Understanding Sundowning Syndrome: Causes, Symptoms, and Support Strategies
Sundowning Syndrome Hello, Doctor: A few weeks ago, I was involved in a car accident where I hit an elderly person. Recently, I visited them and learned that the accident triggered dementia in the elderly individual, leading to episodes of agitation and aggression, which is refer...
Dr. Hong Weibin Reply:
Hello: The Sundown Phenomenon may not necessarily be caused by the incident you encountered; the car accident could simply be the last straw that broke the camel's back. Sometimes, elderly individuals may experience this due to chronic cognitive decline, especially when tran...[Read More] Understanding Sundowning Syndrome: Causes, Symptoms, and Support Strategies
Understanding Hip and Thigh Pain: Causes and Treatment Options
Pain in the hip and thigh region? Hello doctor, my mother is currently 64 years old. Two years ago, she injured her lower back while lifting heavy objects. Initially, the pain was not severe, but after receiving a massage at a traditional Chinese medicine clinic, her condition wo...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate localized tissue or nerve inflammation. The distribution of the symptoms may correspond to the area innervated by the sciatic nerve. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin...[Read More] Understanding Hip and Thigh Pain: Causes and Treatment Options
Understanding Tension Headaches: Neck Pain and Muscle Strain Solutions
Tightness on both sides of the head and neck pain? I have been experiencing upper back pain that extends to my shoulders and neck, with tightness and a feeling of pressure on both sides of my temples. There is also pain when pressing on the top of my head. The discomfort, primari...
Dr. Jiang Junyi Reply:
Hello, your symptoms are very similar to cervical myofascial pain syndrome, which clinically presents as pain at the affected site, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, palpable myofascial trigger points can be felt under the skin. Symp...[Read More] Understanding Tension Headaches: Neck Pain and Muscle Strain Solutions
Morning Dizziness and Nausea: Understanding Neurological Symptoms
Upon waking up in the morning, experiencing dizziness and vomiting? Hello Dr. Hong: This incident occurred on January 19, 2017. When I woke up in the morning and opened my eyes around 8:00 AM, everything in front of me was spinning violently. After taking a Difendin, I waited for...
Dr. Hong Weibin Reply:
Hello: Your condition is referred to as vertigo, which can be classified into central and peripheral types. Based on your description, it appears to be peripheral vertigo, with possible causes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere...[Read More] Morning Dizziness and Nausea: Understanding Neurological Symptoms
Posture Changes and Headaches: Understanding Your Symptoms
Changes in posture can lead to headaches? Hello doctor, my blood pressure is 170/57, and I do not have any chronic diseases or hypertension, nor do I have symptoms of migraines. About two days ago, when the temperature was lower, I played basketball and felt very cold, shivering ...
Dr. Jiang Junyi Reply:
Hello, based on your description: 1. Elevated blood pressure is commonly observed during periods of stress or headaches, as vasoconstriction can lead to reflex hypertension. It is advisable to record blood pressure after the pain subsides to avoid delaying the diagnosis and tre...[Read More] Posture Changes and Headaches: Understanding Your Symptoms
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Understanding Autonomic Nervous System Disorders: A Case Study
Autonomic nervous system dysfunction Hello, doctor. I am a working professional who enjoys fishing in my leisure time. Recently, I have noticed a peculiar issue over the past two weeks. I have several years of fishing experience, and while using a lure (which requires rod action)...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a consideration of task-specific dystonia, which is a type of movement disorder. In this condition, certain muscles in the hand become tense and can lead to a spasm-like posture when the patient repeatedly performs speci...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Understanding Head Injuries: Pain in the Temple and Behind the Ear
I hit the back of my head, and now I have pain in my left temple and behind my ear? Doctor: Hello, I hit the back of my head on the corner of a table last night. It was extremely painful at the moment, but I did not experience any loss of consciousness or dizziness. I sat down, c...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to those of cervical myofascial injury. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Sometimes, palpable myofascial trigger points can be felt ...[Read More] Understanding Head Injuries: Pain in the Temple and Behind the Ear
Understanding Numbness in Left Toes: Causes and Treatment Options
Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...
Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options
Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Neck pain and numbness in the hands? I often experience neck pain, and recently I've been waking up with numbness in my hands, especially when I sleep on my back with my hands on my stomach or when lying on my side. I also sometimes feel a tingling sensation in various parts...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be due to cervical nerve root compression or peripheral nerve compression. Clinically, the affected area of numbness can help determine which nerve is involved. For example, cervical radiculopathy from the sixth cervical nerve r...[Read More] Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Fainting and Head Injury: Understanding Symptoms and Risks
Fainting while standing and hitting the back of the head? Hello, doctor! A few years ago, I had a drink with friends after a meal, and afterward, I felt dizzy and fainted after urinating in the bathroom, hitting the back of my head (it felt very dizzy and painful, and the impact ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, in cases of head trauma without post-traumatic amnesia, loss of consciousness, vomiting more than twice, severe headache, post-traumatic seizures, significant subcutaneous hematoma, multiple injuries, penetrating injuries, sku...[Read More] Fainting and Head Injury: Understanding Symptoms and Risks
Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Why do our hands shake and our bodies move involuntarily when we experience intense emotions or anger? Hello Doctor: Why do I start to shake my hands and sway my body back and forth whenever I get angry or emotionally agitated? Sometimes, I unconsciously grab my head, and after m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider symptoms of hyperventilation associated with emotional intensity. Hyperventilation can lead to a sensation of suffocation and affect organ blood flow. When blood flow to the nervous system decreases, symptoms such as head...[Read More] Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Understanding Dizziness and Pressure in the Back of the Head
Sometimes there is a feeling of dizziness at the back of the head? Hello Doctor: Recently, I sometimes feel a dull and tight sensation at the back of my head, but I do not experience any headaches. However, I occasionally feel that my eyes are particularly fatigued and that my in...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated after stretching activities, often recu...[Read More] Understanding Dizziness and Pressure in the Back of the Head
Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Unexplained fall resulting in impact to the back of the head? Hello Doctor: On the 25th of this month, after taking a break and using the restroom (urinating), I fell and hit the back of my head. I have no memory of the fall or how I returned to the office. The surveillance foota...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope, which is typically due to a rapid drop in blood pressure or vasoconstriction leading to decreased cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a pe...[Read More] Unexplained Falls and Head Injuries: Understanding Neurological Concerns
Head Pain While Sleeping: Neurological Concerns and Solutions
Experiencing headaches while sleeping on your back? Hello, doctor. At the end of October, I experienced a headache in the back of my head. I visited a traditional Chinese medicine practitioner and took some medication, which improved my condition a bit. However, I still occasiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to cervical nerve root compression, causing cervicogenic headaches. Clinical diagnosis must rely on physical assessment, electromyography, cervical X-rays, and even cervical magnetic resonance imaging (MRI). Most symp...[Read More] Head Pain While Sleeping: Neurological Concerns and Solutions
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Right Shoulder and Neck Pain: When to See a Specialist
Right shoulder and neck pain, tightness, right lower back pain, and numbness in the right hand and right foot? Hello Doctor: I usually work sitting at a computer, and for the past six months, I have been experiencing pain and tightness in my right shoulder that extends to my neck...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a herniated disc. Symptoms often worsen due to coughing or poor posture, but given your young age, the likelihood of simultaneous cervical and lumbar nerve root compression is low. It may be necessary to rule out o...[Read More] Understanding Right Shoulder and Neck Pain: When to See a Specialist
Persistent Headaches for a Week: Understanding Your Symptoms
The headache has been ongoing for about a week? Hello Doctor, I started experiencing symptoms similar to dizziness about a week ago. Previously, I had been sneezing and visited my usual doctor, who prescribed me cold medication (Rhin Tab) for about three days, along with stomach ...
Dr. Gao Chunde Reply:
Perhaps the initial headache is not a cold, but rather a tension-type headache. The medication taken may contain analgesic components, which could provide some relief. If it is a tension-type headache, it is generally advisable to relax the shoulders and neck, take breaks from th...[Read More] Persistent Headaches for a Week: Understanding Your Symptoms
Understanding Muscle Numbness Above the Knee: Causes and Solutions
The muscles just above the knee are experiencing numbness? Hello, doctor. Over the past year, I have had to sit for long periods due to my studies. The year before, I worked part-time and had to stand for at least two days a week for 6 to 8 hours. After a long flight back home (a...
Dr. Gao Chunde Reply:
You can find time to engage in gentle exercises regularly, such as walking, cycling, or playing some ball sports. If the symptoms worsen or do not improve, seek a detailed evaluation from a healthcare professional.[Read More] Understanding Muscle Numbness Above the Knee: Causes and Solutions
Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?
The trouble of frequently dozing off? Since elementary school, I have often dozed off during classes. This symptom was noticed by my aunt when I was in the ninth grade, and I underwent a medical examination, but no specific cause was found. However, even in college, I continued t...
Dr. Gao Chunde Reply:
The symptoms are quite consistent with narcolepsy. You can visit a large hospital's sleep medicine department or a neurology department that specializes in sleep disorders for evaluation and to arrange further sleep studies for confirmation.[Read More] Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?