Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Infection probability Hello, doctor. I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity. My family has always used well water for oral hygiene, and a...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. The time frame you mentioned is too long, as ...[Read More] Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Understanding Unexplained Pain and Forehead Headaches in Patients
Unexplained muscle pain and frontal headache? Hello, doctor. I have Marfan syndrome and have previously undergone spinal surgery. After the surgery, I began experiencing weakness and stiffness in my legs and spine, making it difficult to move, along with some pain. These symptoms...
Dr. Jiang Junyi Reply:
Dear Mr. Lei, You mentioned that "lying down causes headaches, and now I also experience pain while standing, along with frequent headaches... which may be due to compression of the spinal vessels, leading to headaches." Typically, when blood vessels are compressed, it...[Read More] Understanding Unexplained Pain and Forehead Headaches in Patients
Understanding Leg Numbness: Causes and Treatment Options for Your Family
I would like to inquire for a family member who is experiencing numbness in the calves and thighs? My father is unable to walk far; after just a block, his legs become very numb, and he needs to sit down to rest before he can walk a short distance again. However, the numbness ret...
Dr. Jiang Junyi Reply:
Hello Mr. Liang, You mentioned that "walking too far, perhaps just a block, can cause my legs to feel very numb, making it difficult to move, and I need to sit down to rest before I can walk a little further." Clinically, this is referred to as "intermittent claud...[Read More] Understanding Leg Numbness: Causes and Treatment Options for Your Family
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
Understanding Head Trauma: Recovery Time and Memory Issues in Seniors
Head trauma An elderly family member (approximately 71 years old) was struck by a motorcycle while walking, resulting in an external injury above the right ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, he has been discharged home,...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that there is trauma in the upper right area behind your ear, with some minor internal bleeding and air present. After being hospitalized for two weeks, you have been discharged home, but your memory remains confused. You are wondering if this is re...[Read More] Understanding Head Trauma: Recovery Time and Memory Issues in Seniors
Understanding Persistent Numbness in the Left Back: Causes and Solutions
Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions
Understanding Cervical X-rays: Accuracy and Anomalies Explained
Cervical spine X-ray Hello, I had a cervical spine X-ray taken in 2019, and the neurologist at that time did not mention anything specific. Now, in 2022, another neurologist has told me that I have nerve compression issues in both my cervical and lumbar spine. Is it accurate to r...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Is this accurate? Shouldn't I have another cervical spine X-ray? Also, it seems that most people have 6 cervical vertebrae, but I have 8; is that normal?" Humans typically have 7 cervical vertebrae. The important aspect regarding ...[Read More] Understanding Cervical X-rays: Accuracy and Anomalies Explained
Understanding Involuntary Muscle Twitches: Causes and Concerns
Intermittent involuntary movements Hello doctor, I sometimes feel twitching in the left front area between my neck and shoulders, and I can feel it moving when I touch it. At times, I also feel twitching in the inner side of my left thigh. What could be the issue? Thank you.
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that you sometimes feel twitching in the left front area between your neck and shoulders, as well as twitching in the inner thigh of your left leg. I wonder if you are also experiencing any sensory abnormalities along with these symptoms? If it is onl...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Managing Seizures During Antiepileptic Drug Transition: What to Expect
Seizures during the transition period of antiepileptic drug replacement? I have epilepsy, with no history of brain injury or family history of the condition, and the cause is unknown. I have been treated with Depakote for nearly two years. Recently, my liver enzymes have shown an...
Dr. Cai Zongzhang Reply:
Hello: There are many types of seizure patterns in epilepsy. It is recommended to record the frequency and types of seizures, and discuss appropriate adjustments with your physician during follow-up visits.[Read More] Managing Seizures During Antiepileptic Drug Transition: What to Expect
Feeling Shaky or Earthquake Sensation While at Rest: A Neurological Concern
Feeling like the body is swaying or experiencing tremors while at rest? Since the earthquake on March 22, I have been feeling a constant sensation of my body swaying, whether I am sleeping or sitting. At night, my heart beats very strongly while I sleep, causing my body to sway e...
Dr. Cai Zongzhang Reply:
Hello Yuky: It is recommended to visit a neurologist to check for any neurological dysfunction.[Read More] Feeling Shaky or Earthquake Sensation While at Rest: A Neurological Concern
Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?
Visual flicker? There were two instances in the early morning, right after waking up, when I experienced flickering in my vision under dim lighting, resembling the flickering of a failing light bulb or an old television screen malfunction (the flickering was in shades of black an...
Dr. Jiang Junyi Reply:
Hello, Miss Hsiao-Wen: You mentioned that you experienced a migraine on the night of your first visual aura, but not during the second occurrence. I would like to ask if you have a history of migraines? If this is a new symptom, it may be advisable to seek medical evaluation. Gen...[Read More] Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Which Specialist to See for Migraine with Nausea and Vomiting?
If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist? Hello Dr. Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest. However, two weeks ago, I started having migraines again,...
Dr. Jiang Junyi Reply:
Dear Ms. Ru, You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then. I would like to know if you have a history of migraines. If this is a new onset of symptoms, it may be advisa...[Read More] Which Specialist to See for Migraine with Nausea and Vomiting?
Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...
Dr. Jiang Junyi Reply:
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
On March 25, the MRI of my mother's brain showed a white area on the right side behind the ear. The doctor said it was a cerebellar embolism? On March 11, the third dose of Moderna was administered. On March 18, daily living difficulties appeared: (1) constantly wearing adul...
Dr. Hong Weibin Reply:
Hello: Based on your description, your mother may be experiencing apraxia, which could be caused by an acute stroke affecting the posterior circulation of the brain. It is recommended that you take her to the hospital for evaluation. Typically, hospitalization for examination wil...[Read More] Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Understanding the Causes of Occasional Pain in the Back of the Head
Occipital headache Hello Doctor: Recently, I have been experiencing frequent pain in the back of my head. Initially, I thought it was related to shoulder and neck pain, but these past few days while walking on the treadmill, I felt no pain in my head at first, but then the pain i...
Dr. Jiang Junyi Reply:
Dear Mr. Weng, You mentioned that "if I slightly pull my arm down, I feel pain at the back of my head, and the more I pull, the more it hurts." This may indicate cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at ...[Read More] Understanding the Causes of Occasional Pain in the Back of the Head
Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...
Dr. Jiang Junyi Reply:
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain