Sympathetic nervous system, Neurology FAQ

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Understanding Throat Foreign Body Sensation: Causes and Solutions

Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...

[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions


Understanding Autonomic Nervous System Disorders: A Patient's Inquiry

Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...


Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...

[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry


Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns

Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...


Dr. Jiang Junyi Reply:
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....

[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns


Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options

Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...

[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options


Understanding Brain Fog: Symptoms, Causes, and Treatment Options

I have been feeling dizzy and forgetful for the past one to two months? Hello Doctor, I have been experiencing symptoms similar to brain fog for the past month or two, but I have not been diagnosed with COVID-19. My symptoms include dizziness, lack of energy, forgetfulness affect...


Dr. Jiang Junyi Reply:
Dear Mr. Ding, You mentioned that you have been experiencing symptoms similar to brain fog for the past month or two, along with difficulty sleeping and autonomic nervous system dysregulation (with a significant shift from the parasympathetic to the sympathetic nervous system). ...

[Read More] Understanding Brain Fog: Symptoms, Causes, and Treatment Options


Understanding Prolonged Dizziness: Causes and Concerns in Neurology

I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...

[Read More] Understanding Prolonged Dizziness: Causes and Concerns in Neurology


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


Managing Ear Pain and Sensitivity: Understanding Neurological Triggers

Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...


Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...

[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers


Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions

Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...


Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...

[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions


Understanding Autonomic Nervous System Disorders: A Case Study

Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...


Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...

[Read More] Understanding Autonomic Nervous System Disorders: A Case Study


Breathing Difficulties and Numbness: Understanding Neurological Symptoms

Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...


Dr. Jiang Junyi Reply:
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...

[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms


Understanding Autonomic Nervous System Disorders and Their Symptoms

Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...


Dr. Jiang Junyi Reply:
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...

[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms


Dizziness After Exercise or Work: Understanding Your Symptoms

Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...


Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...

[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms


Understanding Dizziness and Confusion: Possible Neurological Causes

Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...


Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...

[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes


Understanding Finger Tingling: Causes and When to Seek Help

Numbness in the fingertips? Hello, doctor. For the past three days, I have been experiencing a sensation in the fingertips of both hands (more so in the right hand) that feels like there is a foreign object present, intermittently. Occasionally, I also feel a tingling sensation, ...


Dr. Jiang Junyi Reply:
Dear Mr. A-Jia, You mentioned that "sometimes there is, sometimes there isn't... occasionally feeling like an electric current flowing through the back of the hand and fingers," which may suggest a peripheral nerve issue. Common causes include sensory nerve abnorm...

[Read More] Understanding Finger Tingling: Causes and When to Seek Help


Understanding Weakness and Tremors in the Elderly: A Neurology Perspective

Generalized weakness and tremors? Hello, doctor! My mother is 78 years old and started experiencing generalized weakness and trembling about a month ago. However, her condition improves significantly after she eats and replenishes her caloric intake. The key issue is that she nee...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "as long as she eats... the situation will improve significantly, the key is that she needs to eat every 2-3 hours." It may be necessary to consider autonomic nervous system abnormalities. Generally, the autonomic nervous system is regulat...

[Read More] Understanding Weakness and Tremors in the Elderly: A Neurology Perspective


Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety

Autonomic nervous system dysfunction causing dizziness and lightheadedness? Hello, Dr. Jiang. I apologize for bothering you, but I would like to ask for your advice. Three years ago, I suddenly experienced autonomic nervous system dysfunction. Initially, I had occasional prematur...


Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "sleeping for 9 hours... Yongkangxu said it would help." Yongkangxu contains two active ingredients: Flupentixol, which is an antipsychotic that has antidepressant and anxiolytic effects at low doses, and Meltracen, which is a mood st...

[Read More] Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety


Understanding Persistent Dizziness: Causes and Anxiety Connections

Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...


Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...

[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections


Can Devices Accurately Diagnose Autonomic Nervous System Disorders?

Is there a device that can detect autonomic nervous system dysfunction? Hello, doctor. I have been suffering from irritable bowel syndrome (diarrhea type) since my student days. Recently, I finally mustered the courage to undergo an endoscopy, and the results showed that my intes...


Dr. Jiang Junyi Reply:
Hello, You asked, "Is there a specialized instrument to test for autonomic nervous system disorders? Do general clinics have this, or is it only available in large hospitals?" Here are four commonly used tools for assessing autonomic nervous system disorders: ● Hea...

[Read More] Can Devices Accurately Diagnose Autonomic Nervous System Disorders?


Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey

Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...


Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...

[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey


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