Dr. Gao Chunde reply Neurology Question - Page 23

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Understanding Frequent Dizziness: Causes, Symptoms, and Solutions

Frequent episodes of dizziness? I have been experiencing dizziness for about one to two months, often suddenly feeling chest tightness, dizziness, and nausea. There have been several instances at work where I felt so dizzy that I thought there was an earthquake or that someone ha...


Dr. Gao Chunde reply Neurology
There is a component related to emotional and stress phenomena, but there is also an aspect that resembles dysfunction of the inner ear. It is recommended to first consult an otolaryngologist to rule out any ear, nose, and throat issues, and then to thoroughly assess the emotiona...

[Read More] Understanding Frequent Dizziness: Causes, Symptoms, and Solutions


Understanding Restless Legs: Causes and Diagnostic Insights

Resisting the urge to shake your legs? I feel the urge to shake my legs and it's uncomfortable when I try to resist. I consulted a doctor about the possible causes. Today, the doctor asked me to raise my hands; how does this help in assessing my leg shaking? Is restless legs...


Dr. Gao Chunde reply Neurology
Restless legs syndrome typically occurs before falling asleep at night, characterized by an irresistible urge to move and discomfort. Medically, it aligns more with the description of "akathisia," which may arise from involuntary movements or movement disorders. The int...

[Read More] Understanding Restless Legs: Causes and Diagnostic Insights


Understanding Left-Sided Brain Pain: Causes and Solutions

There is a sharp pain in a vein on the left side of the brain? In recent days, I have noticed a sharp pain in the left side of my brain, which intensifies when I swallow saliva with my left ear. It feels like there is a lot of heat in my body. Could you please provide some insigh...


Dr. Gao Chunde reply Neurology
At this age, there is a common type of ice pick headache that occurs sporadically, resembling neuralgia, but the cause is not very clear. It usually resolves on its own after a few days. However, if there is soreness in the back of the neck or numbness in the scalp, one should be...

[Read More] Understanding Left-Sided Brain Pain: Causes and Solutions


Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective

Long-term palpitations and dizziness? Hello Doctor: After I graduated from junior high school and went on a trip where I rode roller coasters, I started experiencing dizziness. At that time, I often felt sensations similar to riding roller coasters and pirate ships, along with di...


Dr. Gao Chunde reply Neurology
In principle, there shouldn't be any major issues. It may be worth considering a consultation with a psychiatrist, as understanding the underlying cause could potentially improve the symptoms.

[Read More] Understanding Long-Term Dizziness and Palpitations: A Neurological Perspective


Understanding Psychosomatic Disorders: When Anxiety Affects Eating

Psychoneurosis Hello doctor, I would like to ask about my condition. Whenever I get nervous, I find it difficult to swallow food (even when I am very hungry). I have seen a psychiatrist and was diagnosed with a psychoneurosis. In most situations, I can eat normally, but when I am...


Dr. Gao Chunde reply Neurology
It is most likely that the swallowing difficulty is psychogenic, with a small possibility of issues related to the throat or esophagus. If there is suspicion of an esophageal problem affecting swallowing, it is advisable to consult a gastroenterologist. After the physician's...

[Read More] Understanding Psychosomatic Disorders: When Anxiety Affects Eating


Choosing the Right Fish Oil: Benefits for Brain Health and Recovery

Choosing Fish Oil Hello, Doctor: I would like to ask if fish oil and cod liver oil are the same or different? What is the role of omega-3 in fish oil? How should I choose a pollution-free and effective fish oil? What is the proper way to take it? I have previously suffered a brai...


Dr. Gao Chunde reply Neurology
Fish oil primarily has health benefits in improving cardiovascular diseases by lowering LDL-C and triglycerides. Regarding neurological aspects, some literature suggests partial efficacy for memory and dementia, but it is not considered a standard treatment. Recently, there has b...

[Read More] Choosing the Right Fish Oil: Benefits for Brain Health and Recovery


Experiencing Earthquake-like Head Movements: Which Specialist to Consult?

If you are experiencing shaking sensations similar to an earthquake, whether sitting or lying down, you should consult a neurologist? Hello! For the past month, I have been experiencing a sensation of my head shaking, similar to an earthquake, and it has been getting worse. Howev...


Dr. Gao Chunde reply Neurology
It is more common to feel that objects are spinning, but some may also experience a sensation of the head swaying. If these episodes are brief, lasting from a few seconds to a couple of minutes and resolve on their own, the issue likely lies within the vestibular nerve function o...

[Read More] Experiencing Earthquake-like Head Movements: Which Specialist to Consult?


Understanding Dizziness: Insights from Traditional and Modern Medicine

Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...


Dr. Gao Chunde reply Neurology
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...

[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine


Understanding EEG Results: What to Expect and Next Steps in Neurology Care

Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...


Dr. Gao Chunde reply Neurology
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.

[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care


Understanding Left-Sided Headaches: Is It Just a Migraine?

Questions about headaches? Hello, I have been suffering from headaches for many years, specifically on the left side of my temple. Whenever I experience pain, the entire left side of my face hurts, and there is a throbbing sensation in the temple. Recently, I have noticed that th...


Dr. Gao Chunde reply Neurology
Left facial pain is not very typical; it is associated with the trigeminal nerve. Additionally, thinning hair is not a common symptom of migraines. Is it due to stress, medication, or frequent rubbing and massaging? If you haven't seen a neurologist, it would be advisable to...

[Read More] Understanding Left-Sided Headaches: Is It Just a Migraine?


