Understanding Occipital Headaches: When to Seek Medical Attention
Occipital headache Hello Doctor: I would like to ask about my recurring headaches. They come in waves, with pain in the back of my head, and I feel a heartbeat that coincides with the headache. This has been going on for quite some time... Should I go to the hospital for an exami...
Dr. Gao Chunde Reply:
It is a vascular headache, mostly migraines. The symptoms are pulsating, accompanied by nausea and vomiting, sensitivity to light and sound, and the headache worsens with activity. If the pain occurs occasionally and resolves with quiet rest, it can be monitored. However, if the ...[Read More] Understanding Occipital Headaches: When to Seek Medical Attention
Understanding Facial Numbness: Possible Neurological Issues Explained
Abnormal sensation in the cheek? Hello, Doctor Gao. For the past few months, I've been experiencing occasional localized burning and numbness on the right side of my calf. Recently, in the past month, I've also felt some numbness and tightness below my left ear, as well...
Dr. Gao Chunde Reply:
It is unclear whether the right side of the calf refers to the outer side of the right calf or the inner side of the left calf, but it can be confirmed that there is a sensory dysfunction of a peripheral nerve. There are also localized sensory nerve issues in the neck below the l...[Read More] Understanding Facial Numbness: Possible Neurological Issues Explained
Understanding Muscle Twitches: Causes, Concerns, and Solutions
Muscle twitching Hello doctor, recently I've been experiencing frequent muscle twitches, and I can clearly feel them when I stretch. My limbs are sore even though I haven't done much, and my thumb feels strange. Occasionally, I find myself shaking involuntarily while sl...
Dr. Gao Chunde Reply:
Muscle twitching is mostly benign, often caused by emotional stress and increased neuromuscular excitability, such as from insufficient sleep or overuse, leading to some physiological twitching. However, if it is related to a serious condition, there would typically be symptoms o...[Read More] Understanding Muscle Twitches: Causes, Concerns, and Solutions
Uncontrollable Noises While Falling Asleep: A Neurological Concern?
When falling asleep, one may unconsciously make sounds? Hello, Doctor Gao: This past week, as I lie in bed and gradually transition from a waking state to falling asleep, I involuntarily make a "hmm" sound from my throat. Just when I'm about to fall asleep, this so...
Dr. Gao Chunde Reply:
This phenomenon is likely similar to the involuntary movements seen in periodic limb movement disorder or restless legs syndrome that some people experience before falling asleep. It is classified as a type of sleep disorder. For a definitive diagnosis and to determine the underl...[Read More] Uncontrollable Noises While Falling Asleep: A Neurological Concern?
Understanding Tinnitus: Questions About Acoustic Neuroma and Diagnosis
Tinnitus Consultation I have been experiencing high-frequency tinnitus for over a year. Initially, I went to a large hospital for a pure tone audiometry test, which came back normal with no abnormalities. The ENT specialist advised me to relax and did not prescribe any medication...
Dr. Gao Chunde Reply:
Acoustic neuromas can indeed cause tinnitus, and otolaryngologists and neurologists have a more sensitive test than CT and MRI, which is the brainstem auditory evoked potentials (BAEP). If you still have concerns, these specialists should be able to address your worries using thi...[Read More] Understanding Tinnitus: Questions About Acoustic Neuroma and Diagnosis
Understanding Uncomfortable Reactions After Medication in Neurology
Adverse reactions after taking medication? Hello, Doctor: Is it normal to experience discomfort after taking medication? Symptoms and background: 1. At the beginning of January, I was hit on the left side of my body by a motorcycle, resulting in a concussion, accompanied by dizzi...
Dr. Gao Chunde Reply:
Suanli tablets can improve microcirculation in nerves and tissues; however, side effects may include palpitations and facial flushing. The medication taken before bedtime is a muscle relaxant, and its side effects may include drowsiness. The pain and sensitivity in your molars ma...[Read More] Understanding Uncomfortable Reactions After Medication in Neurology
Persistent Dizziness: Navigating Neurological Symptoms and Specialist Care
Dizzy and lightheaded? Hello, Doctor (I apologize for the lengthy message). I experienced stomach discomfort on New Year's Eve. After two days, I drank some enzymes and felt better. During a family gathering on the sixth day of the new year, I consumed two bottles of red win...
