Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Recurrent dizziness? Hello Dr. Hong, I have been experiencing severe dizziness recently, accompanied by vomiting and diarrhea, which led me to visit the emergency department. They assisted with blood tests and a CT scan of my brain (which showed no issues). The dizziness and vomi...
Dr. Hong Weibin Reply:
Hello, I apologize for the late response. There are many causes of dizziness. If you have already undergone imaging studies of the head and confirmed that there are no structural issues in the brain, a detailed medical history inquiry is necessary for diagnosis. Generally, the ...[Read More] Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Dizziness: Causes, Symptoms, and Duration
Dizziness issues? Hello doctor, I started feeling dizzy (not to the point of vertigo, but quite uncomfortable) from noon on May 26th. I also have nausea and headaches (in my temples and the back of my head), along with shoulder and neck pain. These symptoms have persisted until n...
Dr. Jiang Junyi Reply:
Hello, sir: You may want to consider two common issues: heat illness and cervical myofascial pain syndrome. The primary cause is vasodilation of the skin microvasculature in high-temperature outdoor environments, leading to blood pooling in the lower body and a subsequent decreas...[Read More] Understanding Dizziness: Causes, Symptoms, and Duration
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Regarding tachycardia, palpitations, and dizziness? Hello Dr. Tsai, Two weeks ago, I visited the cardiology and neurology outpatient departments at Taipei Medical University due to symptoms of palpitations, discomfort, and dizziness. My dizziness is persistent with a floating se...
Dr. Cai Zongzhang Reply:
Entresto and Heart Care Room contain the same ingredients but differ in dosage. If symptoms are mild, taking Entresto may be sufficient. Please discuss with a neurologist before making a decision.[Read More] Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Dizziness When Lying Down or Getting Up: Possible Causes and Solutions
Experiencing dizziness when lying down or getting up? Hello, Doctor: Recently, I have been experiencing dizziness for a few seconds when lying down and getting up (I feel normal during the day, only when sleeping). I have a cerebral venous aneurysm, and my doctor said to monitor ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over, or suddenly turning your he...[Read More] Dizziness When Lying Down or Getting Up: Possible Causes and Solutions
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness and lightheadedness? Hello Doctor, I have been suffering from dizziness and headaches lately, primarily in the lower back area of my head, centered in the middle of the brain and below the ears. This is accompanied by difficulty focusing my eyes on a single point, follo...
Dr. Jiang Junyi Reply:
Hello: It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning...[Read More] Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness When Lying Flat at Night: Possible Causes and Solutions
Experiencing dizziness (vertigo) while lying flat at night? In recent days, when lying flat at night, I feel as if there is an earthquake, and my vision seems to be spinning. However, after lying down for a while or closing my eyes, the sensation goes away (I don't experienc...
Dr. Hong Weibin Reply:
Hello: Your condition may be related to an inner ear issue causing dizziness. In addition to benign paroxysmal positional vertigo (BPPV), there are other potential causes of inner ear problems. It is advisable to seek assistance from an otolaryngologist.[Read More] Dizziness When Lying Flat at Night: Possible Causes and Solutions
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Fainting after experiencing abdominal pain? Last night, I suddenly experienced abdominal pain and got up to go to the bathroom (I have been eating spicier foods these past few days). After walking just a few steps, I fainted. When I regained consciousness, I found myself sitting ...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include tra...[Read More] Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Understanding Recurrent Dizziness: Causes and Solutions
Recurrent dizziness? Hello, doctor: I would like to inquire about a recent issue I've been experiencing. I've been having frequent episodes of dizziness, where I suddenly feel lightheaded while walking, and at times my vision becomes blurry. I have to squat down to alle...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or sudde...[Read More] Understanding Recurrent Dizziness: Causes and Solutions
Understanding Dizziness: Insights from Neck Ultrasound Findings
Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...
Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings
Understanding Chronic Dizziness: Causes and Solutions for Relief
Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief
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 Sudden Dizziness: Causes and Concerns for Office Workers
Sudden dizziness? Hello Doctor, I would like to ask about something. Since my job involves sitting at a desk, there have been a few instances while at work where I suddenly experience a brief moment of blankness in my vision and dizziness, lasting about one to two seconds, but ...
Dr. Cai Zongzhang Reply:
Hello, please be reminded that adequate rest is necessary and important. If your condition improves, it is recommended that you visit a neurology clinic for further evaluation to determine the possibility of vertigo.[Read More] Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Sleep paralysis and vertigo? Hello Doctor, sometimes when I wake up in the middle of the night, I find myself unable to move or even breathe. When I finally manage to get up, I experience intense dizziness and tinnitus. Recently, during my afternoon naps, I've started to fee...
Dr. Hong Weibin Reply:
Hello: If you are unable to move while sleeping at night, it may be a condition known as sleep paralysis. If you experience excessive daytime sleepiness, be cautious as it could be narcolepsy. It is advisable to seek assistance from a neurologist or a sleep specialist.[Read More] Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions