Abnormalities in the brain?
Hello, since March, I have been feeling something shaking or jumping in my head from time to time, whether I am standing, lying down, or sitting.
Sometimes, my body sways while standing, and I have become very unsteady while walking.
My occipital region feels very swollen, and I occasionally experience headaches.
I have difficulty concentrating and feel very uncomfortable.
I have seen specialists in neurology, otolaryngology (for inner ear imbalance), traditional Chinese medicine, and I have also undergone an EEG at a major hospital's neurology department, but no abnormalities were found, and the cause remains undetermined.
There have been three instances where I felt better, but after about two weeks, the symptoms returned.
Occasionally, I exercise and go to bed before midnight.
Which specialist should I see?
Bazi, 20~29 year old female. Ask Date: 2015/10/28
Dr. Hou Angting reply Family Medicine
Hello, user.
Based on your current symptoms, which have persisted for some time, and considering that some physical examinations cannot be communicated through this platform, it is recommended that you follow up with a neurologist and discuss your condition in detail with the physician.
Reply Date: 2015/10/28
More Info
It sounds like you're experiencing a complex set of symptoms that can be quite distressing. Based on your description, you have been dealing with sensations of movement or instability in your head, difficulty concentrating, and episodes of discomfort that have persisted despite consulting various specialists. Given the nature of your symptoms, it is crucial to approach this situation methodically to identify the underlying cause and find appropriate relief.
Understanding Your Symptoms
The symptoms you describe—such as the sensation of something shaking or jumping in your head, instability while standing or walking, and difficulty concentrating—could be indicative of several potential issues. These might include vestibular disorders (related to balance), neurological conditions, or even psychological factors such as anxiety or stress. The fact that you have seen multiple specialists, including neurologists and ENT doctors, and have undergone tests like EEGs without finding a definitive cause, suggests that your condition may be multifactorial.
Recommended Specialists
1. Neurologist: Since you have already consulted neurologists, it might be beneficial to seek a second opinion from a different neurologist, particularly one who specializes in movement disorders or vestibular neurology. They may consider additional tests such as MRI or CT scans to rule out structural issues in the brain.
2. Vestibular Rehabilitation Specialist: Given your symptoms of imbalance and the sensation of movement, a specialist in vestibular rehabilitation could be helpful. These professionals focus on diagnosing and treating balance disorders and may provide exercises to help improve your stability and reduce dizziness.
3. Psychiatrist or Psychologist: If your symptoms are exacerbated by anxiety or stress, consulting a mental health professional could be beneficial. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can help manage anxiety, which may, in turn, alleviate some of your physical symptoms.
4. Physical Therapist: A physical therapist, especially one with experience in vestibular therapy, can provide exercises to improve balance and coordination, which may help with the instability you are experiencing.
5. Functional Medicine Practitioner: If conventional approaches have not yielded results, you might consider seeing a functional medicine practitioner. They can take a holistic approach to your symptoms, looking at lifestyle factors, nutrition, and potential underlying conditions that may not have been addressed.
Additional Considerations
- Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep. Sometimes, lifestyle factors can significantly impact symptoms.
- Stress Management: Techniques such as mindfulness, meditation, or yoga can help manage stress and anxiety, which may be contributing to your symptoms.
- Keep a Symptom Diary: Documenting your symptoms, including when they occur, their intensity, and any potential triggers, can provide valuable information to your healthcare providers.
- Follow-Up: Regular follow-ups with your healthcare providers are essential. If your symptoms change or worsen, make sure to communicate this promptly.
Conclusion
Navigating unexplained brain symptoms can be challenging, but with a systematic approach and the right specialists, you can work towards finding relief. It's essential to advocate for yourself and seek the care that addresses all aspects of your health. Don't hesitate to explore different avenues until you find a treatment plan that works for you. Remember, you are not alone in this journey, and support is available.
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