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Understanding Sudden Sharp Pain in the Back of the Head

Pain in the back of the head? Two days ago, I suddenly experienced a sharp, lightning-like pain in the area near the back of my head, specifically on the right side. The pain occurs as a brief episode and is not consistent in timing; it can happen at any time throughout the day. ...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically sta...

[Read More] Understanding Sudden Sharp Pain in the Back of the Head


Understanding Unexplained Dizziness: Causes and Solutions

Unexplained dizziness? Hello Doctor, I have been experiencing a pulsating sensation in the back of my head and a feeling of instability for five years. It feels like I am walking on cotton. I have undergone numerous tests and only found a small bone spur in my neck that does not ...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms may include pain at the affected site, discomfort, muscle stiffnes...

[Read More] Understanding Unexplained Dizziness: Causes and Solutions


Understanding Tinnitus and Brain Sensations: When to Seek Medical Help

Recently, I experienced tinnitus, and now my brain feels strange whenever I hear sounds? Recently, I experienced a sudden sharp ringing sound in my ear. I consulted an otolaryngologist who suggested that it was caused by facial pain. However, the medication did not help, and I co...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.

[Read More] Understanding Tinnitus and Brain Sensations: When to Seek Medical Help


Understanding Nerve Issues: Overcoming Weakness and Numbness in Legs

Numbness and weakness in the legs? Hello, doctor. At the beginning of January, I noticed weakness in my body, discomfort in my stomach, bloating, and a decreased appetite. I thought it was just due to fatigue, so I rested for a few days. Later, I discovered that my lower legs wer...


Dr. Jiang Junyi Reply:
Hello: In cases of multifocal demyelinating neuropathy, if there are no severe complications, approximately 80% of patients can regain normal function. Most patients reach the lowest point of their condition within two to four weeks, after which symptoms may persist for several w...

[Read More] Understanding Nerve Issues: Overcoming Weakness and Numbness in Legs


Tinnitus and Sleep Disruptions: Understanding Neurological Impacts

Tinnitus, along with intermittent wakefulness? Two years ago, I noticed that my right ear hears high-frequency sounds (like a ringing sound, but not very loud). I went to the hospital for an ear examination, and they suggested that it might be due to a thin eardrum. However, the ...


Dr. Jiang Junyi Reply:
Hello: If there are issues with sleep, it is important to observe whether there is a tendency to feel sleepy during the day due to insufficient sleep. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as...

[Read More] Tinnitus and Sleep Disruptions: Understanding Neurological Impacts


Understanding Weakness and Pain in Limbs: Possible Causes and Concerns

In the past few days, I've suddenly felt weakness in my right leg, left hand, and right hand due to soreness? Hello Doctor, a few days ago I started feeling a weakness and soreness in my right leg, specifically from about one-third down the inner thigh to the knee, and it sl...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest nerve root compression, specifically considering cervical and lumbar nerve root compression. The condition you are concerned about, commonly referred to as ALS (amyotrophic lateral sclerosis), primarily involves issues with motor neurons. Clinical...

[Read More] Understanding Weakness and Pain in Limbs: Possible Causes and Concerns


Understanding Lateral Leg Numbness: Causes and Insights

Numbness in the outer sides of both legs? Hello doctor, my wife started experiencing numbness on the outer sides of her thighs about a year ago, and now it has extended to her calves as well. However, she has no issues walking. Both her MRI and nerve conduction studies have come ...


Dr. Jiang Junyi Reply:
Hello: In addition to sciatica, your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading ...

[Read More] Understanding Lateral Leg Numbness: Causes and Insights


Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns

Tinnitus + dizziness Hello Doctor, Since last Thursday, I have been experiencing tinnitus and dizziness, and it has been over a week now. The tinnitus sounds like a whooshing noise that is synchronized with my heartbeat, and I can only hear it in quiet environments. The dizzine...


Dr. Jiang Junyi Reply:
Hello: You mentioned that 1. The tinnitus you experience is pulsatile, synchronized with your heartbeat, which seems quite serious. However, during the consultation, the doctor said that if it were pulsatile tinnitus, it wouldn't be masked by background noise (I couldn'...

