Neurological Symptoms: When to Seek Further Evaluation

Regarding the brain..?

For the past one to two months, I have been experiencing poor mental health, with a heavy and dizzy feeling in my head.
My head feels slightly painful when I shake it side to side, and I feel mildly dizzy throughout the day regardless of how much sleep I get.
I have a history of hepatitis B and have wondered if it could be affecting my health, but my liver function tests came back normal.
What further examinations should I consider?

Xiao Wei, 20~29 year old female. Ask Date: 2003/03/22

Dr. Ding Xianwei reply Neurosurgery

Hello! Generally speaking, symptoms like yours resemble those of a cold, but if they have persisted for more than a month or two, that is somewhat prolonged.
It is important to consider whether you have been under significant stress recently or if you have not been exercising enough.
If your symptoms do not improve, it may be necessary to visit a hospital for further examination.
Best wishes for your health, Dr.
Ding Hsien-Wei, Department of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/03/22

More Info

Understanding neurological symptoms can be complex, especially when they manifest in ways that affect daily functioning and overall well-being. Based on your description, it seems you have been experiencing persistent feelings of heaviness in your head, dizziness, and a lack of energy for the past one to two months. These symptoms, coupled with your history of hepatitis B, warrant careful consideration and possibly further evaluation.

Firstly, it’s essential to recognize that neurological symptoms can arise from various underlying conditions, including but not limited to infections, metabolic disorders, and psychological factors. Given your symptoms of a heavy head and dizziness, it could be indicative of several potential issues, including:
1. Vestibular Disorders: Conditions affecting the inner ear can lead to dizziness and a sensation of imbalance. This could be due to benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or other inner ear issues.

2. Cervical Spine Issues: Problems in the cervical spine, such as herniated discs or cervical spondylosis, can lead to headaches and dizziness due to nerve compression.

3. Migraine: Migraines can present with a variety of symptoms, including dizziness and a sensation of heaviness in the head. They can also be accompanied by other neurological symptoms.

4. Anxiety and Stress: Psychological factors can manifest physically, leading to symptoms such as dizziness, fatigue, and a feeling of heaviness in the head. Stress and anxiety can also exacerbate existing conditions.

5. Hepatic Encephalopathy: Although your liver function tests are normal, it’s important to consider that chronic liver conditions can sometimes lead to neurological symptoms, particularly if there are fluctuations in liver function.

Given these possibilities, it is crucial to seek further evaluation. Here are some steps you might consider:
1. Neurological Evaluation: A consultation with a neurologist can help determine if there are any underlying neurological conditions contributing to your symptoms. They may recommend imaging studies such as an MRI or CT scan to assess brain structure and rule out any abnormalities.

2. Vestibular Testing: If dizziness is a prominent symptom, vestibular function tests may be warranted to evaluate the inner ear and balance system.

3. Blood Tests: While your liver function tests are normal, additional blood tests may be helpful to assess for other metabolic or infectious causes. This could include tests for vitamin deficiencies (such as B12), thyroid function tests, and a complete blood count (CBC).

4. Psychological Assessment: If anxiety or stress is suspected to be a contributing factor, a mental health evaluation could provide insights and potential treatment options.

5. Lifestyle Modifications: In the meantime, consider lifestyle changes that may help alleviate your symptoms. Regular physical activity, a balanced diet, adequate hydration, and stress management techniques such as mindfulness or yoga can be beneficial.

6. Follow-Up: Keep a symptom diary to track the frequency and intensity of your symptoms, which can be helpful for your healthcare provider in making a diagnosis.

In conclusion, while your symptoms may stem from a variety of causes, it is essential to pursue further evaluation to identify the underlying issue accurately. Early intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare professional for guidance. Your health and well-being are paramount, and addressing these symptoms proactively is a crucial step toward feeling better.

Similar Q&A

Understanding Dizziness: When to Seek Neurological Evaluation

About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has improved significantly, ...

Dr. Cai Zongzhang reply Neurology
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.

Understanding Neurological Symptoms: When to Seek Immediate Help

Hello Doctor: Thank you for your clarification. I am currently scheduled for a brain MRI at the hospital, but the appointment is set for a month from now. The doctor has advised me to return for a follow-up after the examination. During this time, some of my original symptoms hav...

Dr. Jiang Junyi reply Neurology
Hello: Your symptoms may initially suggest common hyperventilation syndrome. Sudden weakness could also indicate cerebrovascular disease or abnormal electrical discharges. However, if the symptoms are urgent and you are concerned about further deterioration, it is advisable to vi...

Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother

My mother is 47 years old and had facial nerve dysfunction four years ago. Recently, she has started to experience numbness in her hands and feet (a tingling sensation), especially in the left heel, which feels more numb. Her toes are also quite numb. She does not have insomnia a...

Dr. Huang Yingzhe reply Neurology
Dear Ms. Hsi, Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health, Executive Yuan, responds: The symptoms you described are quite "diverse." Some are commonly associated with issues in the brain, while others are more typical of...

Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits

In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good condition. Here are my symptoms: about six months ago, I started ...

Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...