Vertigo, Neurology FAQ

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Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms

Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...


Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...

[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms


Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options

Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...

[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options


Understanding Persistent Dizziness in Older Adults: A Neurological Perspective

Mom is experiencing dizziness, but the cause cannot be identified? Hello, doctor. My mother's symptoms include dizziness, where her vision sways side to side as if experiencing an earthquake. She feels unsteady whether standing or sitting, but the symptoms improve or disappe...


Dr. Jiang Junyi Reply:
Dear Mr. Afu, You mentioned that your mother experiences dizziness that feels like the ground is shaking, making it difficult for her to stand, and that she can only lie in bed all day, with occasional relief allowing her to walk. The improvement when lying down suggests that we...

[Read More] Understanding Persistent Dizziness in Older Adults: A Neurological Perspective


Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help

Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...

[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help


Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor

Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...

[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor


Understanding Dizziness: Causes and Solutions for Neurological Issues

Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...

[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues


Understanding Persistent Dizziness: Possible Causes and Treatment Options

Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...


Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.

[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options


Understanding Persistent Dizziness: Causes and Next Steps for Relief

Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...

[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief


Neck Injury After Basketball: When to See a Doctor?

Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...


Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...

[Read More] Neck Injury After Basketball: When to See a Doctor?


Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...


Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps


Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...


Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps


Understanding Recurrent Dizziness: Insights from Neurology and ENT

Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...


Dr. Jiang Junyi Reply:
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...

[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT


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 Weather-Related Symptoms: Dizziness and Discomfort Explained

When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...


Dr. Jiang Junyi Reply:
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...

[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained


Post-Cold Dizziness: Understanding Symptoms and When to Seek Help

After catching a cold, I occasionally feel dizzy when lying down, experiencing sudden bouts of vertigo? Hello, doctor. I apologize for bothering you! About a week ago, I started experiencing a cold, and I have just recovered from it. While lying down, I occasionally feel a "...


Dr. Jiang Junyi Reply:
Hello Ms. L: You mentioned, "I gradually experience a type of headache similar to what occurs after taking a nap... it's quite bothersome. Should I see a doctor? If so, which specialty?" The headache you described may need to be considered as tension-type headache....

[Read More] Post-Cold Dizziness: Understanding Symptoms and When to Seek Help


Persistent Dizziness: Should You Worry About Serious Conditions?

Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...


Dr. Jiang Junyi Reply:
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...

[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?


Understanding Dizziness and Autonomic Nervous System Disorders

Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...


Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...

[Read More] Understanding Dizziness and Autonomic Nervous System Disorders


Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?

Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...


Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...

[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?


Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey

Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...


Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...

[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey


Understanding Persistent Dizziness: Causes and Anxiety Connections

Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...


Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...

[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections


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