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:
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 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:
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 Occasional Back Spasms: When to See a Neurologist
Could you please clarify what you mean by "back pain"? Recently, I have been experiencing cramping pain in the lower back, specifically on the left side near the spine. The cramping lasts for about a minute and occurs infrequently, about once or twice a week. I have con...
Dr. Chen Weida Reply:
Hello Mr. Lin! Regarding your inquiry about back pain, please note that back pain is a signal from your body indicating that something may be wrong. Try to recall if you have any other accompanying symptoms besides the back pain, as this information will be helpful for the physic...[Read More] Understanding Occasional Back Spasms: When to See a Neurologist
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:
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 Tinnitus and Head Pain: Possible Links and Next Steps
Tinnitus + headache I have been experiencing unilateral tinnitus (in my right ear) for over two months. In early April, I developed temporomandibular joint (TMJ) dysfunction, and since May, I have had tinnitus. I visited an otolaryngologist (ENT) and underwent hearing tests and a...
Dr. Chen Weida Reply:
Hello, Moon! Common symptoms of temporomandibular joint (TMJ) disorders include: 1. Clicking or popping sounds when opening or closing the mouth 2. Pain when opening the mouth 3. Facial pain while chewing 4. Limited mouth opening 5. Jaw deviation when opening the mouth 6. Inabili...[Read More] Understanding Tinnitus and Head Pain: Possible Links and Next Steps
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:
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?
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:
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?
Understanding Facial and Hand Numbness: Possible Neurological Causes
Numbness in the face, hands, and scalp (mild tingling sensation)? Hello, I would like to ask about experiencing symptoms of facial and scalp numbness that occur repeatedly. Sometimes it affects the right cheek and the scalp at the back of the head, and after a while, it may shift...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic to determine the cause.[Read More] Understanding Facial and Hand Numbness: Possible Neurological Causes
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:
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
Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi Reply:
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Understanding Leg Swelling and Numbness: When to Seek Neurology Help
Unilateral calf to foot soreness, numbness, and swelling? Hello! I stand for long periods at work every day, and recently I've noticed that my left foot swells easily, with a noticeable difference between both feet. Additionally, I often feel soreness and numbness from my le...
Dr. Jiang Junyi Reply:
Dear Miss Yang, You mentioned that "your left foot easily swells," which may warrant consideration of deep vein thrombosis (DVT) or lymphatic circulation issues. Poor venous return in the deep veins can lead to symptoms such as limb swelling. There are many potential c...[Read More] Understanding Leg Swelling and Numbness: When to Seek Neurology Help
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Groin and Leg Pain: Possible Nerve Issues After Injury
Right inguinal region, spermatic cord, pain from thigh to calf, pain on the side of the pelvis? Hello Doctor, about 3-4 years ago, I fell while exercising because a rope caught my right foot. At that moment, I experienced a more severe strain in my right groin and thigh. When I g...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "about 5-10 minutes after ejaculation, pain and numbness occur in the groin, spermatic cord, thigh, and calf." This may suggest nerve damage or compression in the lumbar region, rather than being a "sequela of urethritis." Ne...[Read More] Understanding Groin and Leg Pain: Possible Nerve Issues After Injury
Potential Risks of Neck Compression: Understanding the Consequences
The term "勒住勃子" does not have a direct translation in medical Hello, doctor. During class today, a friend came up and playfully choked me from behind, wrapping their arm around my neck. I couldn't breathe at that moment and felt like I was going to vomit. I couldn&...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Peng, You mentioned that your neck is a bit painful and expressed concerns about "cerebral lesions or hypoxic brain cell death." These conditions are unlikely to occur because if blood flow stops for 6-8 seconds, a person would immediately lose conscious...[Read More] Potential Risks of Neck Compression: Understanding the Consequences
Understanding Autonomic Nervous System Disorders and Heart Issues
Autonomic nervous system dysfunction? Hello doctor, a few days ago I experienced heart pain and chest tightness, which felt very constricting. I went to the clinic and it seems to be due to arrhythmia. I had arrhythmia when I was younger, and at first, I thought medication would ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I don't know if it's because of the heart medication I took, or if it's due to autonomic nervous system dysfunction, or if there are other reasons." Could you please provide the ingredients and dosage of the medication you are...[Read More] Understanding Autonomic Nervous System Disorders and Heart Issues
Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Nasal nerve questions? Hello, Doctor! I would like to ask about a situation where I feel a sensation of swelling and nerve discomfort in my nose whenever I lie down, making it very uncomfortable and preventing me from sleeping. I have seen many ENT specialists who have said that ...
Dr. Cai Zongzhang Reply:
Hello, Sha: The symptoms mentioned may be indicative of a dysfunction of the nasal nerves. These nerves are very fine and cannot be detected through imaging studies. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling Reply:
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective