Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings
Understanding Nighttime Tremors: Causes and Solutions for Sleep Disturbances
Experiencing continuous internal tremors while sleeping at night? Doctor: I want to know why my body shakes all over every night when I sleep. I can't stop trembling and I'm really afraid of dying suddenly; it feels like I'm close to death. I've seen a neurolo...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: It is recommended to seek a second opinion from a neurologist to check for any neurological disorders.[Read More] Understanding Nighttime Tremors: Causes and Solutions for Sleep Disturbances
Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective
Muscle twitching and discomfort in the limbs? Hello Doctor: In February 2021, I suddenly experienced muscle twitching, initially in my limbs and later spreading to my face, neck, abdomen, lower back, and other areas. These symptoms have persisted to this day. During this time, I ...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist for an examination to determine the cause.[Read More] Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective
Understanding Back Pain and Neurological Symptoms: When to Seek Help
Back problems Hello, doctor. I have been experiencing a tingling sensation in my right back after bending over for a long time. This sensation starts after I get up from a bowel movement, and recently it begins to occur as soon as I bend over to a certain point, with the area of ...
Dr. Cai Zongzhang Reply:
Hello, Yang: It is recommended to visit the neurology outpatient clinic to investigate possible causes.[Read More] Understanding Back Pain and Neurological Symptoms: When to Seek Help
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...
Dr. Jiang Junyi Reply:
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
Understanding Persistent Numbness in the Back of the Head
Numbness in the left posterior part of the brain for several days? Hello, doctor! A few days ago, I woke up with a sudden numbness in the back of my head! It felt like the kind of numbness you get after being hit! It doesn't hurt, but sometimes I experience headaches and fee...
Dr. Cai Zongzhang Reply:
Hello, Ms. Qiao: If the above symptoms persist without improvement, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Numbness in the Back of the Head
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Persistent Numbness in Left Shoulder Blade After Lifting Heavy Objects
Numbness in the left scapula? Hello, Doctor. Last week, after lifting a heavy object with my left hand, I experienced muscle soreness the next day, accompanied by numbness. However, the numbness disappears when I stretch or change positions. As of today, the soreness has subsided...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "hunchback posture can easily lead to numbness in the left scapula." This symptom may indicate compression of the nerve roots at thoracic vertebrae 4-5, or injury to the brachial plexus nerves. Cervical nerve injuries require laboratory di...[Read More] Persistent Numbness in Left Shoulder Blade After Lifting Heavy Objects
Managing Insomnia After Discontinuing Lorazepam: What to Expect
I was prescribed Lexotan for my gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months at a dosage of 0.5 mg...
Dr. Hong Weibin Reply:
Hello: If you have been taking "Lunesta" for a period of time and experience rebound insomnia after discontinuation, it is recommended to try a gradual tapering method. For example: take one pill today, half a pill tomorrow, one pill the day after, and half a pill the d...[Read More] Managing Insomnia After Discontinuing Lorazepam: What to Expect
Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Hand numbness: Ulnar nerve compression? Hello Doctor, today while sitting on the sofa watching TV, I unexpectedly experienced numbness and a burning sensation in my left hand, specifically in the ring and little fingers. Gradually, my entire forearm and the back of my hand starte...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "numbness and a burning sensation in the left ring and little fingers, followed by a gradual feeling of discomfort and numbness in the entire forearm and back of the hand." This may indicate "cubital tunnel syndrome," primaril...[Read More] Relieving Numbness and Pain: Understanding Ulnar Nerve Compression
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Understanding Leg Numbness and Back Pain After an Accident
Numbness in the legs and lower back pain? Hello doctor, I was involved in a car accident at the beginning of last month where a vehicle hit me while I was walking. I fell and sustained bruising and contusions on my knee. I can walk normally now, but I occasionally experience numb...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Ning, You mentioned that "the outer side of your right thigh occasionally feels numb, whether you are standing, sitting, or lying down." This may indicate compression of the nerve roots at the second and third lumbar vertebrae. Additionally, it could be ...[Read More] Understanding Leg Numbness and Back Pain After an Accident
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...
Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Understanding Dizziness: When to Seek Neurological Evaluation
I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...
Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.[Read More] Understanding Dizziness: When to Seek Neurological Evaluation
Should You See a Doctor for Numbness After a Bite Without Skin Break?
After being bitten, there is no wound but the skin feels numb? Hello, doctor. A few days ago, I was bitten on the back of my hand. The bite mark is deep but there is no broken skin, just a little bruising. Additionally, the skin on the back of my hand extending to my index and mi...
Dr. Cai Zongzhang Reply:
Hello, Jia-Rou: It is recommended to visit the neurology outpatient clinic to check for any neurological function impairment.[Read More] Should You See a Doctor for Numbness After a Bite Without Skin Break?
Understanding Nerve Sensations After Injections: Causes and Concerns
Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...
Dr. Jiang Junyi Reply:
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns