Understanding the Risks of a Hard Hit to the Back of the Head
Hit the back of the head? Yesterday, I fell backward and hit the back of my head hard against the floor. At the moment, I only felt pain and did not experience any dizziness. Today, I occasionally feel a very slight pain and have some stiffness in my neck. What could be the issue...
Dr. Gao Chunde Reply:
If there was no brief loss of consciousness at the time of the impact, but you are experiencing headaches, nausea, or drowsiness, there is a concern about potential internal bleeding, swelling, or increased intracranial pressure. If the pain is mild and your mental state is stabl...[Read More] Understanding the Risks of a Hard Hit to the Back of the Head
Understanding Back Pain: Causes, Symptoms, and Treatment Options
Lower back pain I would like to consult a doctor. I've been experiencing lower back pain for three days, but the pain doesn't last long. It feels like it's deep within my lower back, and it's most noticeable when I lie down and then get up, especially when I t...
Dr. Gao Chunde Reply:
If there is muscle inflammation, rest and medication, along with avoiding heavy lifting, can lead to improvement. If you experience more pain in the morning, it may sometimes be an early symptom of spondylitis; moving around can help alleviate the discomfort, and it is advisable ...[Read More] Understanding Back Pain: Causes, Symptoms, and Treatment Options
Post-Surgery Sleep Issues: Understanding Recovery After Brain Surgery
Postoperative Sleep Issues After Brain Surgery Hello, my mother fainted due to dizziness on March 1, 2016, and after being examined at the hospital, it was discovered that there was air in her brain. The cause was a fracture in her skull from a previous fall (around the eye and n...
Dr. Gao Chunde Reply:
Certain physical ailments can often lead to disturbances in sleep. Postoperative complications are typically better understood by experienced surgeons. Your father should be a neurosurgeon, so it would be beneficial to consult them for their expertise in this area.[Read More] Post-Surgery Sleep Issues: Understanding Recovery After Brain Surgery
Understanding Tongue Numbness: Causes and Concerns During Sleep
Numbness of the tongue? Hello Doctor: Recently, when I am about to fall asleep, I experience a tingling sensation at the back of my tongue (it feels somewhat like a mild tremor). Sometimes, I also feel this sensation in my esophagus or chest. This only occurs when I am sleeping; ...
Dr. Gao Chunde Reply:
Currently, it seems that there are no related neurological issues that can be identified. However, some patients with gastroesophageal reflux disease have reported similar descriptions. You may want to assess if there are any gastrointestinal abnormalities, and if necessary, refe...[Read More] Understanding Tongue Numbness: Causes and Concerns During Sleep
Understanding Post-Concussion Symptoms: When to Seek Further Medical Help
Mild concussion Hello doctor, two years ago I fell off my bicycle and hit my head hard against the concrete. At first, I thought I was fine and didn't pay much attention, but afterwards, I would often wake up at night feeling dizzy. I went to a large hospital for a CT scan, ...
Dr. Lan Shengxing Reply:
Dear Keke, the symptoms you mentioned may not necessarily be unrelated to a concussion. Please go to the hospital for an examination. Best, Lan Shengxing.[Read More] Understanding Post-Concussion Symptoms: When to Seek Further Medical Help
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. For the past 5 or 6 days, I've been experiencing muscle twitching starting from my left calf, and now it has spread throughout my body, including my soles, face, and neck, with the primary area being my calves. Sometimes the twit...
Dr. Lan Shengxing Reply:
Mr. Lin suggests that you visit a neurologist for a thorough examination. The incidence of amyotrophic lateral sclerosis (ALS) is extremely low, and sometimes these symptoms can also appear in individuals who are prone to anxiety. A detailed examination to rule out any concerns i...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Does Parkinson's disease have sensory symptoms associated with physical discomfort? Hello, doctor! I have some questions. My mother-in-law experiences involuntary tremors in her left hand, and at times, her entire body shakes severely. She has undergone examinations at Kaohs...
Dr. Lan Shengxing Reply:
Dear Shujun, patients with Parkinson's disease may experience not only tremors and bradykinesia but also autonomic nervous system issues, so feeling unwell is common. There are indeed certain nuclear medicine tests that can help differentiate whether it is truly Parkinson...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Right-Sided Pain: Causes and Effective Treatments
Significant pain on the right side? Hello, Director: I have recently been experiencing stiffness in my cervical spine, soreness in my right back, chronic pain from my right leg to my pelvis, and both of my calves are very stiff. I need deep tissue massage to be able to sleep, and...
Dr. Lan Shengxing Reply:
Dear Ah Xiang, if this has been affecting your quality of life and sleep for a long time, you may very likely have fibromyalgia. Please consult a neurologist. Best regards, Lan Shengxing.[Read More] Understanding Right-Sided Pain: Causes and Effective Treatments
Understanding Childhood Epilepsy: Symptoms, Treatment, and Management
Pediatric epilepsy Hello, doctor. My child is currently 3 years old and has mild developmental delay. In March of this year, an EEG showed abnormal discharges (currently not on medication). In February, during an episode, he blinked his eyes and had a slight head nodding twice, b...
Dr. Huang Yingzhe Reply:
Absence seizures have a defined pattern on an electroencephalogram (EEG), so in addition to clinical symptoms, EEG findings are necessary for confirmation. However, it does sound like an epileptic seizure. It is advisable to consult a pediatric neurologist or pediatric epilepsy s...[Read More] Understanding Childhood Epilepsy: Symptoms, Treatment, and Management
Understanding REM Sleep Behavior Disorder: Causes and Symptoms
Rapid Eye Movement Sleep Behavior Disorder (REM Sleep Behavior Disorder) In the past couple of years, I have been waking up from nightmares at irregular times. I have a congenital heart condition, and my cardiologist believes it is due to excessive stress (I was also in a car acc...