Dr. Gao Chunde Reply:
After experiencing dizziness for such a long time without improvement, and following a CT scan, as well as trying various medications related to dizziness without effect, it is challenging to find a reasonable explanation, especially if blood pressure is normal and brainstem nerv...[Read More] Persistent Dizziness: Navigating Neurological Symptoms and Specialist Care
Why Does My Scalp and Cheek Feel Numb After Sleeping?
Numbness in the scalp at the back of the head? Hello Doctor: I took a nap on the sofa in the living room this afternoon (with my head resting on the armrest, which was somewhat hard), and when I woke up, I felt a tingling sensation in my scalp at the back of my head and in my che...
Dr. Gao Chunde Reply:
Pressure on the nerves in the back of the head can be explained, but it's not as easy for the cheeks because the facial nerves are the trigeminal nerves, which emerge from the foramina of the upper jaw, maxilla, and mandible. Pressure must be applied to the nerves after they...[Read More] Why Does My Scalp and Cheek Feel Numb After Sleeping?
Understanding Lower Back Pain: When to Consult a Neurologist
Lower back pain Dear Doctor, I have been experiencing lower back pain for the past two weeks and am unsure which specialty to consult. I noticed that the neurology department addresses back pain, so I am seeking your advice. Here are my recent symptoms: 1. About a month ago, I ...
Dr. Gao Chunde Reply:
You can first consult a neurologist to assess whether there is an issue with the lumbar nerve roots, especially since you experience pain in the right thigh when leaning backward. Irritable bowel syndrome typically does not cause lower back pain; it is partially attributed to wha...[Read More] Understanding Lower Back Pain: When to Consult a Neurologist
Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Left leg soreness with abnormal sensations? I have been experiencing many discomfort symptoms recently. I have undergone a cardiac ultrasound, cervical spine MRI, chest X-ray, EEG, and visual evoked potentials, all of which did not reveal any issues. The neurologist believes that...
Dr. Gao Chunde Reply:
There are some symptoms of sciatica, as well as mild symptoms of restless legs syndrome. If the symptoms become more persistent and pronounced, it would be advisable to return to a neurologist for evaluation. Perhaps some diagnostic tests can confirm the condition, and targeted t...[Read More] Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Understanding Head Pain After a Fall: A Guide for Caregivers
Grandma has a headache after falling? Hello, my grandmother is 90 years old and has limited mobility, relying on a walker to move around. Two days ago, she got up around 5 AM to use the bedside commode and lost her balance after finishing, resulting in a fall where she hit the to...
Dr. Lan Shengxing Reply:
Hello Jeffery, the headache symptoms you described may simply be pain caused by the fall. Using acetaminophen should be sufficient. When administering pain relief after a fall, it is advisable to avoid medications that may cause drowsiness, in order to prevent confusion in diagno...[Read More] Understanding Head Pain After a Fall: A Guide for Caregivers
Understanding Discomfort in the Back of the Head: Possible Causes and Solutions
Discomfort in the back of the head? Dear Doctor, I have been experiencing a sensation of gas-like pressure accumulating in the back of my head, which feels tight and sometimes causes my head to swell, leading to dizziness and discomfort. I have undergone various examinations, but...
Dr. Lan Shengxing Reply:
Hello Amin, the feeling of tightness in the back of your head could have several possible causes. If a CT scan shows no abnormalities, you might want to consider cervical syndrome and consult a neurologist at the hospital.[Read More] Understanding Discomfort in the Back of the Head: Possible Causes and Solutions
Understanding Pinky Finger Numbness: Causes and Solutions
Pinky finger numbness? The phenomenon you described occurs only during sleep, specifically when lying on your back with your hands placed on your chest for a period of time, resulting in a tingling sensation in your little finger. This sensation resolves quickly after you straigh...
Dr. Gao Chunde Reply:
Many people experience this symptom. If it resolves upon changing positions, you can monitor it. However, if the duration of numbness increases gradually, it may be worth consulting a neurologist to examine whether there are other underlying causes affecting the nerve. It may be ...[Read More] Understanding Pinky Finger Numbness: Causes and Solutions
Persistent Headaches and Dizziness: When to Seek Neurological Help
Headache and dizziness for several days? Doctor, I started experiencing a fever and weakness in my limbs around 11 PM on November 4th. Since I didn't have a thermometer at home, I assumed I had a fever. The next day, the fever subsided, but I continued to experience mild diz...
Dr. Gao Chunde Reply:
Acetaminophen is a standard medication for pain relief and fever reduction, and it is one of the least likely medications to cause allergic reactions and side effects. It is indeed the first-line treatment for dizziness and headaches. Side effects, such as dizziness and headaches...[Read More] Persistent Headaches and Dizziness: When to Seek Neurological Help
Understanding Muscle Twitches and Cramps: When to Seek Neurology Help
I'm sorry, but I need specific content to translate. Please provide the text you would About a month ago, I started experiencing muscle twitching in various parts of my body. Then, starting in October, I began to feel intermittent contractions in my rib cage, entire abdomen,...
Dr. Gao Chunde Reply:
It is correct to consult a neurologist. If there is no improvement after examination and medication, you can directly ask for a referral to a specialist. If the specialist is unable to manage your condition or if the hospital's facilities and resources are limited, you may c...[Read More] Understanding Muscle Twitches and Cramps: When to Seek Neurology Help
Managing Muscle Twitches: Concerns About Long-Term Muscle Relaxant Use
Muscle Issues 2 I apologize for asking again. Last time I mentioned to the doctor that I experience muscle twitching in various spots throughout my body, especially on the left side near the ribs, where it feels more severe with a tightening sensation, twitching, and cramping, bu...
Dr. Gao Chunde Reply:
If the symptoms are due to life stress or tension, one should adjust their lifestyle and seek ways to relieve emotional stress, such as engaging in exercise, hiking, or taking trips to relax. It is advisable to avoid caffeine, alcohol, tea, or other stimulants. Long-term use of m...[Read More] Managing Muscle Twitches: Concerns About Long-Term Muscle Relaxant Use
Understanding Symptoms: When to See a Neurologist for Your Health Issues
Autonomic nervous system dysfunction? Cold? Other brain issues? On the evening of October 22nd, I felt muscle weakness, my whole body was hot, and I sweated excessively while sleeping due to overheating. I woke up after two hours to rehydrate, but by the time I went to work, I ha...
Dr. Gao Chunde Reply:
Based on the symptoms, it appears to be a cold. However, if there is a fever, headache, and neck stiffness, it is advisable to consult a neurologist to rule out the possibility of meningitis. If those symptoms are not present, it is recommended to rest more and drink plenty of fl...[Read More] Understanding Symptoms: When to See a Neurologist for Your Health Issues
Understanding Thoracolumbar Degeneration: Causes, Treatments, and Prevention at 24
Thoracolumbar spine..? Hello, Doctor. I have been experiencing persistent discomfort, including soreness and a feeling of tightness and pressure in my lower back and spine for a long time. After consulting a neurologist and undergoing X-rays, the doctor diagnosed me with degenera...
Dr. Gao Chunde Reply:
On one hand, individual constitution and on the other hand, posture and lifestyle habits can lead to prolonged fatigue and contraction of the thoracic and lumbar vertebrae and the surrounding muscles. To prevent and remedy this, one should pay attention to posture and engage in e...[Read More] Understanding Thoracolumbar Degeneration: Causes, Treatments, and Prevention at 24
Understanding Dizziness: Insights from Neurology for Your Symptoms
About dizziness? Hello Doctor, I started experiencing dizziness on July 10 of this year. When I bend over, lower my head, raise it, or turn my head in the morning, it feels like my body is shaking as if there is an earthquake. When I walk, it feels like my feet are bouncing off t...
Dr. Gao Chunde Reply:
On July 10, benign paroxysmal positional vertigo (BPPV) occurred. Generally, rest for two to three days to a week will lead to recovery. However, it is important to note that if there is excessive fatigue or irregular sleep patterns, it may recur. Some patients may develop feelin...[Read More] Understanding Dizziness: Insights from Neurology for Your Symptoms
Understanding Nerve Issues After a Fall: Symptoms and Solutions
The nerves in my toes feel strange..? Two months ago, I fell from a workbench about 15 centimeters high. Aside from a bruise approximately 10 centimeters in diameter on the back of my calf near the ankle, I didn't have any major issues. However, the bruise hasn't faded,...
Dr. Gao Chunde Reply:
The nerve on the outer side of the foot runs along the outer ankle, so any bruising or swelling in this area that compresses the tissue could cause the symptoms you described. Removing the source of compression will allow the nerve to gradually recover. If there is no swelling or...[Read More] Understanding Nerve Issues After a Fall: Symptoms and Solutions