Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Shoulder and neck pain? Hello doctor, I would like to ask what could be the cause of persistent numbness on the left side of my face and the back of my head for the past four days?
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Assessing Delayed Brain Hemorrhage Risk After Head Injuries
The right occipital region was struck? 1. Sorry, doctor, it's me again. Last time I forgot to mention that I hit the back of my head on the right side at midnight on September 24, and I also bumped the back of my head on the right side against the corner of the refrigerator ...
Dr. Jiang Junyi Reply:
Hello: Because the tissues of young people are more flexible, they can absorb external forces better. There is a lower risk of delayed subdural hematoma. I suggest you consult a neurologist to discuss examination and treatment. Wishing you good health and peace. Dr. Jiang from Ta...[Read More] Assessing Delayed Brain Hemorrhage Risk After Head Injuries
Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
The right occipital region was struck? 1. Today, I hit the back right side of my head against a pole. At the moment of impact, I was conscious and there were no obvious external injuries. Should I be concerned about a brain hemorrhage? 2. How can I determine the severity of a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the eme...[Read More] Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin Reply:
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Understanding Left Shoulder and Neck Pain: When to Seek Neurology Care
Left shoulder and neck pain? Hello Dr. Jiang: I have been experiencing soreness in my left shoulder and neck for several days now. The pain comes and goes; sometimes it feels okay, but at other times it becomes sore, and occasionally the soreness radiates to my neck. This was not...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviat...[Read More] Understanding Left Shoulder and Neck Pain: When to Seek Neurology Care
Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Numbness issues Hello Dr. Jiang: Recently, I have been experiencing a slight tingling sensation in the back side of my armpit, which occasionally spreads to other areas of my back. It is not painful and does not last long. I would like to know if this indicates any issues. Previo...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of nerve root compression in the back or symptoms of nerve inflammation. There is a low correlation with medication. Long-term use of proton pump inhibitors in the elderly population has been associated with a higher incidence of cognitive...[Read More] Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Calf soreness and numbness? Hello Doctor, recently whenever I lie in bed, my right calf feels numb and achy, regardless of whether it's straight or bent. It's also difficult for me to sleep, but I notice that lying on my left side feels less uncomfortable, while lying o...
Dr. Jiang Junyi Reply:
Hello: 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 to symptoms of numbness a...[Read More] Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Hand muscle tremors? Hello doctor, since mid-August, I have been experiencing involuntary muscle tremors in my arms while sleeping at night. It feels similar to the slight muscle tremors that occur when one stretches while yawning. The first time it happened, the frequency and in...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only manifest in sp...[Read More] Understanding Nighttime Hand Muscle Tremors: Causes and Solutions
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello, doctor. In the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there are sharp pains, mostly starting in the afternoon or eve...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes are tension-type headache or migraine. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, p...[Read More] Understanding Tension Headaches: When to Seek Medical Attention
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello Doctor, in the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, I have sharp pains, mostly starting in the afternoon or evening...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Tension Headaches: When to Seek Medical Attention
Understanding Tension Headaches: When to Seek Medical Advice
Head pressure and headache? Hello Doctor, in the past few months, I have been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there is a sharp pain that occurs, mostly starting in the afternoo...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Tension Headaches: When to Seek Medical Advice
Understanding Chronic Dizziness: Causes and Solutions for Relief
Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...
Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief
Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Sweating in the summer? Hello, Doctor. I often go out to buy things around noon, and within 20 minutes, I'm drenched in sweat. I notice that others don't seem to sweat as much, while my back is completely wet, which feels quite embarrassing. I'm unsure if it's...
Dr. Jiang Junyi Reply:
Hello, based on your description, sweating is a natural response of the body to an increase in temperature. However, excessive sweating may indicate overactivation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and paras...[Read More] Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may al...[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Widespread bone pain throughout the body? Hello, doctor. Recently, for about one to two weeks, I have been experiencing bone pain in multiple areas of my body, specifically in my right arm, upper back around the scapulae, head, cheekbones, tibia in my legs, and the bones in my fi...
Dr. Jiang Junyi Reply:
Hello: If you are experiencing joint pain throughout your body, you may want to consider pseudogout as a potential cause of your polyarticular joint disease. It is advisable to consult a rheumatologist to discuss examination and treatment options. Wishing you good health and peac...[Read More] Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Understanding Back Pain: Insights for New Moms with SLE
Back problems Hello, doctor! I have systemic lupus erythematosus (SLE), and my levels are currently normal. I just gave birth 13 months ago! However, due to my child's significant weight, I find it challenging to carry and care for them, as my physical strength is quite limi...
Dr. Jiang Junyi Reply:
Hello: If your symptoms of pain persist, you may want to consider fibromyalgia syndrome. Statistically, individuals with systemic lupus erythematosus (SLE) have an increased risk of developing this condition. Although the pathogenic mechanisms remain unclear, it may be related to...[Read More] Understanding Back Pain: Insights for New Moms with SLE
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help