Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Tremors, feelings of depression, blood pressure 168/74? Hello doctor, I sometimes experience weakness in my hands and feet (I eat normally three meals a day), averaging about two days a month with this condition. This symptom started around the fifth grade of elementary school. W...
Dr. Jiang Junyi Reply:
Hello, based on your description, the more common causes to rule out include thyroid abnormalities and the possibility of sympathetic nervous system instability. The causes of tremors can be categorized into four types: 1. Physiological tremors: These do not occur regularly and...[Read More] Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Consultation for Autonomic Nervous System Symptoms Hello, Dr. Jiang. Last year, I experienced palpitations and discomfort, and after seeing a cardiologist, I was diagnosed with mild benign arrhythmia. A subsequent evaluation by a psychiatrist revealed moderate to severe autonomic...
Dr. Jiang Junyi Reply:
Hello: The autonomic nervous system shows moderate to severe dysregulation. It may be important to understand the relative changes between the sympathetic and parasympathetic nervous systems in order to determine where adjustments are needed. Generally, the autonomic nervous syst...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Sudden dizziness, along with coldness in the chest and hands? Hello Doctor: Recently, I have been experiencing sudden episodes of dizziness and visual disturbances at work, accompanied by a feeling of coolness in my chest and hands, sweating due to anxiety, lasting for several mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider issues related to the autonomic nervous system, specifically excessive activation of the sympathetic nervous system. Such symptoms may become more pronounced due to insufficient rest or dehydration. Generally, the ...[Read More] Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Palpitations caused by autonomic nervous system dysfunction? Hello Doctor, I hope you are well. I remember that at the end of last year, my sleep schedule was irregular due to alcohol consumption. One night, I woke up in a panic with palpitations, feeling anxious and fearful, my ...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, 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 sympathetic nervous system is responsible for accelerating the body, driving it into acti...[Read More] Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Brain issues Hello, doctor. I have previously detailed my symptoms. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function test, it was found that the function values on the left side of my brainstem we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sympathetic nervous system hyperactivation, leading to mucosal dryness. Additionally, estrogen instability can cause similar symptoms. It is recommended to consult a gynecologist to check for any premenopausal symptoms that may exacerbate the exis...[Read More] Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Insomnia and Weight Training: Understanding the Connection and Solutions
The relationship between insomnia and weight training, as well as management strategies? Hello Dr. Jiang, I usually sleep from 2:00 AM to 10:00 AM. Recently, I've been experiencing occasional difficulties falling asleep, taking about 1 to 2 hours to do so after lying in bed...
Dr. Jiang Junyi Reply:
1. I have been weight training regularly for two years. Although I occasionally experienced insomnia in the past, I am unsure why there seems to be a particularly noticeable causal link between the two recently. Could it be due to overtraining or muscle soreness (delayed onset mu...[Read More] Insomnia and Weight Training: Understanding the Connection and Solutions
Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions
Autonomic Nervous System and Panic Disorder Issues Hello Dr. Jiang: I have been suffering from respiratory compulsions for many years (since transitioning from elementary school to junior high). I have developed a habit of controlling my breathing. This condition has led to high ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause elevated blood pressure symptoms, such as metabolic syndrome (hypertension, hyperglycemia, hyperlipidemia, and obesity), autonomic nervous system dysfunction (excessive stress), and medications (such as the a...[Read More] Understanding Autonomic Nervous System and Panic Disorder: Insights and Solutions
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Muscle issues Hello, Doctor: I would like to ask about experiencing intermittent muscle twitching in various locations over the past year. I have seen a neurologist at a medical center three times within this year, but there has been no improvement. The doctor conducted nerve con...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of muscle twitching, along with frequent weight training. First, it is important to consider that muscle fatigue may lead to instability in the motor neurons. Additionally, caffeine consumption can stimulate the sympathetic nervous system, causing m...[Read More] Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Facial twitching? Hello, doctor: Recently, I have noticed that the muscles near my cheekbone rapidly twitch for about 1-2 seconds when I sneeze, but this does not happen at other times. It only occurs during the act of sneezing. Could this be a sign of facial nerve dysfunction? S...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more indicative of facial nerve instability, which may be caused by an overreaction of the sympathetic nervous system or the use of stimulants such as caffeine. Your symptoms following a sneeze may also suggest instability of the associated nerves....[Read More] Understanding Facial Twitches: When Sneezing Triggers Muscle Spasms
Understanding Essential Tremor: Symptoms, Causes, and Concerns
Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns
Concerns About Propranolol: Side Effects and When to Stop Medication
I would like to ask a question about antiarrhythmic medications? A few days ago, I went for an examination due to slight hand tremors and was prescribed 245 mg of propranolol to take twice daily. The next morning, after taking the medication, I experienced several side effects, i...
Dr. Jiang Junyi Reply:
Hello, based on your description, the action of Propranolol is to reduce sympathetic nervous system activity. Our 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 sympat...[Read More] Concerns About Propranolol: Side Effects and When to Stop Medication
Understanding Hand Tremors: When to Seek Neurological Advice
Tremor issues? Hello Doctor: Recently, I noticed that when I rest my wrist on the table and use my phone with one hand, I experience some shaking in my hand. The frequency is not fast, and the amplitude is not large; it just feels a bit unusual. I'm not sure if this has been...
Dr. Jiang Junyi Reply:
Hello, based on your description, our bodies can experience physiological tremors, primarily due to excessive use of large muscles or an overreaction of the sympathetic nervous system. However, these types of tremors tend to occur at a faster rate. Our autonomic nervous system is...[Read More] Understanding Hand Tremors: When to Seek Neurological Advice
Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Feeling dizzy while walking? I have had tinnitus for many years, and recently I've been experiencing mild dizziness when walking. It’s not a spinning sensation, and I don’t feel nauseous. Sleeping is the most comfortable position, and I don’t feel dizzy while sleeping. I hav...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to disturbances or dysfunction of the inner ear balance system, which commonly occurs in individuals while traveling. Dizziness can trigger sympathetic nervous system responses such as gastrointestinal discomfort, nausea, vomiting, vertigo, pal...[Read More] Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Is It Hyperventilation or Autonomic Nervous System Disorder?
Is this considered hyperventilation or autonomic nervous system dysfunction? Hello Doctor: Several times in the past, when I felt nervous, I would start to breathe heavily without realizing it. One time, I was breathing so heavily that my whole body felt numb, and even though it ...
Dr. Jiang Junyi Reply:
Hello: Hyperventilation refers to a breathing rate that exceeds the body's needs. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocardial infarction. As for "hyperventilation syndrome," it ge...[Read More] Is It Hyperventilation or Autonomic Nervous System Disorder?
Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Experiencing shortness of breath after walking a short distance? Hello doctor, recently whenever I walk a bit further (slowly for about 30 minutes or more), I experience an increased heart rate, a feeling of shortness of breath, and my legs feel weak and fatigued. I also feel hea...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart rate, mobilizing en...[Read More] Short Walks Leave Me Breathless: Understanding Symptoms and Solutions
Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips
Autonomic nervous system dysfunction Can individuals with autonomic nervous system dysfunction consume fried foods, satay, black pepper, barbecue, sweets, bitter melon, goji berries, sesame oil chicken, and mildly spicy foods? Additionally, if these foods are consumed once or twi...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, 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 sympathetic nervous system is responsible for revving up the body, while the parasympathe...[Read More] Managing Autonomic Nervous System Disorders: Diet and Lifestyle Tips