Understanding Tinnitus and Brain Noises: A Patient's Journey
Tinnitus and pulsatile tinnitus issues? Hello Dr. Tsai, I have been experiencing tinnitus for over two months. It started after the four-day Double Tenth National Day holiday and has persisted since then. The director of the traditional Chinese medicine clinic initially suggested...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of tinnitus, and it is recommended to consult a neurologist for an examination.[Read More] Understanding Tinnitus and Brain Noises: A Patient's Journey
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Heart rate issues, hypertension medication concerns, pulsatile tinnitus? Hello, doctor. I have been taking 5mg of Metoprolol for almost a year now. Recently, I have been experiencing mild chest pain and a sensation of pressure in my head, as if it is being squeezed. It feels like...
Dr. Cai Zongzhang Reply:
Hello: For the symptoms mentioned above, it is recommended to schedule a cerebrovascular ultrasound examination with a neurologist.[Read More] Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi Reply:
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Heartbeat sound in the ear? Hello, Doctor. A few months ago, when I was diagnosed, I experienced a loud ringing in my left ear that made it almost impossible to hear. At the same time, when I sat cross-legged or on the toilet, I could hear a pounding heartbeat sound whenever I sl...
Dr. Cai Zongzhang Reply:
Hello Wendy: There are various causes of pulsatile tinnitus, and the treatment methods differ accordingly. Among them, tinnitus caused by cerebrovascular diseases poses the greatest potential risk. If the symptoms persist, it is advisable to visit a neurology clinic for a detaile...[Read More] Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Tinnitus: Causes, Concerns, and Treatment Options
Tinnitus issues? Hello, Doctor. I hope it's not too presumptuous to ask about my tinnitus issue, as it has been bothering me for several days. Initially, it was due to post-nasal drip, which also led to tinnitus, and my ear feels slightly stuffy and painful. I have visited s...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of tinnitus. If the examination results show no abnormalities in the ear, you may consider seeing a neurologist for further evaluation. Additionally, insufficient sleep can also contribute to tinnitus.[Read More] Understanding Tinnitus: Causes, Concerns, and Treatment Options
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Dizziness, increased heart rate, and a sensation of weightlessness? Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea. Recently, I have also experienced di...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder. You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028. If you have any questions, you may also consult the psychiatry outpatient clinic. Thank you for your inquir...[Read More] Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Understanding Body Tingling and Vibrations: When to See a Neurologist
Feeling slight numbness and mild vibrations in the body? Hello, doctor. A few days ago, I experienced some palpitations, and occasionally felt a slight vibration and mild numbness in my lower back (especially around the coccyx), legs, and chest while sitting, standing, or lying d...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it would be advisable to monitor the situation for a while longer. However, if you find it very concerning, you may also consider consulting a neurologist. Thank you.[Read More] Understanding Body Tingling and Vibrations: When to See a Neurologist
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 Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Facial numbness after radiation therapy for trigeminal nerve tumor? After undergoing radiation therapy for a trigeminal nerve tumor, will facial numbness improve two months later? I have consulted my doctor and have been taking vitamin B for three months, but there has been no si...
Dr. Cai Zongzhang Reply:
Hello: The function of the trigeminal nerve is to control the sensory functions of the face. After treatment for trigeminal neuralgia, it is difficult to avoid residual facial numbness; however, this symptom is not life-threatening and can be managed with ongoing treatment in the...[Read More] Post-Radiation Facial Numbness After Trigeminal Neuroma Treatment: What to Do?
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know