Understanding Occasional Dizziness: Causes and Solutions
Occasional dizziness? Hello Doctor: Sometimes I experience dizziness, about once or twice a month. The position when it occurs varies; sometimes I'm standing, sometimes sitting, and even lying down at night while sleeping. However, it happens without any sudden significant c...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over,...[Read More] Understanding Occasional Dizziness: Causes and Solutions
Understanding Post-Medication Dizziness and Neurological Symptoms
Two weeks after discontinuing antihypertensive medication, I feel a heaviness in my head and occasionally experience brief episodes of dizziness? Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned to the clinic due to di...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you have a problem with sleep apnea, as obstructive sleep apnea is closely related to obesity. The complications of sleep apnea primarily affect the cardiovascular system, leading to hypertension, myocardial infarction, and ...[Read More] Understanding Post-Medication Dizziness and Neurological Symptoms
Understanding Headaches and Abdominal Pain: When to See a Neurologist
Diagnosis and Etiology I apologize for the inconvenience, and I sincerely seek your advice. My father recently experienced a headache (not the kind associated with a cold) after cleaning the water tank. Following that, he had difficulty urinating and experienced intermittent abdo...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's cervical spine has degeneration causing nerve compression, which in turn could affect the autonomic nervous system, leading to symptoms such as bloating or urinary difficulties. Additionally, some muscle r...[Read More] Understanding Headaches and Abdominal Pain: When to See a Neurologist
Understanding Neurological Symptoms: Numbness and Dizziness Explained
Dizziness and a feeling of pressure in the back of the head? Hello, Doctor! I would like to ask about an incident that occurred on the night of April 8th. I was lying in bed watching TV and used my left pinky finger to scratch my face when suddenly my left pinky became weak and u...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble sensory abnormalities in the distribution area of the eighth cervical nerve root caused by nerve compression, along with shoulder and neck pain. The common causes are often due to overwork or poor posture leading to...[Read More] Understanding Neurological Symptoms: Numbness and Dizziness Explained
Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Left leg cramp? Hello, Dr. Jiang: I am experiencing intermittent cramping pain on the inner side of my left thigh near the groin area, which sometimes radiates down to my calf and the sole of my foot. This pain mostly occurs while walking, to the point where I am temporarily unab...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms may resemble sciatica, which is caused by nerve root compression due to a herniated disc. The primary manifestation includes pain or abnormal sensations extending from one side of the buttock down to the sole of the foot. The pain often wor...[Read More] Understanding Thigh Pain: When to See a Neurologist for Leg Cramps
Sudden Severe Headaches in Long-Term Sufferer: Possible Causes and Next Steps
Chronic headache with sudden onset of severe pain? My mother has been suffering from chronic headaches for about 20 years, experiencing pain almost every day. On some days, she takes 4-6 tablets of acetaminophen (Tylenol). However, from April 13 to April 17, she has been experien...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are likely indicative of a migraine. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel like throbbing or pulsating, often accompanied by nausea and vomitin...[Read More] Sudden Severe Headaches in Long-Term Sufferer: Possible Causes and Next Steps
Understanding Head Pain: Symptoms and When to Seek Medical Help
Pain in the forehead and the sides of the head towards the back? Hello doctor, I have been feeling a bit of pressure in my head over the past couple of days. I also experience pain when I press on my forehead and on the left and right back sides of my head. I would like to know w...
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 feeling of heaviness. Symptoms may worsen with changes in weather, and stretching activities can help alleviate the pain, ...[Read More] Understanding Head Pain: Symptoms and When to Seek Medical Help
Severe Lower Back Pain: Which Specialist Should You Consult?
Lower back pain? If you have been experiencing severe lower back pain for three consecutive days, especially after your menstrual period has ended, and the pain is so intense that it affects your ability to stand or get out of bed, it is advisable to see a specialist in either Or...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may first rule out kidney-related issues such as pyelonephritis or renal edema. Next, it could be related to lumbar muscle nerve compression, which is associated with poor sleeping posture. You may experience dull pain in the lower ...[Read More] Severe Lower Back Pain: Which Specialist Should You Consult?
Pain Behind the Ear: Causes and Treatment Options
The bone behind the ear is very painful? Hello doctor, today my friend was playing basketball and accidentally got hit on the bone behind the ear by someone's elbow. It has been painful since then, radiating from the bone near the ear down to the neck, making it very difficu...
Dr. Gao Chunde Reply:
This area is actually very close to some important nerves and blood vessels. If the position is off or the force applied is too strong, it could lead to serious consequences. If it's just a muscle contusion or a subcutaneous hematoma, it should heal on its own. However, if i...[Read More] Pain Behind the Ear: Causes and Treatment Options
Understanding and Managing Persistent Thigh Pain in Older Adults
Mother has thigh nerve pain? Hello, doctor. I actually came here to ask before. For the past two and a half years, my mother has been experiencing a burning sensation in her right thigh, which started last year. Now, her thigh is constantly numb and painful at irregular intervals...
Dr. Gao Chunde Reply:
General neurologists may find no issues during their examination, but if the pain is determined to be caused by peripheral neuropathy or central nervous system issues, there are medications available to manage the pain and improve quality of life. If the pain is difficult to cont...[Read More] Understanding and Managing Persistent Thigh Pain in Older Adults
Understanding Dizziness: Insights from Neurology and Cardiology
Regarding dizziness, please ask again? Hello Dr. Jiang, the link above contains your explanation from April 5th. I would like to add a few additional questions for your clarification. 1. During episodes of dizziness, I experience slight body warmth and an increased heart rate. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe that the relevant specialists have provided effective pharmacological treatment. However, I'm unsure about your lifestyle and exercise habits. How is your autonomic nervous system functioning? I recommend consulting a rehabilitatio...[Read More] Understanding Dizziness: Insights from Neurology and Cardiology
Sudden Toe Pain: What Could Be Causing Your Symptoms?
The toes feel like they are being electrocuted? Last night, the tip of the second toe on the left side of my right foot suddenly felt like it was being shocked, causing me to fall back into my chair. It was only one toe, with no visible wounds and intact skin. Upon closer inspect...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider neuropathic pain. Its manifestations differ from typical pain following tissue injury, including sensations such as tingling, stabbing, electric shock, tearing, burning, coldness, numbness, and itching, often accom...[Read More] Sudden Toe Pain: What Could Be Causing Your Symptoms?
Understanding Left-Sided Lower Back Pain in Athletes: Causes and Solutions
Left-sided lower back pain? I don't recall having this issue before college, but now that I'm in my senior year, this problem has persisted for about two to three years. The most intense physical activities I engage in are volleyball and tennis. I first noticed this iss...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider nerve compression in the lumbar spine, which can lead to symptoms such as numbness and pain in the areas supplied by the affected nerves. If the symptoms are limited to localized pain, it could be related to myofas...[Read More] Understanding Left-Sided Lower Back Pain in Athletes: Causes and Solutions
Understanding Dizziness: Insights from a Neurology Perspective
Dizziness inquiry? Hello Dr. Jiang, I previously sought help from a neurologist due to sudden dizziness. The symptoms began while sitting, with a sensation starting from the back of my head. The surroundings did not appear distorted or spinning. Later, the condition worsened, but...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely due to syncope. Syncope is more likely to occur when a person is standing, as this position results in the least blood flow to the brain. Often, there is not enough time to react, leading to fainting. The chanc...[Read More] Understanding Dizziness: Insights from a Neurology Perspective
Understanding Muscle Twitches and Dizziness: Neurological Insights
Muscle twitching Hello doctor, I have recently been feeling like my balance is leaning to the left. Sometimes I feel dizzy, and my hands occasionally feel weak, although they can feel normal at other times. Additionally, my muscles sometimes twitch.
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of the left-sided neck symptoms 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 soreness, stiffness, and tigh...[Read More] Understanding Muscle Twitches and Dizziness: Neurological Insights
Understanding Dizziness: Causes and Solutions for Morning Lightheadedness
Dizziness and lightheadedness? This morning, when I got up and went to the bathroom to brush my teeth, I suddenly felt dizzy and weak in my limbs after finishing. I collapsed on the floor and tried to exert myself to get up, but I couldn't. I had to slowly crawl back to my r...
Dr. Jiang Junyi Reply:
Hello, based on your description: You mentioned symptoms of fainting, which are more likely caused by syncope. A decrease in cerebral blood flow can lead to loss of consciousness. Prior to losing consciousness, symptoms such as nausea, yawning, dizziness, a feeling of warmth, swe...[Read More] Understanding Dizziness: Causes and Solutions for Morning Lightheadedness
Understanding Nighttime Headaches: Causes and Solutions
Headache before bedtime? Sometimes I experience severe headaches before going to sleep. Lying down in a specific position helps alleviate the pain, but when I change positions, the pain starts again. What could be the possible issue? Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of your headache may be attributed to 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 all...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Impact of Smoking on Recovery After Nerve Repair Surgery
Nerve junction surgery I apologize, but I would like to ask if smoking after having undergone nerve repair surgery on my right arm will have a significant impact? I really can't quit, but would it be better if I smoked less?
Dr. Gao Chunde Reply:
Smoking affects vascular circulation, reducing the supply of blood and nutrients to the nerves. Whether it depletes many vitamins that are beneficial for nerve repair is another question. Therefore, there are no benefits, only the drawbacks of delaying recovery.[Read More] Impact of Smoking on Recovery After Nerve Repair Surgery
Understanding Lower Back Pain: Causes and Connections to Cervical Inflammation
Lower back pain? Hello doctor, I would like to ask about the pain in my lower back. Recently, I've been experiencing discomfort in that area. I had cervical inflammation a while ago, and my doctor mentioned that I might need to undergo cauterization. Could that be related to...
Dr. Lan Shengxing Reply:
Dear Ru, this could indeed cause lower abdominal pain, but the likelihood of lower back pain is relatively low. I recommend you consult with a urologist or a neurologist for diagnosis and treatment.[Read More] Understanding Lower Back Pain: Causes and Connections to Cervical Inflammation
Understanding Facial Numbness: Causes and Next Steps for Relief
Numbness in the left cheek? Hello, Doctor. My question is regarding my left cheek, from the corner of my left eye to the left side of my mouth. I have seen a neurologist and underwent facial nerve stimulation tests, which came back normal. I have taken antihistamines and medicati...
Dr. Lan Shengxing Reply:
Dear Mr. Liu, with the current technology, it is indeed difficult to detect the small branches of nerves in the epidermis. I believe this is more related to your issue. The facial nerve stimulation test can inform us whether there is an obstruction in the circuit between the fift...[Read More] Understanding Facial Numbness: Causes and Next Steps for Relief