Persistent Fatigue: Understanding Causes of Constant Sleepiness
Feeling sleepy all day? Recently, I lost weight, but then my weight returned to what it was! I feel sleepy all day and lack energy. I don’t have a habit of staying up late; I usually sleep from around 11 PM to just after 6 AM. I had my liver checked, and it’s fine; my lungs are a...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned above are suspected to be caused by insufficient cerebral blood flow. It is recommended to continue treatment for hyperlipidemia to reduce the risk of stroke.[Read More] Persistent Fatigue: Understanding Causes of Constant Sleepiness
Understanding Numbness and Weakness: When to See a Neurologist
Numbness in both hands, toes, and scalp? Hello doctor, my situation is as follows: at the beginning of July, while stretching during breaks at work, I experienced dizziness and numbness in the third and fourth toes of my right foot for more than ten minutes. Then, two weeks later...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "suddenly both hands' fingers, or only the fingers of the right hand, experience a tingling sensation that extends to about ten centimeters into the palm, lasting approximately 10 to 30 minutes." This may indicate a potential issue...[Read More] Understanding Numbness and Weakness: When to See a Neurologist
Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...
Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang Reply:
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Please provide information regarding the sequelae of stroke? Hello Doctor: My family member had a stroke in the right hemisphere three years ago. After rehabilitation, he was able to walk normally, but he has reduced function in his left upper limb. In April, he suffered a stroke...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "pain in the right lower limb upon waking during the day, with muscle tightness in the leg and toes splayed. Massage and stretching can provide relief, but the pain recurs shortly after." This symptom may suggest lower limb muscle cramp...[Read More] Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Understanding Body Vibration: Is It a Sign of Neurological Issues?
The frequency of body diagnostics is the same as the heartbeat? Hello, Doctor. Recently, when I lie flat at night to sleep, I feel a constant vibrating sensation throughout my body, with a frequency that feels similar to my heartbeat. However, when I lie on my side, the vibration...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for examination of the underlying cause.[Read More] Understanding Body Vibration: Is It a Sign of Neurological Issues?
Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Questions Regarding Discharge After Cerebral Hemorrhage Hello Doctor, my mother underwent successful surgery for a hemorrhagic stroke (left hemisphere) in early March of this year and is currently undergoing active rehabilitation (her recovery is going well). She is also taking t...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continuously record your morning and evening blood pressure readings and discuss the dosage and timing of antihypertensive medications with your physician.[Read More] Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Understanding Numbness in Limbs: Is It a Stroke Warning Sign?
Numbness in the limbs? Hello doctor, about half a month ago I started feeling numbness near the left side of my wrist, which then extended down to my elbow and palm. After that, I experienced slight numbness in my right hand, and now both of my feet are numb as well. The numbness...
Dr. Hong Weibin Reply:
Hello: Numbness in the extremities is usually more related to peripheral nerves and is not a common symptom of a stroke.[Read More] Understanding Numbness in Limbs: Is It a Stroke Warning Sign?
Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Brain tumor issues? Since November of last year, I have been experiencing a feeling of pressure and tightness in my nasal cavity and bridge of the nose. I have seen an otolaryngologist who ruled out nasal issues. I would like to ask if it is possible that this could be caused by ...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned that you have been experiencing a feeling of pressure and tightness in your nasal cavity and bridge of the nose. After consulting an otolaryngologist, nasal issues have been ruled out, and you are inquiring whether it could be due to a brain tumor pre...[Read More] Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Is This Delusion? Understanding Cognitive Changes After Stroke
Is this a delusional disorder? Hello, Dr. Hong: My father-in-law had a minor stroke last month, and his condition is currently very stable. His speech and walking are all normal. However, recently I've noticed that he often confuses things. For example, when there is road co...
Dr. Hong Weibin Reply:
Hello: This may indicate cognitive impairment, as the patient seems to exhibit delusions and misidentifications. It is advisable to seek assistance from a neurologist or psychiatrist. Hong Wei-bin[Read More] Is This Delusion? Understanding Cognitive Changes After Stroke
Understanding Stroke Symptoms and Necessary Tests: A Guide
Symptoms of a stroke? Blood pressure is at 170, with audible sounds in the neck. There is a feeling of pressure in the back of the head, elevated intraocular pressure, and white matter lesions in the brain. Blood test results show: Creatinine is 0.57 (normal range is 0.6-1.2), MP...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Stroke Symptoms and Necessary Tests: A Guide
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Severe Headache After Bathing: When to Seek Medical Attention?
Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...[Read More] Severe Headache After Bathing: When to Seek Medical Attention?
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
On March 25, the MRI of my mother's brain showed a white area on the right side behind the ear. The doctor said it was a cerebellar embolism? On March 11, the third dose of Moderna was administered. On March 18, daily living difficulties appeared: (1) constantly wearing adul...
Dr. Hong Weibin Reply:
Hello: Based on your description, your mother may be experiencing apraxia, which could be caused by an acute stroke affecting the posterior circulation of the brain. It is recommended that you take her to the hospital for evaluation. Typically, hospitalization for examination wil...[Read More] Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders