Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Understanding the Connection Between Meningitis and Fever Symptoms
The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...
Dr. Jiang Junyi Reply:
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...[Read More] Understanding the Connection Between Meningitis and Fever Symptoms
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Involuntary Muscle Twitches in the Inner Thigh
Involuntary twitching of the adductor muscles? The doctor would like to continue asking about a previous issue: my left thigh's quadriceps, specifically the vastus medialis, experiences intermittent twitching. 1. Is this twitching related to autonomic nervous system dysfunct...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that "autonomic nervous system dysfunction" is generally regulated by the sympathetic and parasympathetic nervous systems, one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up...[Read More] Understanding Involuntary Muscle Twitches in the Inner Thigh
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...
Dr. Jiang Junyi Reply:
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Can treating sympathetic nervous system abnormalities help in the treatment of allergic rhinitis? I believe I have vasomotor rhinitis, which has not improved. Medical reports indicate that the pathogenesis of chronic rhinitis is related to the autonomic nervous system. Both "...
Dr. Cai Zongzhang Reply:
Hello, Mr. Li: It is recommended to undergo desensitization therapy and to minimize external stimuli in daily life. You may consider visiting a neurology or otolaryngology clinic for treatment.[Read More] Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi Reply:
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Understanding Symptoms of Autonomic Nervous System Dysfunction
The body feels tense and warm? Hello, Doctor: Recently, I have been feeling tightness in my shoulders and neck, and sometimes I also feel tightness in my right ear. I have been experiencing nerve pain, with occasional tingling in my calves and near my toes. My body feels warm, in...
Dr. Jiang Junyi Reply:
Dear Ms. Deddy, You mentioned "autonomic nervous system dysfunction," a term that is widely used because it is important to identify the underlying causes of this phenomenon. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic ne...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
Unilateral persistent pain in the head, temples, jaw, and shoulder-neck region? Hello, Doctor. I received my first dose of the AstraZeneca vaccine in early May. At that time, the side effects included severe pain in my head and neck, as well as a low-grade fever. I rarely experie...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms seem to indicate cervical myofascial inflammation, and cervicogenic headache is a common cause. You mentioned, "I consulted two neurologists along the way; one believed it might be related to autonomic nervous system dysfunction, but I did not exper...[Read More] Persistent One-Sided Head and Neck Pain After COVID-19 Vaccination
How to Balance Your Autonomic Nervous System for Better Digestion?
How to avoid excessive parasympathetic nervous system activity? Hello Doctor, I often experience the following symptoms: bloating, excessive stomach acid, general weakness, and a slow heart rate. The main symptoms are bloating and excessive stomach acid. I had an endoscopy, and e...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may not be solely due to excessive parasympathetic activity. Typically, when the parasympathetic nervous system is activated, intestinal motility increases, leading to feelings of hunger, increased appetite, and a sense of sleepiness. Bloating is less commonl...[Read More] How to Balance Your Autonomic Nervous System for Better Digestion?
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding the Effects of Sirdalud on Weight and Heart Rate
Shenda Heart Rhythm Tablets Hello Doctor: I have migraines, and the frequency of my attacks has increased recently, so I visited a neurologist. The doctor prescribed me Sotalol, two tablets a day, to be taken continuously for one month. I have been taking it for two weeks now, an...
Dr. Jiang Junyi Reply:
Hello, Miss: I would like to know if the neurologist has prescribed any other medications for migraine prevention for you. Propranolol works by reducing sympathetic nervous system activity. Side effects include dizziness, lightheadedness, dry cough, bradycardia, hypotension, and ...[Read More] Understanding the Effects of Sirdalud on Weight and Heart Rate
Understanding Tongue Pain: Is It Related to Nerve Issues?
Tongue pain and oral pain? Could damage to the C5 vertebra or stiffness in the neck and shoulders lead to tongue pain or a burning sensation in the mouth? Three years ago, I started experiencing tongue pain due to stress, and I have consulted with oral and ENT specialists multipl...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest autonomic nervous system dysfunction, particularly excessive activation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the acce...[Read More] Understanding Tongue Pain: Is It Related to Nerve Issues?