autonomic Nervous System Disorders: Tips for Improvement
Autonomic nervous system dysfunction Hello Doctor, I have previously shown you my condition, and you diagnosed me with autonomic nervous system dysfunction. You prescribed Alepam 15mg, Tofranil 25mg, and Xanax 0.5mg. During this period, I haven't seen much improvement. I wak...
Dr. Ye Boshou Reply:
Hello: This is likely unrelated to the stroke, and medication adjustments may be necessary. Please return for a follow-up appointment.[Read More] Managing Autonomic Nervous System Disorders: Tips for Improvement
Post-Surgery Confusion: Understanding Neurological Impacts and Recovery
Postoperative confusion? Hello Doctor, my father was hospitalized due to septic shock. After being intubated by the physician, he woke up quite alert (able to write and communicate). Later, he underwent abdominal surgery where the doctor found only distension of the colon and dra...
Dr. Ye Boshou Reply:
Hello: 1. Medications can affect consciousness. 2. Brain hypoxia can occur in cases of hypotension, hypoglycemia, or lack of oxygen; all three conditions can lead to neuronal damage. 3. Tremors may be a sequela of brain hypoxia.[Read More] Post-Surgery Confusion: Understanding Neurological Impacts and Recovery
Can Stroke Survivors Safely Use Health Supplements for Weight Loss?
Can stroke survivors consume health foods for weight loss? Hello, my mother has been suffering from a stroke for nearly two years, resulting in loss of sensation and mobility on her left side. She is undergoing regular rehabilitation, but her doctor has indicated that she is curr...
Dr. Qiu Conglang Reply:
Hello: The dietary guidelines for stroke patients are detailed in Chapter 7 of the public materials from the Taiwan e-Learning Academy's stroke course (http://fms.cto.doh.gov.tw/DOH/index2.jsp). You can refer to its content. I am not familiar with the mechanism of action of ...[Read More] Can Stroke Survivors Safely Use Health Supplements for Weight Loss?
Can Longing for Someone Cause Chest Tightness or Stroke?
excuse me? Hello doctor, I would like to ask if missing someone very much can cause chest tightness or cerebral embolism. If cerebral embolism occurs, what are the common treatment options? Thank you.
Dr. Ye Boshou Reply:
Hello: 1. Longing can cause emotional changes such as chest tightness and insomnia, but it is not related to cerebral embolism. 2. The treatment for cerebral embolism focuses on prevention, but it is essential to understand the underlying causes of cerebral embolism in order to p...[Read More] Can Longing for Someone Cause Chest Tightness or Stroke?
Understanding the Signs of a Second Stroke: What to Watch For
Secondary stroke Hello Dr. Huang Ying-Che: My grandfather had a stroke this year. He had no warning signs when he had the stroke, just weakness in his right hand, which eventually led to weakness throughout his body. We had no choice but to go to the emergency room, where he was ...
Dr. Huang Yingzhe Reply:
Dear CICI, Greetings from Dr. Huang Ying-Che, Neurology Department, Tainan Hospital, Ministry of Health and Welfare. The symptoms of a stroke can be quite varied, especially in individuals who have experienced a previous stroke. It is essential to consider any factors that may...[Read More] Understanding the Signs of a Second Stroke: What to Watch For
Can Hyperbaric Oxygen Therapy Improve Stroke Recovery in Elderly Patients?
excuse me? Hello, I would like to ask if hyperbaric oxygen therapy after a stroke can lead to better recovery. My grandmother, who is 96 years old, had a stroke a few months ago and had dementia prior to the stroke. She is currently experiencing mobility issues. Would it be benef...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Department of Neurology, Tainan Hospital, Ministry of Health and Welfare: According to certain studies, hyperbaric oxygen therapy has shown some therapeutic effects. However, if a stroke has occurred some time ago, experience suggests that there may not ...[Read More] Can Hyperbaric Oxygen Therapy Improve Stroke Recovery in Elderly Patients?
Understanding Dementia: Causes, Symptoms, and Treatment Options
Dementia Hello, doctor. My mother has a benign tumor in her brain that was pressing on her optic nerve. She underwent surgery to remove it in 1989, but due to the complex location of the tumor, it could not be completely excised. In 2003, the tumor had grown larger, and she had a...
Dr. Xu Weicheng Reply:
Hello: Due to previous brain tumor surgery and the damage from a stroke, there will inevitably be a loss of function. If there are any other issues, please visit our outpatient clinic for follow-up treatment. Thank you! Neurology Department, Dr. Wei-Cheng Hsu.[Read More] Understanding Dementia: Causes, Symptoms, and Treatment Options
Understanding Head Pain During Straining: Is It a Stroke Warning?
Headache When I strain during a bowel movement, I experience pain on the left side of my head, and it feels extremely uncomfortable! My heart rate increases! This has not happened before, but sometimes I feel symptoms similar to heat exhaustion, like dizziness from being in the s...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Executive Yuan Health Department: Based on your age, I believe it is unlikely that you are experiencing stroke warning signs. However, the characteristics of your headache are somewhat atypical. I recommen...[Read More] Understanding Head Pain During Straining: Is It a Stroke Warning?
Stroke Treatment: Managing High Blood Pressure and Medication Concerns
How should a stroke be treated? Dr. Yeh: Hello! My mother suffered a mild ischemic stroke over three months ago. The doctor prescribed seven medications for her heart and vascular health, which she takes daily. However, her blood pressure often remains between 150 and 175, and sh...
Dr. Ye Boshou Reply:
Hello: 1. If there are too many medications, discuss simplifying them with your physician. 2. Medications can reduce the risk of stroke; it is essential to maintain a normal lifestyle, eat a light diet, engage in regular physical activity, and keep a relaxed mindset.[Read More] Stroke Treatment: Managing High Blood Pressure and Medication Concerns
Understanding Dizziness in Stroke Patients: Signs of a New Stroke?
Dizziness recurrence in stroke patients? Hello Dr. Huang, My mother is 58 years old and suffered a second stroke one year ago, resulting in multiple infarcts in the brainstem and cerebellum, which caused right-sided hemiplegia, loss of balance, and unclear speech, although her c...
Dr. Huang Yingzhe Reply:
Dear Sunny, It is possible! However, there may also be other causes for the dizziness/lightheadedness. It is essential for your attending physician to conduct an evaluation to obtain an accurate diagnosis. The Tainan City Hospital cares about your health. Sincerely, Dr. Huan...[Read More] Understanding Dizziness in Stroke Patients: Signs of a New Stroke?