Struggling to Wake Up: Understanding Morning Fatigue and Its Causes
I can't get up in the morning? I would like to ask why I have trouble getting up in the morning for work. Sometimes I can hear the alarm, but most of the time, the alarm wakes my family up, and they have to come knock on my door while I continue to sleep. Other times, I hear...
Dr. Jiang Junyi Reply:
Hello: Your concerns can be addressed in two parts: 1. Regarding hearing: You can consult an otolaryngologist at a hospital for a hearing test to determine if there is any hearing loss at specific frequencies or damage to the auditory nerve. 2. Regarding sleep: You can visit a sl...[Read More] Struggling to Wake Up: Understanding Morning Fatigue and Its Causes
Understanding Tinnitus After Neck Strain: When to Seek Help
Tinnitus when turning the head? I consulted Dr. Jiang about experiencing a stiff neck a month ago, which caused soreness and pain for a week before the symptoms alleviated. However, I have since noticed a popping sound in my left ear when I turn my head to the left, and I often f...
Dr. Jiang Junyi Reply:
Hello: The cause of sounds in the left ear may be related to joint friction. If there are individuals with metabolic syndrome, it may be necessary to include a neck ultrasound to rule out vascular circulation issues. It is recommended that you consult with a neurologist or a reha...[Read More] Understanding Tinnitus After Neck Strain: When to Seek Help
Understanding Dizziness and Disorientation: When to Seek Medical Help
Dizziness and disorientation? Hello Doctor: About two weeks ago, I had inflammation of the right tonsil, which also caused pain in my right ear. I visited an ENT specialist, and the doctor prescribed medication for three days. After completing the medication, the pain in my tonsi...
Dr. Jiang Junyi Reply:
Hello, I hope you are doing well. I'm not sure about your sleep situation, but insomnia can lead to autonomic nervous system dysfunction, which may present similar symptoms. I recommend consulting with a neurologist or a sleep medicine specialist for evaluation and treatment...[Read More] Understanding Dizziness and Disorientation: When to Seek Medical Help
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Recently, I have been experiencing frequent bloating and a lack of appetite. I have visited the gastroenterologist multiple times, but my condition has not fully improved, and I still feel unwell. My heart rate is somewhat elevated, ranging be...
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 stimulating the body, leading to increased ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Dizziness and Spinning Sensation: Neurological Insights and Solutions
Dizziness and vertigo? In recent weeks, whenever I lie down and move my head, I experience dizziness, as if the room is spinning, and I also feel nauseous. Please provide an explanation, doctor.
Dr. Hong Weibin Reply:
Hello: Dizziness can generally be classified based on the location of the lesion into "peripheral dizziness" and "central dizziness." Peripheral dizziness refers to dysfunction in the structures of the inner ear that manage balance, such as the semicircular ca...[Read More] Dizziness and Spinning Sensation: Neurological Insights and Solutions
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients
Dealing with Dizziness and Imbalance: When to Seek Medical Help
If you are experiencing dizziness and a sense of imbalance, it is important to take the following steps: 1. **Sit or Lie Down**: Find a safe place to sit or lie down to prevent falls and injuries. 2. **Stay Hydrated**: Drink water to ensure you are not dehydrated, as dehydration...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance (which typically causes a spinning sensation). It is advisable to first rule out anemia or fluid deficiency that may lead to insuffici...[Read More] Dealing with Dizziness and Imbalance: When to Seek Medical Help
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Frequent headaches, occasional mental fog, and recently experiencing brief episodes of amnesia? Hello, doctor. I am asking on behalf of my boyfriend because I am very worried about his condition and cannot accompany him to the hospital. I kindly ask for your assistance. At the en...
Dr. Jiang Junyi Reply:
According to your description: You mentioned that amnesia lasting more than 30 minutes following a head injury is indicative of a more severe brain injury. As for the subsequent multiple seizures, one should consider abnormal electrical discharges in the brain, the most well-know...[Read More] Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Inner ear issues One night, I woke up suddenly in the middle of my sleep and opened my eyes to a spinning sensation that lasted for a few minutes. Since that incident, I have felt different throughout the day, experiencing a constant sense of floating, regardless of whether I am ...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your description of symptoms is very detailed. Dizziness can generally be classified into peripheral dizziness (caused by issues in the inner ear or the eighth cranial nerve) and central dizziness (caused by problems in the brainstem or cerebell...[Read More] Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Neck Pain with Dizziness and Tinnitus: Seeking the Right Specialist
Neck pain accompanied by dizziness and tinnitus? Hello doctor, I am a bus driver. Around the end of last year, I started experiencing neck pain and tightness due to long hours of driving. I often forcefully twisted my neck to stretch, which caused joint sounds similar to cracking...
Dr. Jiang Junyi Reply:
Hello, based on your description of tinnitus symptoms, it is important to first rule out any abnormalities from the middle ear, inner ear, and even up to the brainstem and cerebral cortex. Common issues include abnormal blood flow and inner ear imbalance. Additionally, cervical d...[Read More] Neck Pain with Dizziness and Tinnitus: Seeking the Right Specialist
Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Shortness of breath, dizziness, fainting, tinnitus, nausea? Hello, doctor! My mother suddenly became very short of breath in the kitchen today and then collapsed, but she was conscious. Afterward, she described the situation as feeling extremely breathless, dizzy, experiencing ti...
Dr. Hong Weibin Reply:
Hello: Based on the situation you described, I recommend that you take your mother to a cardiology clinic as soon as possible. The combination of dizziness, shortness of breath, and chest pain necessitates prioritizing the exclusion of serious cardiovascular issues, such as angin...[Read More] Understanding Sudden Breathlessness, Dizziness, and Fainting: A Neurological Perspective
Could My Severe Headaches Indicate a Brain Tumor?
Hello doctor, could my condition be a brain tumor? Hello, Doctor. In recent years, I have been experiencing frequent headaches. When they occur, they are quite severe, sometimes causing nausea and vomiting that affect my daily life. I often feel fatigued, dizzy, and have a sensat...
Dr. Gao Chunde Reply:
Based on your description, it is a classic case of migraine with aura. You should seek further evaluation and treatment from a neurologist. Brain tumors can present with symptoms or be asymptomatic, making it difficult to definitively rule them out. However, your headache exhibit...[Read More] Could My Severe Headaches Indicate a Brain Tumor?
Understanding Alcohol-Related Neurological Symptoms: A Guide
Alcohol-related issues I would like to ask about a symptom that occurs once every few years. Recently, after drinking alcohol, I experienced the same symptoms: my vision started to blur when I stood up, to the point where I couldn't see (not like myopia), along with tinnitus...
Dr. Gao Chunde Reply:
These symptoms are more indicative of severe hypotension, approaching shock. As for the cause, it is difficult to determine whether it is related to alcohol or other components within the alcohol, whether it is associated with anaphylactic shock, or simply due to vasodilation lea...[Read More] Understanding Alcohol-Related Neurological Symptoms: A Guide
Two Weeks of Dizziness: Understanding Neurological Symptoms and Treatment
Dizziness for two weeks? I have been experiencing dizziness for two weeks now, and I have seen a doctor who diagnosed me with vertigo. My symptoms are that I feel fine when I wake up in the morning, but once I get to school and start my first or second class, I begin to feel dizz...
Dr. Yang Shenggong Reply:
Hello, Yuki: Based on your description, your condition seems to be paroxysmal dizziness, accompanied by 1) occasional headaches and 2) a leftward tilt of the body that has persisted for 3-4 years. You are concerned whether the past use of antiepileptic medication may have caused ...[Read More] Two Weeks of Dizziness: Understanding Neurological Symptoms and Treatment
Understanding Morning Headaches: Causes and Solutions for Neurological Issues
The first headache aside from a cold? Hello: For the past three weeks, I have been experiencing headaches almost every time I wake up. However, by noon or when I am not paying attention, the pain stops. In the evening, before going to bed, the headache starts again. The pain is l...
Dr. Gao Chunde Reply:
If you do not have a fever or cold, your headache is not the type that a physician would consider benign; it may indicate elevated pressure in the posterior fossa. It is advisable to see a neurologist for evaluation and examination as soon as possible.[Read More] Understanding Morning Headaches: Causes and Solutions for Neurological Issues
Understanding Body Tingling: Possible Causes and Stress Connection
Generalized paresthesia? Hello, doctor. Since last week, I initially experienced numbness in my right little finger, which later extended to my palm, arm, shoulder, and throughout my body. The primary sensation of tingling and numbness is concentrated in my hands, feet, and neck,...
Dr. Jiang Junyi Reply:
Based on your description of experiencing discomfort from a tingling sensation throughout your body, it may be necessary to consider hyperventilation syndrome. Hyperventilation can lead to feelings of suffocation and shortness of breath, as well as affect organ blood flow. A decr...[Read More] Understanding Body Tingling: Possible Causes and Stress Connection
Understanding Ear Ringing: Is Carotid Artery Stenosis the Cause?
Carotid artery occlusion tinnitus Hello, Doctor Gao. I have been experiencing persistent low-frequency tinnitus in my left ear, resembling the sound of a truck passing by. Sometimes it temporarily disappears, but when I turn my head to the right or bend down, the low-frequency ti...
Dr. Gao Chunde Reply:
Carotid artery stenosis may lead to compensatory increases in blood flow through collateral circulation in other neck arteries. Tinnitus is possible, but not guaranteed. Most tinnitus related to vascular issues is pulsatile, meaning it follows the heartbeat, such as when there ar...[Read More] Understanding Ear Ringing: Is Carotid Artery Stenosis the Cause?
Navigating the Challenges of Unexplained Neurological Symptoms in Teens
Perplexed parents Dear Dr. Lan, I have a 17-year-old daughter who experienced a sudden fainting episode last April. It was a hot day, and she left home without breakfast because she was in a hurry to meet her teacher. Shortly after leaving, she called to inform me that she was f...
Dr. Lan Shengxing Reply:
Dear Dabby, I didn't see anyone, but generally, at this time, we believe that parents should patiently accompany their children in receiving treatment, rather than constantly seeking different tests and treatments. I would like to recommend Dr. Li Jiayan to you; I believe Dr...[Read More] Navigating the Challenges of Unexplained Neurological Symptoms in Teens
Understanding Dizziness and Unusual Sensations: Neurological Insights
Dizziness and a feeling of discomfort on one side of the body? I have been experiencing a strange sensation on the right side of my body that I can't quite describe. Initially, I suspected it was weakness, but later it felt more like stiffness. This condition has persisted f...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Additionally, your symptoms combined with neck pain may suggest myofascial pain syndrome, which can present with pain, di...[Read More] Understanding Dizziness and Unusual Sensations: Neurological Insights