Understanding Unexplained Body Twitches: When to See a Doctor
I would like to ask? Hello, doctor. Since March, I've been feeling strange in my body, with twitching sensations in various areas (I'm not sure if it's muscle or blood vessels). I also feel that even minor tasks are not going smoothly. Recently, I've noticed t...
Dr. Gao Chunde reply Neurology
Although most muscle twitches or vascular pulsations are benign, there are certain neurological disorders that may continue to worsen, which necessitates further evaluation by a neurologist for reassurance.[Read More] Understanding Unexplained Body Twitches: When to See a Doctor
Right-Sided Occipital Headache and Dizziness: Causes and Solutions
Right-sided occipital headache with dizziness? Hello Doctor: I have been experiencing pain on the right side of my occipital region when lightly pressed for several years. I had a car accident when I was younger, which resulted in a concussion in the back of my head. Until three ...
Dr. Gao Chunde reply Neurology
If it were previous symptoms along with the examination results, a general physician would typically consider just monitoring the situation. However, the pain, dizziness, and fainting that occurred this time, as well as any potential brief loss of consciousness, definitely requir...[Read More] Right-Sided Occipital Headache and Dizziness: Causes and Solutions
Understanding Mysterious Nerve Symptoms: Seeking Answers for Unexplained Numbness
I don't know what strange illness I have developed? Hello Doctor, I don't know what strange illness I have, and I'm very scared. I've seen several specialists without any results, and I'm feeling quite helpless and frustrated, not knowing what to do. Plea...
Dr. Gao Chunde reply Neurology
The symptoms are reversible, indicating a functional transient disturbance, commonly seen in transient ischemic attacks or abnormal local neuronal discharges. A neurologist will conduct a thorough examination and arrange appropriate further tests to determine the underlying cause...[Read More] Understanding Mysterious Nerve Symptoms: Seeking Answers for Unexplained Numbness
Understanding Involuntary Hand Movements: Causes and Solutions
Involuntary hand movements? Hello Doctor: Since around the fifth grade, my right hand has been experiencing involuntary twitching, similar to a reaction as if being shocked, but it is not painful or numb. I have seen a neurologist before, but nothing came of it. However, this sym...
Dr. Gao Chunde reply Neurology
The symptoms are becoming more pronounced, and it is recommended to visit a medical center's movement disorders clinic for a detailed examination. The underlying cause should be identifiable, but it may require some patience.[Read More] Understanding Involuntary Hand Movements: Causes and Solutions
Left-Side Numbness and Tingling: Causes and Concerns Explained
When lying on the left side at night, experiencing numbness in the leg and tingling on the left side of the scalp? Hello, doctor. Recently, when I lie on my left side to use my phone after work, I notice that the left side of my body, including my head and face, starts to feel nu...
Dr. Gao Chunde reply Neurology
Posture-related issues may be associated with problems in venous return, potentially occurring in the cervical spine or brain. A detailed assessment must be conducted by a neurologist who can evaluate your condition in person and arrange for relevant examinations.[Read More] Left-Side Numbness and Tingling: Causes and Concerns Explained
Persistent Headaches After Concussion: Understanding Long-Term Effects
Eight months ago, I suffered a concussion, and I am still experiencing headaches? Dear Dr. Gao, The patient is my father. He fell from a height and hit the back of his head around November last year. He couldn't remember the events that occurred at that time. He was immedia...
Dr. Gao Chunde reply Neurology
If the neurology department of the medical center has assessed and found no issues, then this type of headache is classified as post-traumatic headache, which is a sequela. Some individuals may experience gradual resolution over time, while others may require long-term medication...[Read More] Persistent Headaches After Concussion: Understanding Long-Term Effects
Understanding Dizziness and Headaches: Causes and Remedies
Headache and dizziness? Hello Doctor: 1. Occasionally, I experience sudden dizziness while walking or sitting, but resting for a while helps. I would like to know what might be causing this issue. 2. I want to ask on behalf of a friend who also experiences dizziness occasiona...
