Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin Reply:
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Muscle issues Hello, Doctor: I would like to ask about experiencing intermittent muscle twitching in various locations over the past year. I have seen a neurologist at a medical center three times within this year, but there has been no improvement. The doctor conducted nerve con...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of muscle twitching, along with frequent weight training. First, it is important to consider that muscle fatigue may lead to instability in the motor neurons. Additionally, caffeine consumption can stimulate the sympathetic nervous system, causing m...[Read More] Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Dizziness / Eyes / Ears / Soreness Hello, I would like to ask about a sudden onset of dizziness I experienced one day, followed by discomfort and a feeling of pressure in one eye. After visiting an ophthalmologist, I was told everything was fine. Then, I started experiencing ear ...
Dr. Jiang Junyi Reply:
Hello: Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner ear imbalance, and even Meniere's disease. Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent ...[Read More] Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Unexplained Body Aches: Could Sleep Issues Be the Cause?
Unexplained body aches and pain? Hello Doctor, I would like to ask about something. Yesterday, I wore my sports bra all day due to exercising (I usually exercise every two days, and this has been a long-standing habit). After returning home and taking it off, I felt soreness all ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are medically referred to as hypersensitivity, which is usually associated with peripheral nerve pathology. However, in women, if such occurrences are frequent, fibromyalgia should be considered. The pathophysiology of fibromyalgia is generally b...[Read More] Unexplained Body Aches: Could Sleep Issues Be the Cause?
Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Shoulder pain, facial numbness, and dizziness? Sometimes I feel dizzy, but the surrounding objects do not spin. Occasionally, I experience slight pressure at the back of my head, and my left arm, from the upper arm to the ring and little fingers, sometimes feels a bit numb, altho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider degenerative changes in the cervical and thoracic spine causing compression of the nerve root at the first thoracic vertebra. This is primarily due to prolonged poor posture with the head bent forward, leading to c...[Read More] Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Deep itching in the hip area, along the iliotibial band? Hello, I am 35 years old and have been doing strength training for the past year and a half. Since a deep squat in January of this year, I have experienced a momentary pinching sensation in my hip, followed by a persistent ...
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 hip joint. When the piriformis muscle becomes inflamed, it can compress the nearby nerves, leading to tingling and pain. This co...[Read More] Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Understanding Nerve Damage Risks After Injections: What You Need to Know
Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...
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 Nerve Damage Risks After Injections: What You Need to Know
Understanding Neck Pain and Numbness: When to Seek Medical Help
Neck pain and numbness? Last Thursday afternoon, I experienced severe headaches, and after taking painkillers, I felt slightly better. However, on Friday morning, I began to feel soreness and numbness in the back of my neck. After that, whenever I sat or stood, the soreness and n...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest headaches caused by intracranial hypotension. The primary symptom of this type of headache is "postural headache," which worsens when the patient is standing or sitting and significantly improves or disappears when lying down. The most c...[Read More] Understanding Neck Pain and Numbness: When to Seek Medical Help
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Understanding Pain in the Back of the Head During Excitement: When to Seek Help
During excitement and agitation, there is a stabbing pain in the posterior part of the left hemisphere of the brain? Hello Doctor, two weeks ago during sexual intercourse with my girlfriend, I experienced a sharp pain in the back of my left head that lasted for about 10 minutes. ...
Dr. Jiang Junyi Reply:
Hello: "Headaches associated with sexual activity" may need to rule out some structural lesions such as subarachnoid hemorrhage due to ruptured cerebral aneurysm, arterial dissection, cerebral vasospasm, or brain tumors. If the examination results are normal, one may co...[Read More] Understanding Pain in the Back of the Head During Excitement: When to Seek Help
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Persistent Dizziness and Fever: Understanding Neurological Issues
Dizziness and recurrent fever? Hello, doctor! I have been experiencing dizziness and recurrent fever since June 25. I underwent a treatment from June 26 to June 29, but the issue has not improved since then (the doctor diagnosed it as vestibular neuritis caused by a cold, leading...
Dr. Jiang Junyi Reply:
Hello, based on your description, the dizziness you are experiencing seems to be related to benign paroxysmal positional vertigo (BPPV), which is often triggered by changes in posture. You can consult an otolaryngologist for a canalith repositioning procedure or consider medicati...[Read More] Persistent Dizziness and Fever: Understanding Neurological Issues