Unusual Head Sounds After Liver Transplant Surgery - Neurology

Share to:

Sounds coming from the head?


Hello Doctor, I underwent a liver transplant surgery in February of this year, and it has been over eight months since then.
I have been recovering normally, but due to long-term sleep issues, my doctor prescribed sleeping pills.
Recently, I have experienced the following symptoms: 1.
Sounds coming from my head; 2.
A tight sensation in my chest; 3.
Some irregularities with my bowel movements (for example, I feel the urge to go but have to wait for a moment before I can complete the process); 4.
A sensation in my hands as if something is pinching me, and sometimes I experience hallucinations; 5.
Sudden episodes of mental blankness where I don’t know what I’m doing.
I previously had an EEG, which was normal.
What tests should I consider? I look forward to your response, thank you very much.

Huang, 50~59 year old female. Ask Date: 2014/10/24

Dr. Gao Chunde reply Neurology


Based on the symptoms, it is possible that they are side effects of medications (including sleep aids or other medications) or it may not be the case, but rather that the underlying causes of insomnia have not been diagnosed and treated appropriately.
It is recommended to consult a specialist in psychosomatic medicine (formerly known as psychiatry) for evaluation, examination, and medication adjustment.

Reply Date: 2014/10/24

More Info


After undergoing a liver transplant surgery, it is not uncommon for patients to experience a variety of symptoms as they recover. Your concerns regarding unusual head sounds, chest tightness, bowel irregularities, hand sensations, and cognitive disturbances are valid and warrant further exploration.
1. Unusual Head Sounds: The sounds you describe in your head could be related to several factors. Post-surgical changes, including alterations in blood flow or pressure, could contribute to auditory sensations. Additionally, anxiety and stress, which are common after major surgeries, can manifest in physical symptoms, including perceived sounds. It may be beneficial to discuss these symptoms with your healthcare provider, as they could also be indicative of neurological issues or side effects from medications, such as the sleep aids you mentioned.

2. Chest Tightness: The sensation of tightness in the chest can arise from various causes, including anxiety, muscle tension, or even gastrointestinal issues. Given your recent surgery, it is essential to rule out any cardiac or pulmonary complications. A thorough evaluation, including an electrocardiogram (ECG) and possibly a chest X-ray, may be warranted to ensure that your heart and lungs are functioning properly.

3. Bowel Irregularities: Changes in bowel habits can occur after surgery due to several reasons, including dietary changes, medication side effects, or alterations in gut motility. It is crucial to maintain a balanced diet rich in fiber and stay hydrated. If the irregularities persist, a consultation with a gastroenterologist may be beneficial to assess for any underlying issues.

4. Sensations in Hands: The feeling of something squeezing your hands could be related to peripheral neuropathy, which can occur after surgery or due to medication side effects. It may also be a manifestation of anxiety or stress. A neurologist can conduct tests to evaluate nerve function and determine if there is any underlying neuropathy.

5. Cognitive Disturbances: Experiencing moments of confusion or a blank mind can be distressing. Post-operative cognitive dysfunction (POCD) is a recognized phenomenon, particularly in older adults, but it can occur in younger patients as well. Factors such as anesthesia, pain medications, and the stress of surgery can contribute to these symptoms. A neuropsychological evaluation may help assess your cognitive function and determine if further intervention is needed.

In summary, while some of your symptoms may be related to the stress of recovery and the medications you are taking, it is crucial to consult with your healthcare provider to rule out any serious complications. They may recommend a series of tests, including blood work, imaging studies, or referrals to specialists such as a neurologist or gastroenterologist, to address your concerns comprehensively. Keeping a detailed log of your symptoms, including when they occur and their severity, can also aid your healthcare team in diagnosing and managing your condition effectively. Remember, open communication with your medical team is vital for a successful recovery.

Similar Q&A

Unusual Sounds After Sudden Hearing Loss Recovery: What to Know

Hello doctor, I experienced sudden hearing loss two and a half months ago. After seeking medical attention, my hearing largely returned to normal, with audiograms showing around 20 dB. However, the affected ear does not perceive pitches correctly in the 600 to 800 Hz range, diffe...


Dr. Li Jiaxuan reply Otolaryngology
Your otolaryngologist has successfully restored your hearing and advises you to take good care of your ears and rest. Your condition involves a few damaged nerves, but the extent of the damage is not enough to affect your hearing. If the nerves are damaged again, your hearing wil...

[Read More] Unusual Sounds After Sudden Hearing Loss Recovery: What to Know


Unexplained Neck Sounds After Sports: Causes and Solutions

On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" sound (not the typical "crack" sound that joints usually make...


Dr. Huang Minxu reply Orthopedics
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...

[Read More] Unexplained Neck Sounds After Sports: Causes and Solutions


Understanding Intracranial Noises: Potential Neurological Conditions Explained

Hello, could you please tell me what diseases might cause intracranial noises in my head? PS: It's not auditory hallucinations and there are no ENT-related issues. Thank you for your clarification!


Dr. Ding Xianwei reply Neurosurgery
Your issue may require an in-person consultation to resolve. My guess is that your skull might have some unique characteristics that increase resonance. This is the only explanation I can think of at the moment.

[Read More] Understanding Intracranial Noises: Potential Neurological Conditions Explained


Understanding Ear Noises: When to See a Neurologist for Vascular Issues

Hello Doctor: I have a faint noise in my right ear that resembles static from poor reception and sounds like something crawling inside. It is not painful or itchy, and it is not very loud tinnitus. I went to an ENT specialist, and my ears were found to be normal. Sometimes, when ...


Dr. Lin Zijing reply Neurology
Tinnitus is characterized by subtle sounds in the ears, which can vary widely. Some may resemble a "rumbling" noise like machinery in a factory, while others may sound like "swishing" or "chirping," similar to cicadas, or a "whooshing" soun...

[Read More] Understanding Ear Noises: When to See a Neurologist for Vascular Issues


Related FAQ

Ear Noise

(Neurology)

Head

(Surgery)

Brain

(Surgery)

Head

(Neurology)

Dizziness

(Otolaryngology)

Coma

(Neurology)

Tinnitus

(Otolaryngology)

Head Lump

(Surgery)

Skull

(Neurosurgery)

Post-Brain Surgery

(Neurosurgery)