Managing Vascular Headaches: Treatment and Relief Strategies

Vascular headache Hello Doctor: You mentioned that it is a vascular headache, and the symptoms are as you described, including headaches that worsen with activity but improve after resting for a day or two. It does not occur daily, but the occasional pain in the back of the head ...


Dr. Gao Chunde reply Neurology
Infrequent headaches can be temporarily managed with over-the-counter pain relievers, which usually provide quick relief. However, if headaches occur frequently and develop into chronic daily headaches, excessive use of pain medication can be harmful to the body and may lead to m...

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Understanding Eye Twitching, Dizziness, and Treatment Options

Eyelid twitching accompanied by slight dizziness, a feeling of pressure in the back of the head, and a perception that things appear brighter than usual? I have been experiencing eyelid twitching for a week, accompanied by slight dizziness. There is a feeling of pressure in the b...


Dr. Gao Chunde reply Neurology
Eyelid twitching, a heavy sensation in the back of the head, and seeing bright lights are common symptoms associated with fatigue from work or excessive eye strain. Typically, resting and taking a walk outdoors can lead to improvement within one to two weeks. The first two medica...

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Understanding Occipital Headaches: When to Seek Medical Attention

Occipital headache Hello Doctor: I would like to ask about my recurring headaches. They come in waves, with pain in the back of my head, and I feel a heartbeat that coincides with the headache. This has been going on for quite some time... Should I go to the hospital for an exami...


Dr. Gao Chunde reply Neurology
It is a vascular headache, mostly migraines. The symptoms are pulsating, accompanied by nausea and vomiting, sensitivity to light and sound, and the headache worsens with activity. If the pain occurs occasionally and resolves with quiet rest, it can be monitored. However, if the ...

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Foods and Supplements to Reduce Muscle Twitches and Cramps

Muscle twitching Hello doctor, could you please advise on what foods or supplements should be taken to reduce the frequency of muscle twitches and soreness? The muscle twitches are very frequent, causing fear and preventing me from sleeping. Thank you for your help!


Dr. Gao Chunde reply Neurology
In fact, to properly address muscle twitching or soreness, it is essential to understand the underlying causes before treatment. These causes may include medication side effects, stress or tension from daily life, or certain dietary substances that can stimulate the nervous syste...

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Understanding Dizziness and Numbness After Concussion Recovery

Dizziness and numbness? Hello, doctor. Over two months ago, I had a concussion due to a car accident, but I have since recovered (I underwent an MRI and there were no abnormalities). I no longer experience dizziness, and my neck is also normal. Recently, I caught a cold and have ...


Dr. Gao Chunde reply Neurology
If there is a change in ear pressure causing dizziness and even hearing issues after a concussion from a car accident, it may be due to a perilymph fistula in the inner ear, although this is rare and the symptoms tend to last longer. However, it would not be accompanied by numbne...

[Read More] Understanding Dizziness and Numbness After Concussion Recovery


Understanding Facial Numbness: Possible Neurological Issues Explained

Abnormal sensation in the cheek? Hello, Doctor Gao. For the past few months, I've been experiencing occasional localized burning and numbness on the right side of my calf. Recently, in the past month, I've also felt some numbness and tightness below my left ear, as well...


Dr. Gao Chunde reply Neurology
It is unclear whether the right side of the calf refers to the outer side of the right calf or the inner side of the left calf, but it can be confirmed that there is a sensory dysfunction of a peripheral nerve. There are also localized sensory nerve issues in the neck below the l...

[Read More] Understanding Facial Numbness: Possible Neurological Issues Explained


Understanding Muscle Twitches: Causes, Concerns, and Solutions

Muscle twitching Hello doctor, recently I've been experiencing frequent muscle twitches, and I can clearly feel them when I stretch. My limbs are sore even though I haven't done much, and my thumb feels strange. Occasionally, I find myself shaking involuntarily while sl...


Dr. Gao Chunde reply Neurology
Muscle twitching is mostly benign, often caused by emotional stress and increased neuromuscular excitability, such as from insufficient sleep or overuse, leading to some physiological twitching. However, if it is related to a serious condition, there would typically be symptoms o...

[Read More] Understanding Muscle Twitches: Causes, Concerns, and Solutions


Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know

Cerebral atrophy inquiry? Hello, Doctor. I have been experiencing dizziness due to a concussion, but I have gradually returned to normal after about six weeks. An MRI examination was also normal (no bleeding). I found some research reports online indicating that concussions may l...


Dr. Gao Chunde reply Neurology
Concussions can increase the likelihood of developing dementia in the future, particularly in cases of repetitive head impacts, such as those experienced by boxers who are frequently struck in the head. The probability of a single impact leading to this outcome is extremely low. ...

[Read More] Understanding the Risks of Brain Atrophy After Concussion: What You Need to Know


Understanding Dizziness and Tremors: Possible Causes and Next Steps

Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...


Dr. Gao Chunde reply Neurology
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...

[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps


Understanding Symptoms of Imbalance and Abnormal Sensations: A Neurology Perspective

Feeling of foot drop, imbalance, and abnormal sensations in the brain? Hello, Dr. Gao. Based on your response, I still have some questions. (Symptoms can be side effects of medication or may indicate a sensory disturbance. It would be advisable to have a neurologist perform a det...


Dr. Gao Chunde reply Neurology
Neurological examination determines whether there is a dysfunction in the sensory nervous system, and based on the findings of the neurological assessment, the next laboratory or imaging tests will be decided. Any neurologist at Taichung Hospital can assist you. After the examina...

[Read More] Understanding Symptoms of Imbalance and Abnormal Sensations: A Neurology Perspective


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