Understanding Chronic Dizziness: When to See a Specialist
Chronic dizziness Hello, I have been experiencing dizziness for 4 to 5 years, almost every day. Sometimes it feels like I'm floating as if in a dream, and at other times, it feels like being on a boat, with moments of calm and moments of swaying with the wind. Occasionally, ...
Dr. Gao Chunde reply Neurology
You can first consult a family physician to determine if there is anemia or low blood pressure. If those conditions are ruled out, then it is important to consider potential issues with inner ear function. If necessary, the physician may refer you to an otolaryngologist or a neur...[Read More] Understanding Chronic Dizziness: When to See a Specialist
Understanding Medication Side Effects: Insights from a Neurology Perspective
Last question? Hello, Dr. Gao. (I apologize for pressing send before finishing my message yesterday.) I would like to ask about the medications I recently changed. These are the medications I received at the clinic: I take a 0.5 mg capsule of Mecobalamin (Nerve Growth Factor) in ...
Dr. Gao Chunde reply Neurology
Side effects of medications are inevitable, but it is important to weigh the benefits against the side effects to determine if the medication is worth taking. If a medication causes a tingling sensation in the head, one should consider the purpose of taking it. If it does not ser...[Read More] Understanding Medication Side Effects: Insights from a Neurology Perspective
Understanding Eye Movement Difficulties: A Neurological Perspective
When I move my right eye, it feels very stiff and difficult to move? Hello, doctor! ^ ^ Please help me! ^ ^ Thank you! ^ ^ I have been to ophthalmology, psychiatry, dentistry, neurology, and neurosurgery for a year, but the medication from the neurologist hasn't worked. My e...
Dr. Gao Chunde reply Neurology
If you have recently seen an ophthalmologist and a neurologist, it indicates that there are currently no issues detectable by the physicians or instruments. You may observe your symptoms for a period of one to three months. If the symptoms persist, you can return to the neurologi...[Read More] Understanding Eye Movement Difficulties: A Neurological Perspective
Understanding Occasional Pain in the Occipital Region: Causes and Insights
Headache with a sharp pain at a specific point in the occipital region? Hello doctor, my husband occasionally experiences a sharp pain at a specific point in the occipital region when he tilts his head backward. The first occurrence happened while he was holding our baby and lift...
Dr. Gao Chunde reply Neurology
In relation to movement, it is more likely that muscle contractions are causing nerve stimulation or compression, or that there are injured or dysfunctional muscles that are rarely used. When certain movements require these muscles to contract, they may produce a sharp pain. Gene...[Read More] Understanding Occasional Pain in the Occipital Region: Causes and Insights
Understanding Dizziness and Nausea After a Basketball Injury
Getting hit in the jaw by a basketball can cause dizziness? Yesterday, I was hit in the jaw by a basketball and experienced symptoms of dizziness. By bedtime, I suddenly felt a bit nauseous, but I didn't think much of it and went to rest. Today, I no longer feel dizzy, but I...
Dr. Gao Chunde reply Neurology
If the symptoms become more pronounced, it is important to see a doctor. Headache, drowsiness, and vomiting are all signs of increased intracranial pressure.[Read More] Understanding Dizziness and Nausea After a Basketball Injury
Occasional Sharp Pain Near Right Cheek by Ear: What Could It Be?
Occasional sharp pain near the right cheek close to the ear? Based on your symptoms of sharp pain near the right cheek close to the ear that lasts for a few seconds and occurs multiple times a day, you should consult a specialist in neurology or an ear, nose, and throat (ENT) spe...
Dr. Gao Chunde reply Neurology
For a few seconds, it feels like nerve pain, and this area corresponds to the trigeminal nerve canal. If there is pain when opening the mouth or chewing, temporomandibular joint (TMJ) inflammation should also be considered. Trigeminal neuralgia can be evaluated by a neurologist.[Read More] Occasional Sharp Pain Near Right Cheek by Ear: What Could It Be?
Understanding Chronic Headaches and Insomnia: A Neurology Perspective
Headache and insomnia? Hello Doctor: I have been experiencing chronic headaches that often last all day. Sometimes the pain is so intense that when I walk, it feels like my legs aren't my own. At times, the pain is severe enough that I feel like I'm about to faint, and ...
Dr. Gao Chunde reply Neurology
Although the symptoms resemble tension-type headaches, the pain worsens during sleep and affects both work and daily life. It is advisable to consult a neurologist for further evaluation and management to control the frequency and intensity of the headaches.[Read More] Understanding Chronic Headaches and Insomnia: A Neurology Perspective
Managing Medication: Addressing Neurology Concerns and Side Effects
Medication issues? Hello, Dr. Gao. I recently changed my medication and would like to ask you about the medications I received at the clinic. In the morning, I take my blood pressure medication along with Nabota 0.5 mg (Mecobalamin), "Shenda" Yulishupan 0.25 mg (taken b...
Dr. Gao Chunde reply Neurology
If the symptoms started after changing medications, you should inform the original physician to clarify the relationship between the previous medication and the current one that may have caused these symptoms. If the symptoms were present before the medication change, it may not ...[Read More] Managing Medication: Addressing Neurology Concerns and Side Effects
Old Head Injury and Hair Loss: Understanding the Impact and Solutions
Old head injuries and hair issues? Doctor, I had a head injury from a bicycle accident during elementary school, which resulted in a lump. I didn't see a doctor at the time and let it heal naturally, but the lump is still there, and that area has no hair growth at all. What ...
Dr. Gao Chunde reply Neurology
There may be subcutaneous tissue or bone proliferation outside the skull. It is advisable to consult with a plastic surgeon to determine the nature of the mass and to decide on the appropriate management.[Read More] Old Head Injury and Hair Loss: Understanding the Impact and Solutions
Understanding Muscle Twitches: When to Seek Medical Attention
Muscle twitching In the past few days, I've been experiencing muscle twitching in a specific area of my foot, approximately 7 to 8 cm below the tip of my big toe. My dad mentioned it might be a pulse, but I'm not sure what it is. If I need to seek medical attention, wha...
Dr. Gao Chunde reply Neurology
If the beats are regular, you can place one hand on the pulse at your foot and the other hand on your left chest to feel your heart beating. If the rates are the same, it should be the arterial pulse, and there is no need to worry. However, if they are not the same and you are ce...[Read More] Understanding Muscle Twitches: When to Seek Medical Attention
Feeling Dizzy After Oversleeping: Causes and Solutions
Sleeping for too long can cause dizziness upon waking? Yesterday, I accidentally overslept for about 18.9 hours. This morning, I felt fine, but later while taking a shower, I started to feel dizzy and uncomfortable. I kept seeing a bright area in front of my eyes. At first, it wa...
Dr. Gao Chunde reply Neurology
It seems more like low blood pressure, possibly due to prolonged lack of hydration and caloric intake.[Read More] Feeling Dizzy After Oversleeping: Causes and Solutions
Confused About Which Specialist to See for Neurological Issues?
I'm not sure which specialty to see? Hello doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move around and take care of herself. However, in the past ...
Dr. Gao Chunde reply Neurology
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any potential side...[Read More] Confused About Which Specialist to See for Neurological Issues?
Understanding Tremors: Causes and Solutions for Hand and Foot Shaking
Tremors in the hands and feet? I have been experiencing tremors in my hands and feet for the past two to three years, which I did not have before. Initially, my hands would tremble during certain activities, usually during finer movements like folding paper or when holding them s...
Dr. Gao Chunde reply Neurology
It may be involuntary tremors, some of which are primary or hereditary, while others may have specific causes such as thyroid issues or medications. Additionally, it could also be an early symptom of muscle weakness. A related assessment can be conducted at a neurology outpatient...[Read More] Understanding Tremors: Causes and Solutions for Hand and Foot Shaking
Which Specialist to Consult for Post-Stroke Symptoms?
