Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Understanding Asymmetrical Head Shape: Neurological Insights and Concerns
Asymmetry of the brain? I have had this symptom for a long time. I noticed that in photos, the left side of my head appears particularly protruded. I didn't pay much attention to it at first, but now I find it quite unattractive. It feels soft to the touch, and it seems like...
Dr. Cai Zongzhang Reply:
Hello, it is not hydrocephalus; it should be a scalp issue. I recommend seeing a dermatologist.[Read More] Understanding Asymmetrical Head Shape: Neurological Insights and Concerns
Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Pain in the upper and lower right teeth, as well as pain in the temples? This afternoon, I suddenly experienced pain in my upper and lower right teeth, which later extended to my right temple. Last year, I visited a neurosurgeon due to neck pain, and an MRI revealed a herniated d...
Dr. Jiang Junyi Reply:
Dear Mr. Ze, You mentioned, "Is the toothache along with the pain in the temples possibly due to cervical nerve compression?" This symptom indeed warrants consideration of high cervical nerve root compression, specifically involving the first to third cervical vertebra...[Read More] Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I have been experiencing slight twitching pain in the right posterior side of my head whenever I raise or furrow my right eyebrow. The pain was...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned, "The first day was quite intense, and today (the third day) is relatively mild. Is this a normal phenomenon, or do I need to seek further medical attention?" Your symptoms resemble those of myofascial inflammation, which typically stabilize...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Facial Numbness: Neurological Concerns or Food Allergy?
Facial issues Hello Doctor: I would like to ask about experiencing occasional numbness on the left side of my face over the past year. However, my facial expressions remain unaffected, and the numbness gradually improves within 1-2 hours. Recently, I have particularly noticed tha...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "the special observation is that facial numbness occurs particularly when eating sushi." Your symptoms may suggest a dysfunction of the trigeminal nerve. This condition can sometimes progress to trigeminal neuralgia. Demyelination of ...[Read More] Facial Numbness: Neurological Concerns or Food Allergy?
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness? Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle. (Before the emergency room, I could...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge. Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal...[Read More] Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Tinnitus issues? Hello Doctor: I have been experiencing pulsatile high-frequency tinnitus in my left ear for the past three months. The tinnitus is persistent throughout the day, but it usually diminishes briefly after taking a hot shower, only to return shortly afterward. A mont...
Dr. Jiang Junyi Reply:
Hello Mr. Wen: You asked, "Does an acoustic neuroma always result in hearing loss?" The hearing loss associated with acoustic neuroma typically progresses gradually. Subsequently, as the tumor compresses the brainstem, other cranial nerve symptoms and cerebellar signs m...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I've noticed that whenever I raise or furrow my right eyebrow, I feel a slight pulling pain in the back right side of my head. The pain wa...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned experiencing a "slight pulling pain in the right posterior side of the head," which is commonly associated with left-sided neck pain due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the temporalis mus...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Understanding Nerve Sensations: Addressing Tingling and Discomfort
Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...
Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei Reply:
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She is taking medication in the morning and evening, bu...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. In addition to cerebral discharges, we should consider lumbar nerve root compression. I wou...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Uncontrollable Upper Body Tremors: When to Seek Medical Attention?
Involuntary movements of the upper body? Hello doctor, I would like to ask if I need to get an examination. Since elementary school, I have experienced sudden shaking in my upper body. It occurs whether I am standing or sitting, and it happens suddenly and uncontrollably, with a ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to undergo a neurological examination to check for any underlying neurological disorders.[Read More] Uncontrollable Upper Body Tremors: When to Seek Medical Attention?
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Persistent Dizziness: Causes and Anxiety Connections
Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...
Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections