Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Head tremors + unexplained anxiety, rapid heartbeat? I experience unexplained anxiety and symptoms such as rapid heartbeat and head tremors in certain situations where I don't understand the reason for my nervousness. For example, during a routine vision test when I have to ...
Dr. Cai Zongzhang Reply:
Hello Melody: Based on the symptoms mentioned, it is recommended to first visit a neurology outpatient clinic for an examination.[Read More] Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi Reply:
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Feeling unwell? Hello doctor, about three months ago, while I was using my phone, I suddenly experienced a moment of darkness (not sure if it was a hallucination). Later, after waking up in the afternoon, I felt my heart racing and noticed a flickering sensation in my vision, whi...
Dr. Cai Zongzhang Reply:
Hello San: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Do Screen Time and TV Watching Affect Memory in Teens?
Brain issues Is it true that prolonged use of mobile phones and watching television can impair memory, as often mentioned by older generations? I've been watching TV and using my phone all day since I was young. I'm currently in my second year of high school, and I stil...
Dr. Cai Zongzhang Reply:
Hello: Watching mobile phones and television does not directly affect memory; however, spending too much time on these activities can deprive individuals of self-learning time, which can indirectly impact the retention of learned material.[Read More] Do Screen Time and TV Watching Affect Memory in Teens?
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 Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
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 Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Morning Headaches: Causes, Concerns, and When to Seek MRI
Waking up with a headache every morning? I have been experiencing headaches for about two years, and in recent months, I have been waking up almost every morning with a throbbing pain in my head. After getting up and moving around, the pain tends to ease, but I continue to feel d...
Dr. Wu Mukhan Reply:
Hello, the most common causes of chronic headaches are migraines and tension-type headaches, which are functional issues of the nervous system. Generally, they can be diagnosed without imaging studies, and most cases can improve with outpatient treatment. If the headache is cause...[Read More] Morning Headaches: Causes, Concerns, and When to Seek MRI
Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Follow-up examinations for binocular diplopia? Hello Doctor: Recently, I experienced double vision after suddenly looking at certain objects, but my vision returned to normal afterward. I went to the hospital for an examination, and the ophthalmology report showed no issues. Howe...
Dr. Jiang Junyi Reply:
Hello Mr. Green Tea, You mentioned "normal blood sugar levels" in relation to cardiovascular disease risk factors. In addition to diabetes, other risk factors include hypertension, smoking, and hyperlipidemia. Prolonged exposure to these risk factors can lead to athero...[Read More] Understanding Diplopia: Follow-Up Tests and Stroke Risk Management