Dr. Gao Chunde reply Neurology
The first consideration would be the function of the inner ear, which can be evaluated by an otolaryngologist or a neurologist. The second possibility could be vestibular migraine, which needs to be confirmed by a neurologist to identify and avoid triggering factors.[Read More] Understanding Dizziness and Headaches: Causes and Remedies
Understanding Leg Cramps: When to Consider Surgery for Nerve Issues
Leg cramps 107841 Doctor: I apologize for asking again, but if it concerns the fifth lumbar nerve, is it serious enough to require surgery?
Dr. Gao Chunde reply Neurology
There are many conservative treatment options available before considering surgery. If the examination does not reveal the issues I mentioned, then the treatment and diagnostic approach will need to be reassessed, and we will not jump straight to surgery.[Read More] Understanding Leg Cramps: When to Consider Surgery for Nerve Issues
Managing Headaches and Muscle Pain: Insights from Neurology
Headache, muscle pain? Hello, Doctor. I went to the clinic for insomnia based on a friend's recommendation, and I was referred to a psychiatrist specializing in sleep disorders. The doctor prescribed me the following medications: 1. Nabob Capsule 0.5 mg (Mecobalamin) to be...
Dr. Gao Chunde reply Neurology
If a medication has side effects or if there are new discomforts in the body, it is advisable to seek medical attention for a reevaluation of symptoms and medications. You can consult a neurologist to rule out physiological and pathological issues. If the physician deems it neces...[Read More] Managing Headaches and Muscle Pain: Insights from Neurology
Can Shock Cause Brain Damage? Understanding Neurological Effects
Can shock cause brain injury? Hello Doctor, about a month ago, I was almost hit by a car at an intersection. I wasn't injured, but my immediate reaction was to rush across the street. In that moment, I felt a tingling sensation in the back of my head, and afterward, I starte...
Dr. Gao Chunde reply Neurology
There are relatively few reports on brain issues caused by shock or fright. Some patients who already have epilepsy may find that shock acts as a triggering factor. For those who do not have a history of epilepsy, psychological and emotional factors are considered to be the cause...[Read More] Can Shock Cause Brain Damage? Understanding Neurological Effects
Understanding Unexplained Muscle Pain: When to Seek Medical Advice
Unexplained pain or discomfort? Hello, Doctor. Recently, I've been experiencing a sensation of soreness in my body, somewhat similar to the muscle aches associated with a cold or fever, but not quite the same (I feel fine and do not have a fever). The discomfort most frequen...
Dr. Gao Chunde reply Neurology
From a neurology perspective, issues related to the spinal cord from the cervical to thoracic region should be considered. It is advisable to refer the patient to a neurologist for a detailed history and physical examination. If there is evidence, further imaging studies or labor...[Read More] Understanding Unexplained Muscle Pain: When to Seek Medical Advice
Prescription Guidelines for Dementia Medications: A Neurology Perspective
Prescription Issues in Dementia Hello, doctor: I would like to ask about the medications Aiyixin, Yisining, and Liyiling. How long is the usual prescription for these medications? Can they be obtained through a chronic disease prescription? Thank you for taking the time to answer...
Dr. Gao Chunde reply Neurology
Medications for dementia are typically prescribed for a maximum of one month, after which patients return for follow-up appointments to monitor their response and changes in their condition. Some physicians in hospitals may issue chronic prescriptions, but this is usually for the...[Read More] Prescription Guidelines for Dementia Medications: A Neurology Perspective
Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Headache (pain deep in the eyes) Hello, Doctor Gao. I occasionally experience headaches, a condition that has persisted for over ten years. However, I have not sought medical attention frequently; it may occur two to three times a month or just once every two to three months. Som...
Dr. Gao Chunde reply Neurology
Your headache is a migraine, not trigeminal neuralgia. You should undergo a thorough examination to confirm the diagnosis and seek appropriate treatment. It is recommended to visit a neurology outpatient clinic. As for your eye pressure, it is advisable to have an ophthalmologist...[Read More] Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Why Skipping Naps Leads to Headaches in Young Adults
Headache due to lack of napping? Hello Doctor, I am a 20-year-old student and I would like to ask why I start to experience headaches or feel uncomfortable and dizzy in the afternoon or evening if I do not take a nap at noon. Generally, young people have good stamina, so why do I...