[Read More] Understanding Pulsatile Tinnitus and Dizziness: Causes and Concerns


Understanding Headaches and Mood Changes: When to Seek Neurology Help

Headache and mood swings? Hello, doctor. Previously, I had a vague pain in the right occipital region, but I thought it was a migraine and didn't pay much attention. However, I recently noticed that this situation has become increasingly severe. I didn't notice when the...


Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be a migraine. Migraine is a type of vascular headache caused by neurological factors, and it typically does not present with localized pain points. The more common cause of right-sided neck pain is cervical myofascial pai...

[Read More] Understanding Headaches and Mood Changes: When to Seek Neurology Help


Understanding Numbness and Pain in Limbs: A Neurological Perspective

Numbness in the limbs? Since I woke up last Friday morning (I usually sleep on my left side and mostly sit during work hours), it has been four days. When I walk, I feel pain in my legs, particularly behind my knees, which worsens with bending my legs. The pain is more pronounced...


Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical symptoms of lumbar nerve root pathology ...

[Read More] Understanding Numbness and Pain in Limbs: A Neurological Perspective


Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment

Ulnar nerve neuropathy Hello Doctor: I began experiencing slight numbness in my left little finger and an unusual sensation when touched around mid-last year, which is not like the normal feeling of my fingers. I have tried various folk remedies, chiropractic treatments, and medi...


Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be ulnar nerve pathology. However, since the symptoms extend to the shoulder, it may also be necessary to consider compression of the nerve roots at the first thoracic vertebra. The causes of compression, whether it...

[Read More] Understanding Ulnar Nerve Dysfunction: Symptoms, Diagnosis, and Treatment


Could My Symptoms Indicate Autonomic Nervous System Dysfunction?

Doctor, could I possibly have autonomic nervous system dysfunction? Hello Dr. Tsai: I have been experiencing sleep disorders and emotional issues for many years, but I have not addressed them until now. Last September, I began to experience symptoms such as bloating, belching, an...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.

[Read More] Could My Symptoms Indicate Autonomic Nervous System Dysfunction?


Understanding Post-Concussion Symptoms: When to See a Neurologist

Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...


Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...

[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist


Understanding the Effects of Occipital Impact: What to Expect After a Fall

Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...


Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...

[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall


Why Does My Right Leg Numb When Sleeping on My Side?

When sleeping on the right side, the legs are prone to numbness? Hello, doctor. Recently, when I sleep on my side at night, my right thigh to calf tends to feel numb, while the left side does not. Even when I lie flat on my back, I still feel discomfort on the right side. Could t...


Dr. Jiang Junyi Reply:
Hello: You mentioned that the numbness from your right thigh to your calf may be due to nerve compression, and it is also important to consider lumbar disc herniation compressing the nerves. Disc herniation can occur due to sudden injuries, such as twisting the waist suddenly, be...

[Read More] Why Does My Right Leg Numb When Sleeping on My Side?


Managing Insufficient Medication After a Stroke: Key Considerations

What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...


Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...

[Read More] Managing Insufficient Medication After a Stroke: Key Considerations


Understanding Tension-Related Dizziness: Causes and Concerns

Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...


Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...

[Read More] Understanding Tension-Related Dizziness: Causes and Concerns


Understanding Breathing Difficulties After Bone Marrow Transplant

Shortness of breath or constant awareness of breathing? Hello Doctor: I previously had leukemia and just completed a bone marrow transplant a year ago. Recently, I felt a bit unwell and thought I might be relapsing, but it turned out to be nothing. I might have been too anxious a...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the pulmonology outpatient clinic.

[Read More] Understanding Breathing Difficulties After Bone Marrow Transplant


Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps

Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...


Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...

[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps


Understanding Finger Pain and Numbness from Gaming: Causes and Solutions

Long-term use of the index finger on the keyboard can lead to pain in the finger joints and numbness in the index finger when holding objects while standing? Due to playing some online games, I may have caused pain in the joint of my index finger from excessive clicking. Now, whe...


Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution areas of the sixth and seventh cervical nerve roots caused by nerve compression. Shoulder, neck, and back pain are common ailments in modern individuals, especially among th...

[Read More] Understanding Finger Pain and Numbness from Gaming: Causes and Solutions


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