Understanding Swallowing Issues: When to Consult a Neurologist
About swallowing? Hello, doctor. Last time I noticed a small indentation on the sole of my foot, and I was too worried to visit a neurologist during this critical time. The doctor told me it wasn't atrophy, and after listening to my medical history and performing a physical ...
Dr. Jiang Junyi Reply:
Hello: The possible causes of the symptoms you mentioned are considered normal physiological phenomena. The enhancement of sympathetic nervous system activity leads to decreased secretion from the salivary glands. When food lacks moisture, it cannot effectively form a bolus, maki...[Read More] Understanding Swallowing Issues: When to Consult a Neurologist
Why Does My Scalp Tingle When I Use the Bathroom?
Scalp tingling? Hello doctor, may I ask why my scalp tingles every time I use the restroom (for urination)?
Dr. Hong Weibin Reply:
Hello: This may be due to the interaction between the sympathetic and parasympathetic nervous systems during urination. Additionally, it is important to consider the possibility of peripheral neuropathy.[Read More] Why Does My Scalp Tingle When I Use the Bathroom?
Understanding Shortness of Breath: Neurological Insights and Solutions
Feeling of chest tightness and shortness of breath? Hello, doctor. I used to occasionally feel the need to take deep breaths throughout the day for comfort, but recently this has become a frequent occurrence. Now, I feel very fatigued after walking a short distance, and I experie...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. It is possible that you are using your breathing to regulate discomfort. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "r...[Read More] Understanding Shortness of Breath: Neurological Insights and Solutions
Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Tinnitus, along with intermittent wakefulness? Two years ago, I noticed that my right ear hears high-frequency sounds (like a ringing sound, but not very loud). I went to the hospital for an ear examination, and they suggested that it might be due to a thin eardrum. However, the ...
Dr. Jiang Junyi Reply:
Hello: If there are issues with sleep, it is important to observe whether there is a tendency to feel sleepy during the day due to insufficient sleep. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as...[Read More] Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
The right occipital region was struck? 1. How long after a head injury can the possibility of delayed bleeding be ruled out? 2. The area of impact is slightly pink but disappeared after applying ice; there is some pain, but it is not significant (the pain is mainly in the right...
Dr. Jiang Junyi Reply:
Hello: If you are concerned, it is advisable to consult a neurologist to discuss examinations. 2. The area that was hit is slightly pink, but it disappeared after applying ice. There is some pain, but it is not significant (the pain is mainly in the right posterior part of the he...[Read More] Understanding Post-Trauma Symptoms: When to Worry After a Head Injury
Understanding Leg Numbness During Exercise: Causes and Solutions
Numbness in the legs during exercise? Hello, doctor. I exercise 3-4 days a week, and I am 183 cm tall and weigh 110 kg. I primarily do aerobic exercises on the elliptical machine, and I used to be able to work out for over 50 minutes without any issues. However, in the past two d...
Dr. Jiang Junyi Reply:
Hello: Your symptoms of paresthesia may need to first consider "hyperventilation syndrome." When it occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, which triggers systemic reactions and symptoms. Commonly observed sy...[Read More] Understanding Leg Numbness During Exercise: Causes and Solutions
Understanding Sympathetic Nervous System Overactivity and Its Effects
Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...
Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Neck Tension and Its Impact on Your Well-Being
Hello, Dr. Jiang. Thank you for your assistance? I have had a long-standing question to ask you. Regardless of whether I am well-rested or fatigued, whenever I feel overly anxious or busy for two hours or focus on something, my neck starts to feel tight and warm. My lips suddenly...
Dr. Jiang Junyi Reply:
Hello, based on your description, dry mouth and muscle stiffness may indicate sympathetic nervous system overactivation. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one accelerates and the other decelerates. T...[Read More] Understanding Neck Tension and Its Impact on Your Well-Being
Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Sweating in the summer? Hello, Doctor. I often go out to buy things around noon, and within 20 minutes, I'm drenched in sweat. I notice that others don't seem to sweat as much, while my back is completely wet, which feels quite embarrassing. I'm unsure if it's...
Dr. Jiang Junyi Reply:
Hello, based on your description, sweating is a natural response of the body to an increase in temperature. However, excessive sweating may indicate overactivation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and paras...[Read More] Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Tardive dyskinesia Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime Doxepin 25mg * 2 tablets, Lyrica (Pregabalin) 75mg * 2 tablets, Xyzal 5mg (for ski...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, extrapyramidal symptoms (EPS) are more common in patients using Primperan or certain antipsychotic medications, and are somewhat related to individual constitution. Children and the elderly are also more susceptible. Essentially, to enhance intestinal m...[Read More] Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Dizziness, nausea, and weakness or numbness in the limbs? Hello, I started experiencing dizziness upon waking up on June 9th, initially thinking it was due to getting up too quickly. However, the dizziness persisted throughout the day, occurring whether I was standing, sitting, o...
Dr. Jiang Junyi Reply:
Hello, based on your description, I'm not sure if you have issues with sleep apnea. Some symptoms may suggest autonomic nervous system dysfunction. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as the accelerator, ...[Read More] Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Understanding Dizziness: Exploring Causes and Seeking Solutions
Dizziness and discomfort? Hello, Dr. Jiang! I consider myself health-conscious and have a habit of exercising daily. Recently, due to bone pain, I underwent X-ray and MRI examinations (with contrast agent). The results indicated that there was no joint degeneration; however, the ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be caused by insufficient rest, leading to sympathetic nervous system activation, which in turn affects blood pressure and causes muscle tension. According to current medical trends, rehabilitation combined with regenerative therapy can address some joint...[Read More] Understanding Dizziness: Exploring Causes and Seeking Solutions
Understanding Allodynia: When Touch Causes Pain and What to Do
Pain upon touch (tactile allodynia) Hello, doctor. I have a problem that has been bothering me for a long time, but I don't know which specialist to consult. Sometimes, certain areas of my body (arms, abdomen, lower back, thighs, and calves) suddenly become very painful when...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be an autonomic nervous system issue. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathet...[Read More] Understanding Allodynia: When Touch Causes Pain and What to Do
Muscle Twitches and Anxiety: Understanding Your Symptoms
Muscle twitching seems to be related to anxiety? Hello doctor, I have been experiencing muscle twitching for over three months, but this week it has significantly decreased to about three to five times an hour, with each twitch lasting one to two seconds. The affected areas are m...
Dr. Jiang Junyi Reply:
Hello: I suggest that you consider consulting a psychologist first, as many symptoms are related to autonomic nervous system instability. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the a...[Read More] Muscle Twitches and Anxiety: Understanding Your Symptoms
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
Is it autonomic nervous system dysfunction? I started experiencing a cold in February of this year, with symptoms such as nasal congestion and a sensation of something stuck in my throat. I have been seeing an otolaryngologist and taking medication, but I have developed additiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system can be affected by life stress or irregular lifestyle patterns. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as...[Read More] Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. The ALS you are concerned about primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help