Dr. Gao Chunde reply Neurology
Your headache may be a tension-type headache, which can be alleviated by taking a nap or resting during the afternoon, preventing an impending headache from developing. Without this mid-day break, the headache may eventually occur. Another possibility is migraine, which can be tr...[Read More] Why Skipping Naps Leads to Headaches in Young Adults
Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Regarding the use of steroids for facial nerve paralysis? Dr. Gao: Hello! My mother has been living in Shanghai, China, and she experienced facial nerve paralysis in early May, with symptoms including lower eyelid drooping and eversion, drooling while eating, pain behind the ear,...
Dr. Gao Chunde reply Neurology
The use of steroids is effective in reducing inflammation and edema during the early stages of the disease, typically for seven to ten days. After that, rehabilitation and acupuncture are relied upon. Your physician's approach may have specific considerations, and if you hav...[Read More] Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Severe Head and Eye Pain During Airplane Landings: What to Do?
Severe pain in the head and eyes during airplane landing? Hello Doctor: I typically travel abroad by plane once or twice a year. However, since the year before last, I have experienced severe pain in one side of my head and eyes during landing. It feels very sharp and throbbing, ...
Dr. Gao Chunde reply Neurology
This is a rare type of headache, sometimes referred to as "aeroheadache," associated with barotrauma to the sinus mucosa, leading to edema, fluid accumulation, and even bleeding. In principle, it is managed by a neurologist, although some patients may also consult an ot...[Read More] Severe Head and Eye Pain During Airplane Landings: What to Do?
Head Injury Symptoms: Dizziness, Nausea, and When to Seek Help
Head trauma, dizziness, nausea? Hello, I bumped my head three days ago and shortly after that, I fell asleep. The next day, I started experiencing dizziness, difficulty concentrating, nausea, and pain in multiple areas of my face when touched. Is this a mild concussion? I have no...
Dr. Gao Chunde reply Neurology
The symptoms are new, and increased intracranial pressure cannot be ruled out. It is advisable to consult a neurologist or neurosurgeon for further evaluation.[Read More] Head Injury Symptoms: Dizziness, Nausea, and When to Seek Help
Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies
Leg cramps? I have been experiencing a sensation of warmth in my right calf at night for the past few months. My middle toe, ring toe, and little toe tend to curl up and then relax. However, if I get up and sit for a few minutes, the symptoms improve. Now, the symptoms start when...
Dr. Gao Chunde reply Neurology
The distribution of these symptoms corresponds to the innervation of the fifth lumbar nerve. The exact cause of the condition is unclear, and a detailed evaluation is necessary. A neurologist who examines you in person will perform differential diagnosis and relevant tests for tr...[Read More] Understanding Leg Cramps: Causes, Symptoms, and Relief Strategies
Persistent Headache with Swelling on Right Side: What to Know
Chronic headache with swelling on the right side of the head? Hello doctor, I have been experiencing chronic headaches, and recently I have been having headaches every day. I have noticed that the right side of my head feels more swollen these past few days. What could this pheno...
Dr. Gao Chunde reply Neurology
The brain is protected by the hard skull, so any swelling issue is likely related to tissues outside the skull, such as muscles and subcutaneous soft tissue. The most common association with headaches is muscle-related, particularly tension-type headaches, where the muscles can b...[Read More] Persistent Headache with Swelling on Right Side: What to Know
Understanding Neurological Symptoms: Dizziness and Numbness Explained
Dizziness, numbness in the left side of the face and left hand? Hello Doctor, I just completed a brain MRI, and the report from my family doctor in Australia has me a bit concerned. The full report is as follows: Sagittal and axial T1, T2, and inversion recovery examinations were...
Dr. Gao Chunde reply Neurology
I agree that your examination results align with the clinical symptoms. It is recommended that you visit a major hospital's neurology department for evaluation and treatment as soon as possible.[Read More] Understanding Neurological Symptoms: Dizziness and Numbness Explained