Understanding Calcium Channel Blockers and Beta Blockers in Neurology
Calcium channel blockers and beta-blockers? Hello Dr. Hong, First of all, thank you for your patient explanations regarding the precautions for using Xinshuping. The phrase "use with caution in patients with cerebrovascular disease" is something I came across in the a...
Dr. Hong Weibin Reply:
Hello: 1. Regarding the precautions for the use of Xinshuping, generally speaking, it should be safe for cerebrovascular health. 2. The combination of beta-blockers and calcium channel blockers may lead to bradycardia, so special attention is required. 3. For anxiety disorders, i...[Read More] Understanding Calcium Channel Blockers and Beta Blockers in Neurology
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Understanding Neck Pain and Muscle Tension: When to See a Specialist
Physical issues Hello, doctor. For the past 3-4 months, I initially experienced pain and tightness in the left side of my neck. I had an X-ray, and the orthopedic specialist said that the bones appear to be fine, suggesting that it might be due to tight muscles, particularly arou...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may allevia...[Read More] Understanding Neck Pain and Muscle Tension: When to See a Specialist
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness symptoms Hello, doctor. I've been troubled by dizziness for a long time, and the more I think about it, the worse it gets. My dizziness symptoms have persisted for over two months. I've seen an ENT specialist, a traditional Chinese medicine practitioner, and a...
Dr. Hong Weibin Reply:
Hello: Your condition may be peripheral vertigo, with a higher likelihood of Meniere's disease. You may seek assistance from an otolaryngologist or a neurologist specialized in the treatment of dizziness. Wishing you health and safety.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Post-Surgery Headaches: Understanding Pain After Uterine Fibroid Surgery
Postoperative headache? Hello doctor, my wife is a patient who just underwent surgery for uterine fibroids. It has been six days since the surgery, and starting from yesterday or the day before, she experiences sharp pain in the back of her head whenever she lies flat. However, s...
Dr. Jiang Junyi Reply:
Hello: If your spouse experiences an increase in headache severity when coughing or straining, it may be worth considering intracranial hypertension-related headaches. Intracranial hypertension usually has a clear underlying cause, so it is important to investigate potential issu...[Read More] Post-Surgery Headaches: Understanding Pain After Uterine Fibroid Surgery
Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
The pain in my right foot is becoming increasingly severe? Hello Doctor, about a year ago, I went to the hospital for an examination because I frequently felt soreness in my right leg. After being evaluated by a neurologist, the electromyography showed weakness in my right leg, a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, especially when hiking uphill or downhill, as the compression of the nerve roots can become more severe. A herniated disc can also result from sudden injuries,...[Read More] Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
Understanding Increased Headache Frequency: When to Seek Medical Advice
Increased frequency of headaches? Hello Doctor: I have experienced headaches since childhood, especially during stressful times. In the fourth grade, I underwent an EEG due to frequent headaches, which showed no abnormalities. Recently, the frequency of my headaches has increased...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a widespread area of pain. The nature of the pain is dull, aching, with...[Read More] Understanding Increased Headache Frequency: When to Seek Medical Advice
Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Body swaying sensation Hello Doctor, I have been experiencing a sensation of my lower body swaying back and forth or side to side a few times while sitting or lying down over the past three days. This occurs every 30 to 40 seconds, but I do not feel it when walking. Could this be...
Dr. Hong Weibin Reply:
Hello: The sensation of swaying while sitting or in a stationary position is referred to as disequilibrium. This is primarily caused by issues with the vestibular system in both ears, and to a lesser extent, by problems in the cerebellum. Common causes may include infections, tra...[Read More] Understanding Body Rocking Sensation: Is It Dizziness or Something Else?
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Sudden Dizziness and Weakness in Older Adults
Father suddenly experienced dizziness and discomfort? Hello Doctor: My father is in his 50s. Recently, while on a business trip in China, he suddenly felt dizzy, weak all over, nauseous, and had blurred vision in the middle of his work. He immediately returned to his accommodatio...
Dr. Hong Weibin Reply:
Hello: Dizziness is often caused by inner ear imbalance, such as acute vestibular neuritis, which can trigger autonomic nervous system excitation, leading to sweating and nausea. However, if elderly patients have risk factors for cardiovascular disease, such as diabetes, hyperten...[Read More] Understanding Sudden Dizziness and Weakness in Older Adults
Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Experiencing pain at the back of the head the day after boxing? Experiencing dizziness immediately after being hit during boxing, even if the back of the head was not struck, can be attributed to several factors. The impact may have caused a concussion or a mild traumatic brain i...
Dr. Jiang Junyi Reply:
Hello: The most common cause of bilateral neck pain is cervical myofascial pain, which may occur due to soft tissue injury from external force. It is recommended to: 1. Rest: Resting allows the muscles to utilize their self-repair capabilities, and vigorous exercise should be avo...[Read More] Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Quadriceps soreness and weakness? Hello, doctor. After exercising (weight training) the day before yesterday, I have experienced soreness and weakness in my left quadriceps for the past two days. I have no issues walking or going up and down stairs, but I feel pain and weakness w...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider the issue of tendinitis. However, symptoms caused by nerve compression from a herniated disc cannot be ruled out. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, b...[Read More] Understanding Quadriceps Pain and Weakness After Exercise: Causes and Insights
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Unexplained Electric Shock Sensation in the Back of the Thigh
Intermittent electric shock-like pain in the posterior thigh? Hello, I experience intermittent electric shock sensations in the area just above the popliteal fossa on the back of my right thigh. It feels like a jolt of electricity that lasts for a few seconds and can occur at any...
Dr. Jiang Junyi Reply:
Hello: Numbness in the back of the right thigh near the popliteal fossa may indicate nerve compression. The first consideration should be the compression of the femoral cutaneous nerve, which could be caused by sitting cross-legged, pressure from the toilet, among other reasons. ...[Read More] Unexplained Electric Shock Sensation in the Back of the Thigh
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Muscle Relaxants: Safe Use and Pain Management After Injury
Medication Consultation Hello, doctor. I was in a car accident and am experiencing lower back pain and weakness in my right upper and lower limbs (with a feeling of uneven weight distribution in both legs, suspecting a leg length discrepancy). My right foot feels numb when I step...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression as the cause of your numbness and pain. The medication you mentioned is SOMA from Sandoz, which contains the following components: Acetaminophen 250 mg, Chlorzoxazone 150 mg, Caffeine Anhydrous 20...[Read More] Understanding Muscle Relaxants: Safe Use and Pain Management After Injury
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms