Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Understanding Hand Tremors: Causes and When to Seek Help
Tremor issues Hello doctor, this morning when I started using the computer, my right hand, which I use to hold the mouse, experienced significant shaking, especially when pressing the buttons. I also tried other movements and found that my hand trembles quite a bit when making a ...
Dr. Jiang Junyi Reply:
Hello Mr. Jam: You mentioned that "the shaking is more pronounced when pressing buttons, and after trying other movements, I found that there is also significant shaking when making a fist, which sometimes occurs and sometimes does not." This symptom seems to be related...[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Cervical spine issues Hello Doctor, I have been experiencing numbness in the tips of my fingers on both hands (more pronounced in the left hand) for over a year now, since I first noticed it. I visited a neurologist in May of this year. The doctor performed an X-ray and an electr...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "an MRI of the cervical spine has been scheduled, but it won't be until November. I would like to ask the doctor, with three months to wait, will this delay be too long to determine the extent of the compression?" If symptoms progr...[Read More] Understanding Cervical Spine Issues: Symptoms, Diagnosis, and Treatment
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Antiepileptic drugs Dear Dr. Tsai, I have a child with autism who suffers from epilepsy. He has been taking Apo-Divalproex (250mg & 500mg) for two years and seven months without any recurrence of seizures. However, since starting this medication, he has changed significantly...
Dr. Cai Zongzhang Reply:
Hello Mr. Yeh: It is recommended to discuss medication with the prescribing physician and not to discontinue the medication on your own.[Read More] Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Understanding Leg and Wrist Pain: When to Seek Neurology Care
Pain in the posterior right calf and discomfort in the wrist? Hello, doctor. Last month, due to a confirmed diagnosis, I spent nearly a week lying on a recliner or sitting. Since then, I have experienced pain when pressing on the back of my right calf (which is not present now). ...
Dr. Hong Weibin Reply:
Hello: It may be due to prolonged rest, which has caused the muscles to become tight and stiff. You can start by consulting a rehabilitation specialist or a physical therapist for assistance in relaxing the tight muscles, and then gradually increase your activity level, which sho...[Read More] Understanding Leg and Wrist Pain: When to Seek Neurology Care
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Headaches Triggered by Head Movement: What You Need to Know
Headache occurs only when shaking the head? Doctor, I sometimes notice that I only experience headaches when I shake my head vigorously, but when I don't shake my head, I feel normal. This happens about three to four times a month. What could be the issue with my head?
Dr. Jiang Junyi Reply:
Hello Mr. Lone Ranger: You mentioned that "only when shaking your head vigorously do you feel headache, but otherwise it feels normal." I would like to know where your headache is located. If it is in the posterior neck or temporal region, it may be worth considering ab...[Read More] Headaches Triggered by Head Movement: What You Need to Know
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Experiencing dizziness when lying down and a sensation of swaying while sitting? Hello doctor, starting from a certain day, I suddenly feel very dizzy while sitting, and it often occurs. However, it doesn't happen when I walk or exercise, and I experience vertigo when lying ...
Dr. Jiang Junyi Reply:
Dear Mr. YY, You mentioned that "one day I suddenly felt very dizzy while sitting, and it often occurs, but not when walking or exercising, and I experience vertigo when lying down." Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteri...[Read More] Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang Reply:
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Tongue Tremors: Causes and Anxiety Connections
Tongue twitching Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch. Sometimes I also feel a tightness in my throat. I would like to know what the cause of this might be. I have a history of anxiety disorder; could this be related to my anxiety?
Dr. Cai Zongzhang Reply:
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause. If you have not taken any medication, it is recommended to visit a neurology clinic.[Read More] Understanding Tongue Tremors: Causes and Anxiety Connections
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Post-Surgery Hand Numbness: When to Seek Medical Attention?
Postoperative hand numbness? Recently, I underwent general anesthesia for surgery. The first attempt to insert a peripheral intravenous catheter was on the lateral side of my wrist (at the extension of the thumb), but the vein was not successfully accessed. I experienced a pain t...
Dr. Jiang Junyi Reply:
Dear Ms. Zhao, You mentioned experiencing a tingling sensation in your index finger that feels like an electric shock at the back of your hand. I would like to know if you have also noticed any weakness in your wrist or fingers. Your symptoms may indicate that the sensory fibers...[Read More] Post-Surgery Hand Numbness: When to Seek Medical Attention?