I'm not sure which specialty to see? Hello Doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move and live independently. However, over the past year, s...
Dr. Gao Chunde reply Neurology
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any related side e...[Read More] Which Specialist to Consult for Post-Stroke Symptoms?
Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing dizziness for over two years. I previously underwent a brain MRI, balance tests, and hearing assessments in the ENT department, all of which showed no abnormalities. The dizziness occurs whenever I stand, ...
Dr. Gao Chunde reply Neurology
You can consult a neurologist. If the dizziness is caused by tension-type headaches, the examinations may appear normal. However, the physician can prescribe some medications to help alleviate the symptoms. If the feeling of imbalance is indeed related to an underlying neurologic...[Read More] Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective
Choosing the Right Cholinesterase Inhibitor for Dementia Patients
Issues with Dementia Medications Hello, doctor: May I ask how the choice of acetylcholinesterase inhibitors covered by health insurance, such as Donepezil, Rivastigmine, and Galantamine, is typically determined for patients? Is there a specific order for prescribing these three m...
Dr. Gao Chunde reply Neurology
Based on the patient's dementia symptoms and accompanying related symptoms, the physician will have appropriate options. As for the order, your first choice can actually be used for patients with moderate to severe dementia; many patients experience improvement all at once. ...[Read More] Choosing the Right Cholinesterase Inhibitor for Dementia Patients
Understanding Neck Pain, Headaches, and Fever: When to Seek Help
Head and neck pain with fever? Hello Doctor, my husband started experiencing neck pain, headaches, and fever two days ago. He went to the emergency department of a large hospital where the doctor tested for influenza and confirmed that he did not have it. The doctor then helped r...
Dr. Gao Chunde reply Neurology
Inability to rotate the neck to the left or right is more likely due to muscle inflammation. If there is difficulty bending the neck forward and backward, it may indicate neck stiffness, which could be associated with a central nervous system infection. It is advisable to consult...[Read More] Understanding Neck Pain, Headaches, and Fever: When to Seek Help
Understanding Numbness: Causes and When to Seek Help
Why does numbness occur? Why does my body sometimes experience numbness when I feel unwell? Sometimes it's in my face, sometimes in my hands, and sometimes in my feet. This numbness feels different from the tingling sensation I get when I sit cross-legged. Sometimes I don&#x...
Dr. Gao Chunde reply Neurology
It is normal for individuals to experience some sensory abnormalities in their nerves occasionally during times of high stress or anxiety. However, these sensations are usually not localized and do not occur at fixed times, and they do not necessarily indicate any underlying medi...[Read More] Understanding Numbness: Causes and When to Seek Help
Dizziness Upon Standing: Understanding Symptoms and When to Seek Help
Feeling dizzy when standing up and experiencing mild discomfort for about a few hours? Hello, Doctor. This morning, when I stood up from a seated position, I suddenly felt dizzy and my vision was a bit blurry. It lasted for about 5-10 seconds before returning to normal, but I sti...
Dr. Gao Chunde reply Neurology
Symptoms such as anemia or orthostatic hypotension, excessive fatigue, inadequate food intake or irregular diet, or the use of certain medications or supplements can sometimes indicate the onset of a cold. It is advisable to rest more, hydrate, and replenish electrolytes and nutr...[Read More] Dizziness Upon Standing: Understanding Symptoms and When to Seek Help
Understanding Tone F.C: Can It Help with Nerve Repair?
The doctor prescribed Tone F.C. Jing'an membrane 10 mg? Hello Dr. Gao: Following up on my previous inquiry regarding the itching in my chest, I have not seen any improvement. Today, I consulted another neurologist. I mentioned that my chest itches, and I have already seen sp...
Dr. Gao Chunde reply Neurology
Sometimes neurologists may choose to use certain anticonvulsants or antidepressants to manage patients' neuropathic pain or sensory abnormalities. Your attending physician's choice of medication should be based on careful consideration, selecting the most appropriate dr...[Read More] Understanding Tone F.C: Can It Help with Nerve Repair?