Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Tinnitus for three months? Hello Doctor: Three months ago, I suddenly experienced tinnitus without any apparent cause. My hearing has not been affected, but I feel like there is a high-frequency cicada sound in the background, which becomes louder after physical activity. I have ...
Dr. Jiang Junyi reply Neurology
Hello Mr. QQQ: You mentioned that "hearing tests, tympanometry, no sinus inflammation, brainstem auditory evoked potentials, electroencephalogram, SSR+RRIV, intracranial vascular ultrasound, and carotid ultrasound were all normal. I am curious if sleep affects tinnitus?.... ...[Read More] Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Understanding Headache Relief: When to Use Painkillers Safely
Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...
Dr. Jiang Junyi reply Neurology
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...[Read More] Understanding Headache Relief: When to Use Painkillers Safely
Understanding Numbness and Sweating: When to Seek Neurological Help
Numbness in the hands and feet with cold sweats? Hello, doctor. I would like to inquire about a situation that occurred today while I was commuting by train. I stood for about 40 minutes and suddenly felt numbness in my hands and feet, accompanied by cold sweats. I also experienc...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tsai, You mentioned that you suddenly felt numbness in your hands and feet, experienced cold sweats, and seemed to have a brief loss of consciousness. By the time you regained awareness, you had already been offered a seat. Your symptoms may suggest mild heat syncope, w...[Read More] Understanding Numbness and Sweating: When to Seek Neurological Help
Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
On the fourth day after the concussion, experiencing a nosebleed and a sensation of fluid in the ears? Hello, doctor. My child suffered a concussion after a car accident. The emergency physician diagnosed her and stated that there was no bleeding in the brain, allowing us to go h...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wu, You mentioned, "The neurosurgery outpatient clinic in my area will only be available in a few days. Should I wait for the clinic to open, or go directly to the emergency room?" Regarding head trauma, delayed intracranial hemorrhage typically occurs within ...[Read More] Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Snow blindness related? Regarding question 210275, there are no severe head trauma symptoms, but occasional headaches do occur, particularly during my menstrual period, and these migraines tend to be unilateral. I do experience sensitivity to light, but I have not had nausea or v...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "during my menstrual period, I occasionally experience migraines that are indeed more one-sided, and while I do not have nausea or vomiting, I am sensitive to light. Since the beginning of last year, I have noticed floaters and have reduced my...[Read More] Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi reply Neurology
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Snow blindness condition After consulting with an ophthalmologist, the doctor indicated that the situation I described sounds like "visual snow," which is characterized by the sensation of seeing static or snow-like visual disturbances. I underwent a dilated eye examina...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned "visual snow syndrome." The primary cause of visual snow syndrome is a neurological disorder in the visual processing areas of the cerebral cortex. It commonly occurs after a concussion or mild traumatic brain injury. I would like to know if ...[Read More] Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Numbness in Legs and Lips: Possible Causes and Relief Strategies
Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies
Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi reply Neurology
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Should You Seek Medical Attention After a Bathroom Fall?
Slipped in the bathroom and hit the back of the left side of the head? I just slipped and hit the back of my left head in the bathroom. At that moment, I experienced numbness in my limbs, but I was able to get up on my own after a while. Later, I felt a bit dazed. Should I seek m...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chang, You mentioned that you "slipped in the bathroom and hit the back of your left head, experiencing numbness in your limbs at the time, but were able to get up on your own shortly after." Generally speaking, if there is no loss of consciousness, no anticoa...[Read More] Should You Seek Medical Attention After a Bathroom Fall?
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Involuntary muscle twitching from the left foot to the calf? Hello Doctor, for the past few days, I have been experiencing a rhythmic and persistent twitching from my left foot up to my calf. I often feel soreness in my left lower back and left leg. Three months ago, I had an X-r...
Dr. Jiang Junyi reply Neurology
Hello, Miss Cat: You mentioned that "the left side of my waist and left leg tend to feel sore... I wonder if this might affect the nerve conduction in my left leg muscles." Your symptoms may suggest that the left sciatic nerve is being compressed. If there is no muscle...[Read More] Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Why Your Left Pinky and Ring Finger Numbness After a Minor Injury Matters
The little finger and ring finger of the left hand may experience numbness after being struck? Hello, today while walking on the road, I was brushed by a motorcycle on the inner side of my left hand's little finger and ring finger. At the moment, I felt significant pain, but...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned, "Will the numbness in the inner side of my left pinky and ring finger disappear over time?" Your symptoms may suggest compression of the ulnar nerve on the left side. If there is no weakness in the fingers, it indicates that primarily the...[Read More] Why Your Left Pinky and Ring Finger Numbness After a Minor Injury Matters
Understanding Ear Symptoms During a Cold: What You Need to Know
Follow-up after a cold? I currently have a cold. My nasal congestion and runny nose are severe, and I'm feeling extremely uncomfortable. Two nights ago, I felt a strong pulsation in the blood vessels of my right ear, but after sleeping, it improved. Now, I feel a similar pul...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsiao: You mentioned, "I have a cold. My nasal congestion and runny nose are very severe, and I feel extremely uncomfortable. The blood vessels in my ear are constantly pulsating. Could a problem with the Eustachian tube cause me to suddenly hear the sound of the b...[Read More] Understanding Ear Symptoms During a Cold: What You Need to Know
Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi reply Neurology
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Understanding Neurological Inflammation: Managing Symptoms and Home Care
Suspected neuroinflammation Hello, doctor. My father is 70 years old. Two months ago, he caught a cold, which led to nightly coughing and lower back pain. After recovering from the cold, the back pain worsened instead of improving. About a week later, he developed severe pain in ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Awan, You mentioned that your father is suspected to have a metabolic issue, and it is recommended that he be referred to a neurologist. I suggest that he first consult with an internist or a rehabilitation physician at the same hospital for blood tests and peripheral n...[Read More] Understanding Neurological Inflammation: Managing Symptoms and Home Care
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms