Understanding Unexplained Dizziness: Causes and Solutions
Dizziness of unknown origin? I have been experiencing dizziness for about 4.5 days. Initially, it was severe enough to cause vomiting. Two days ago, I visited an otolaryngologist, which provided some relief. However, I still feel dizzy when walking or turning my head, and I often...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms are more consistent with positional vertigo, occurring when turning the head, tilting the head back, or rising from a lying position. This is likely caused by otoliths dislodging into the posterior semicircular canal. As for the drowsiness,...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches
Post-concussion syndrome after a car accident with persistent dizziness and headaches? Hello Doctor: Last year, I had a motorcycle accident that resulted in a head injury, during which I experienced about an hour of unconsciousness and cannot recall. I was taken to the emergency ...
Dr. Gao Chunde Reply:
Patients who experience a head injury but have normal imaging results are classified as having post-concussion syndrome. Symptoms may include dizziness, headaches, difficulty concentrating, decreased attention or cognitive function, and sleep disturbances. Literature indicates th...[Read More] Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches
Understanding Dizziness: Possible Causes and Connections to Menstrual Cycle
Feeling of dizziness? Hello Dr. Lan, I have recently been experiencing a sensation of swaying, almost like being on a boat, whenever I move my head. However, I do not feel dizzy or nauseous, and the symptoms are intermittent, not lasting long. If I am tired, the sensation seems t...
Dr. Lan Shengxing Reply:
Dear Xiao Yu, your cough may be causing dizziness due to 1. interference with sleep and 2. head movement. Treating the cough may help. Additionally, it is important to maintain a regular sleep schedule and avoid high-sodium foods. If you frequently experience tinnitus, you should...[Read More] Understanding Dizziness: Possible Causes and Connections to Menstrual Cycle
Understanding Dizziness: Causes and Symptoms Explained
Dizziness symptoms Hello, doctor: I've been feeling like my head is spinning for the past few days. When I walk, the scenery in front of me keeps rotating, but it stops after a while. Even when I lie in bed, if I turn over and look up, I feel like the room is spinning, but i...
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 Dizziness: Causes and Symptoms Explained
Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Experiencing muscle cramps throughout the body daily and joint discomfort? Hello, doctor. My job does not involve much physical labor or walking, but recently I've been experiencing frequent muscle cramps in various areas, including my shoulders, neck, thighs, calves, feet, ...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, since you are already attentive to supplementation and your work is not physically demanding, it is still recommended to visit a hospital's neurology outpatient clinic for an examination to rule out various neurological disorders.[Read More] Understanding Muscle Cramps and Joint Discomfort: Possible Neurological Issues
Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Facial paresthesia Over two months ago, I first noticed a slight tingling sensation in my lips while I was seriously reading analytical articles. Later, I also experienced tinnitus. More than a month ago, after the tinnitus disappeared, one morning I felt that my mouth was slight...
Dr. Lan Shengxing Reply:
Dear Little D, functional issues are not impossible. Although the likelihood of epilepsy is low, it cannot be completely ruled out, so it would be advisable to consult a neurologist for an examination. The idea of practicing martial arts leading to obsession is more akin to an ur...[Read More] Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Unexplained Headaches: When to Seek Medical Attention
Unexplained headache? A few days ago, I was lying on the back seat of a car (I wasn't sleeping), and shortly after I got up, I developed a severe headache that lasted for a long time. However, I haven't had a headache in the past two days. Do I need to see a doctor?
Dr. Huang Yingzhe Reply:
If you have any questions or discomfort, you should definitely consult a physician to avoid missing important information about your health![Read More] Unexplained Headaches: When to Seek Medical Attention
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Post-Workout Headaches: Causes and Solutions
Post-exercise headache? Hello, Dr. Gao. Ten days ago, I was doing squats at the gym (with a barbell on my shoulders, performing deep squats) and gradually increased the weight to a total of 30 kg. During the last two sets, I experienced severe pain in the back of my head. Since t...
Dr. Gao Chunde Reply:
This is a type of headache known as exertional headache. It typically occurs during intense physical exertion or activities that increase intrathoracic pressure. The exact physiological mechanism is unclear, but it may be related to impaired autoregulation of intracranial blood v...[Read More] Understanding Post-Workout Headaches: Causes and Solutions
Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Often suddenly feel the blood vessels at the back of the head? I often suddenly feel a constriction in the blood vessels at the back of my head, which leads to a feeling of pressure and discomfort. It's a kind of dull ache that is very uncomfortable. Could you please explain...