Dr. Lan Shengxing Reply:
Dear Anonymous, yes, this aligns with the definition of REM Sleep Behavior Disorder. Please consult a neurologist at a clinic with a sleep laboratory.[Read More] Understanding REM Sleep Behavior Disorder: Causes and Symptoms
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde Reply:
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Headache, dizziness, palpitations, and shortness of breath? Two weeks ago in the evening, I suddenly experienced a severe headache and difficulty breathing, prompting me to rush to the emergency room. I told the doctor that my head was pounding, I had tinnitus, and most important...
Dr. Gao Chunde Reply:
In general, a neurologist will conduct a detailed assessment based on your headache and related symptoms. If there is a consideration for a specific type of headache, they will explain it to you. If not, it indicates that they believe they can manage your treatment effectively, a...[Read More] Understanding Severe Headaches, Dizziness, and Breathing Difficulties
Understanding Persistent Lower Back Pain: When to Seek Medical Help
Lower back pain Doctor, while brushing my teeth, I slightly leaned forward and suddenly felt a sharp pain in my lower back. I immediately stood up straight, but I keep experiencing episodes of pain. I have been using a lumbar support, but it doesn't always alleviate the pain...
Dr. Gao Chunde Reply:
You can consult with a neurosurgeon or an orthopedic surgeon to evaluate any potential issues with your lumbar spine.[Read More] Understanding Persistent Lower Back Pain: When to Seek Medical Help
Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Dizziness and dry heaving upon waking up: Could it be a post-concussion syndrome? Dear Dr. Huang, Hello. In late August 2014, I experienced a direct impact to the back of my head when I hit the floor. That day, I had severe vomiting and unsteadiness while walking. I went to the ...
Dr. Huang Yingzhe Reply:
Based on the timeline, the brain CT scan performed last year should not be related to the concussion from the year before. Many people experience dizziness, which often requires a period of monitoring. It is recommended to first consult an otolaryngologist, and if there are conce...[Read More] Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Understanding Your Headaches: Causes and When to Seek Help
Thank you, doctor? I apologize for the disturbance. Recently, for the past week or two, I have been experiencing frequent headaches, primarily in the temples, but not on a specific side. Sometimes the pain is on the right side, sometimes on the left, and at times it also occurs a...
Dr. Gao Chunde Reply:
Dizziness, vertigo, headache, without nausea, resembling a tension-type headache, but also accompanied by dizziness. A consultation with a neurologist is recommended for further evaluation and analysis to determine whether it is peripheral or central vertigo. Relevant tests will ...[Read More] Understanding Your Headaches: Causes and When to Seek Help
Why Does My Lower Back Hurt When Sitting Up from Lying Down?
Experiencing back pain when transitioning from lying down to sitting up? If you often experience pain in your lower back when getting up from a lying position, and even slight elevation of your hips while lying down causes discomfort, it could be due to several reasons such as mu...
Dr. Gao Chunde Reply:
How long have you been experiencing the symptoms? Have there been any instances of improper use or excessive exercise that could have led to muscle strains or inflammation? Typically, resting for a few days or taking some anti-inflammatory pain relievers or muscle relaxants can h...[Read More] Why Does My Lower Back Hurt When Sitting Up from Lying Down?
Severe Headaches and Dizziness: Understanding Neurological Issues
Dizziness and a feeling of heaviness in the head, if left untreated for too long, can escalate to severe pain and vomiting? Hello Doctor: I started experiencing headaches about a year ago. Initially, it was just dizziness, which gradually progressed to pain, and eventually to sev...
Dr. Gao Chunde Reply:
Severe headaches accompanied by vomiting can be indicative of migraines or other causes of increased intracranial pressure. A neurologist will differentiate between secondary headaches, which are problematic, and primary headaches. If there is a specific underlying cause, treatme...[Read More] Severe Headaches and Dizziness: Understanding Neurological Issues
Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Back pain Hello Doctor, I would like to ask about my mother's long-term back pain. She experiences pain every day, and sometimes it is so severe that she cannot get out of bed; climbing stairs is also very difficult for her. We have tried electrotherapy rehabilitation, but t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to lumbar degeneration. You are experiencing dull pain in the lower back, difficulty turning over or getting out of bed, and temporary improvement after walking for a while, with less impact during daytime activities....[Read More] Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Headaches and Side Effects: Is Your SSRI Medication to Blame?
Recently, there have been instances of headaches? Hello, doctor. I started taking escitalopram, an SSRI antidepressant, a little over two weeks ago. During the first week, I didn't notice much of a change, but in the second week, after the dosage was increased, I began exper...
Dr. Gao Chunde Reply:
Headache and nausea with vomiting can be side effects of this medication, especially since you have just started using it. The first consideration should be the medication-related side effects. It is recommended that you return to the prescribing physician's clinic to inform...[Read More] Headaches and Side Effects: Is Your SSRI Medication to Blame?
Neck Pain with Headaches: When to See a Neurologist?
Neck pain accompanied by headache? My girlfriend initially experienced sudden pain in her upper body along with chest tightness. Later, she developed sharp pain in the back of her neck accompanied by headaches. Despite visiting the hospital outpatient department, no clear diagnos...
Dr. Gao Chunde Reply:
If the rheumatology department confirms that there are no related issues, consideration should be given to neurological causes such as cervical spinal cord lesions, whether they are due to inflammation, hemorrhage, intervertebral disc problems, or other reasons. The on-site physi...[Read More] Neck Pain with Headaches: When to See a Neurologist?