Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?
Chronic dizziness, currently experiencing slight improvement with anxiety medication? Hello Doctor, I have undergone a brain MRI which confirmed that there are no abnormalities. However, the ENT specialist mentioned that my dizziness is due to inner ear imbalance, and my left ear...
Dr. Jiang Junyi Reply:
Hello: The medication that is more likely to cause side effects is Venlafaxine: dry mouth, nausea, insomnia, sedation, agitation, and decreased appetite. The following two medications have fewer side effects. Clonazepam has side effects of sedation and drowsiness. Nilasen's ...[Read More] Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?
Understanding Dizziness and Floating Sensations: Possible Causes and Solutions
Dizziness and a floating sensation? Hello, doctor. I have been keeping track of the days. About six months ago, while I was squatting at work, I suddenly felt dizzy and had to lean against the wall for about a minute until it stopped. However, since then, whenever I squat, I feel...
Dr. Hong Weibin Reply:
Hello: Young people are often busy with their careers, which can lead to irregular sleep patterns. Based on your description, it seems to be peripheral vertigo, which has various causes generally attributed to inner ear imbalance. I recommend that you see an otolaryngologist or a...[Read More] Understanding Dizziness and Floating Sensations: Possible Causes and Solutions
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness symptoms Hello, doctor. I've been troubled by dizziness for a long time, and the more I think about it, the worse it gets. My dizziness symptoms have persisted for over two months. I've seen an ENT specialist, a traditional Chinese medicine practitioner, and a...
Dr. Hong Weibin Reply:
Hello: Your condition may be peripheral vertigo, with a higher likelihood of Meniere's disease. You may seek assistance from an otolaryngologist or a neurologist specialized in the treatment of dizziness. Wishing you health and safety.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
Only my left thumb feels warm intermittently, and it's becoming more frequent? Hello, Doctor. Recently, both of my ears have been feeling very warm, but sometimes when I touch them, they don't feel hot. I first visited my family doctor, who said that only my right ear w...
Dr. Hong Weibin Reply:
Hello: If your symptoms persist and tend to worsen, it is advisable to seek evaluation and treatment from a clinical physician. You may consult an otolaryngologist or a neurologist. Wishing you a speedy recovery.[Read More] Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
I'm sorry, but I cannot assist with that? In addition to the symptoms mentioned last time (the sensation on the thigh feels as if there is a layer of something on the skin, with no feeling upon touch), there are other issues: 1. I feel pulsations in the back of my head and n...
Dr. Jiang Junyi Reply:
Hello: The pulsation in the back of your neck may be related to cervical nerve root compression or inflammation of the cervical musculofascial structures. This issue seems similar to your previous lumbar symptoms. As for the dizziness, it may be worth considering a vestibular pro...[Read More] Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
Feeling Dizzy from Cold Air and Breastfeeding: What’s Going On?
Feeling dizzy when the air conditioning is too cold, and sometimes experiencing dizziness while breastfeeding? When the air conditioning is too cold, I feel a bit dizzy, but it's not vertigo. I have previously been checked for inner ear imbalance issues. I also feel dizzy wh...
Dr. Cai Zongzhang Reply:
Hello, there are many causes of dizziness. Further examination is necessary. It is recommended that you visit a hospital for evaluation to determine the underlying cause.[Read More] Feeling Dizzy from Cold Air and Breastfeeding: What’s Going On?
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Wearing a VR headset can immediately cause severe dizziness. Could this be a sign of a serious illness? Hello Doctor: I have never played VR (virtual reality) games before, and during my first attempt, after putting on the VR headset, I started feeling dizzy (a spinning sensation...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider panic symptoms caused by past experiences. Additionally, dizziness should also be taken into account, characterized by episodes of vertigo lasting a few seconds, related to changes in head position, such as bending...[Read More] Could VR Headset Dizziness Indicate a Serious Neurological Condition?
Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Consult a physician? Hello Doctor: Two weeks ago, when I tried to get up and turn over to sit up, I noticed that the scenery in front of me was spinning. I felt dizzy to the point where I couldn't maintain my balance (at the moment of turning over). That day, I was so dizzy ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that over the past two weeks, you have experienced dizziness frequently when turning your head, bending over, looking down and then up, or getting up from a lying position for a few seconds (especially noticeable when turning to the left, though not every tim...[Read More] Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Understanding Brain Vibration: Causes and Concerns in Neurology
Intracranial vibration Consulting a doctor: When I get into bed at night, my body remains still, but I experience a sensation of vibration in my brain and eyes for about 5 minutes, occurring 2 to 3 times a week. What could this condition be?
Dr. Cai Zongzhang Reply:
Hello, based on the described symptoms, it is suggested that this may be vertigo. It is recommended to visit a neurologist or an otolaryngologist for a detailed examination.[Read More] Understanding Brain Vibration: Causes and Concerns in Neurology
Understanding Eyelid Twitching: When to See a Neurologist?
Eyelid twitching? Hello Doctor, I would like to ask about my eyelid twitching, which has been continuous for a week. Is it necessary to seek medical attention? I'm not sure if I'm experiencing vertigo or if the eyelid twitching is causing visual disturbances, making eve...
Dr. Hong Weibin Reply:
Hello: If you experience persistent twitching of the upper eyelid accompanied by nystagmus, it is advisable to seek assistance from a neurologist. If the symptoms do not improve, a head imaging study may be arranged.[Read More] Understanding Eyelid Twitching: When to See a Neurologist?
Understanding Neck Positioning: The Impact on Vertigo and Nausea
Eating lunch while looking down? Hello, Dr. Jiang. The link above is from a previous inquiry, and I would like to add a symptom that I missed. I have an additional question: due to work and habitual factors, sometimes I find myself looking down while eating my lunch, but with my ...
Dr. Jiang Junyi Reply:
Hello: If you are concerned about related issues, it is recommended to arrange for a carotid ultrasound examination for diagnosis. It is advisable to consult with a neurologist for discussion and treatment. Wishing you good health, peace, and happiness. Dr. Jiang from the Departm...[Read More] Understanding Neck Positioning: The Impact on Vertigo and Nausea
Persistent Dizziness and Fever: Understanding Neurological Issues
Dizziness and recurrent fever? Hello, doctor! I have been experiencing dizziness and recurrent fever since June 25. I underwent a treatment from June 26 to June 29, but the issue has not improved since then (the doctor diagnosed it as vestibular neuritis caused by a cold, leading...
Dr. Jiang Junyi Reply:
Hello, based on your description, the dizziness you are experiencing seems to be related to benign paroxysmal positional vertigo (BPPV), which is often triggered by changes in posture. You can consult an otolaryngologist for a canalith repositioning procedure or consider medicati...[Read More] Persistent Dizziness and Fever: Understanding Neurological Issues
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