Dr. Gao Chunde Reply:
The sensation of sudden vascular constriction at the back of the head, followed by a feeling of pressure and tightness, may be attributed to a sudden contraction and tension of the muscles in the occipital region. This can create a sensation of vascular constriction due to muscle...[Read More] Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Understanding Head Pain: When to Seek Neurological Care
Head-related issues? Hello, Doctor. I would like to ask about something. For the past few weeks, I have been experiencing persistent pain on the left side of my head. Even when there is no pain, I still feel a sense of pressure in my head. Sometimes it feels both swollen and pain...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness, and sometimes palpable myofascial trigger points can be felt u...[Read More] Understanding Head Pain: When to Seek Neurological Care
Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Issues with taking anxiety medication for shoulder and neck pain? I have been experiencing shoulder and neck pain for several years, and for the past two years, I have also had intermittent hand numbness and pain. The nerve conduction study showed no issues, and the doctor said m...
Dr. Lan Shengxing Reply:
Dear YK, this issue may need to be discussed with the prescribing physician. Chronic pain lasting for two years almost invariably accompanies emotional issues. The original anxiety medication may be more effective for your symptoms. Treating chronic pain requires consideration of...[Read More] Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Understanding Involuntary Muscle Twitches: Causes and Solutions
Muscle twitching Hello Doctor: I have been experiencing involuntary muscle twitching throughout my body, along with a sensation of soreness in my left hand and foot. My neck has also been persistently tight and painful. These symptoms have been present for about a year. Initially...
Dr. Lan Shengxing Reply:
Dear Sam, the symptoms you described differ somewhat from those of amyotrophic lateral sclerosis (ALS). There is no need to worry excessively about cervical spine issues or problems arising from sleep itself. However, if you have undergone cervical spine imaging and electromyogra...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Should You Seek Further Medical Attention After a Head Injury?
An elderly person fell and hit their head? My grandmother fell and hit her head, and now she has symptoms of a headache. She went to the hospital, had an X-ray, and the doctor said everything was fine and prescribed medication. However, after taking the medication, she still has ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following situations occur, delayed bleeding should be considered, and you should seek...[Read More] Should You Seek Further Medical Attention After a Head Injury?
Woke Up with Numbness and Tingling in Right Leg: What to Do?
Waking up from sleep and noticing that the right foot is numb and tingling? Hello doctor, my usual sleeping position is on my back, but this morning I woke up to find myself sleeping on my side (with my face turned to the left and my right leg leaning to the left). When I got up,...
Dr. Lan Shengxing Reply:
Dear Xiao Cheng, the symptoms you described are likely due to temporary nerve compression. Taking vitamin B complex may help alleviate the symptoms sooner. If you experience any additional symptoms, it is advisable to visit a neurology clinic for further evaluation.[Read More] Woke Up with Numbness and Tingling in Right Leg: What to Do?
Understanding Anesthesia in the Anterior Lower Leg: Causes and Recovery
Numbness in the anterior aspect of the lower leg? Hello, Doctor Gao: A few days ago, I inquired about the lack of sensation above my ankle. I forgot to mention that there is also a similar condition about 10 centimeters on the outer front side of my lower leg, just below the knee...
Dr. Gao Chunde Reply:
This is another nerve (the common peroneal nerve) that is typically compressed or injured at the fibular head on the lateral side of the lower leg. However, if we are to consider a common source of pathology, we must look into issues related to the fifth lumbar nerve root, which ...[Read More] Understanding Anesthesia in the Anterior Lower Leg: Causes and Recovery
Understanding Post-Concussion Symptoms After a Car Accident
Regarding mild concussions after a car accident? I'm sorry to hear about your friend's mother. She was involved in a car accident a month ago and suffered a mild concussion. After being hospitalized, she underwent brain examinations, which showed no issues. However, rec...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, the symptoms of head trauma are mostly mild. As for the frequent episodes of fainting, continuous observation and follow-up are neces...[Read More] Understanding Post-Concussion Symptoms After a Car Accident
Understanding Muscle Tension: Symptoms and Possible Syndromes
General muscle tension? Hello, I currently do not have any chronic or congenital diseases, but there is something that has troubled me since childhood, and I would like to ask whether it might be a specific syndrome or if treatment is necessary. I have had a stuttering problem si...
Dr. Gao Chunde Reply:
Based on the symptom description, there are indications of Parkinsonian syndrome or dystonia. To determine the specific underlying condition, further evaluation and examination are necessary. Treatment should be tailored according to the diagnosis. It is recommended to visit a ma...[Read More] Understanding Muscle Tension: Symptoms and Possible Syndromes
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help