Understanding Chronic Abdominal Pain: Neurological Connections and Diagnosis
Long-term.? I apologize for bothering you again with the following questions. I have been experiencing thigh and abdominal pain for a long time. The abdominal pain is characterized by cramping, bloating, and colicky sensations. It starts from the lower back on both sides and exte...
Dr. Gao Chunde Reply:
The thoracolumbar nerves and the lumbar or sacral plexus primarily provide sensation to the back, abdominal wall, buttocks, perineum, and lower limbs. Visceral pain from abdominal pain is typically mediated by the vagus nerve. Diagnostic imaging options include magnetic resonance...[Read More] Understanding Chronic Abdominal Pain: Neurological Connections and Diagnosis
Understanding Chronic Abdominal Pain: A Neurological Perspective
Long-term.....................? Doctor, I'm sorry, but my question is quite complex. I hope you can help me. I've been experiencing long-term abdominal pain that feels like cramping, bloating, and colicky pain. The pain starts from my lower back and radiates to the midd...
Dr. Gao Chunde Reply:
It seems that many tests do not provide clear conclusions. I would recommend consulting a neurologist to consider issues related to the thoracolumbar nerves or nerve plexus, and even to consider porphyria (you can look it up online for a better understanding). As for the imaging ...[Read More] Understanding Chronic Abdominal Pain: A Neurological Perspective
Understanding Discomfort in the Back of the Head: A Neurology Perspective
Discomfort in the back of the head? Doctor, have you heard of such a condition? I have been experiencing discomfort in the back of my head, which is hard to describe. One sensation feels like there is air accumulating in the back of my head, and it becomes hard. I also experience...
Dr. Lan Shengxing Reply:
Dear Ade, the symptoms you described are not very easy to understand clearly, but the combination of dizziness and shortness of breath may be related to autonomic nervous system dysfunction. This can be partially alleviated with medication, and I hope this can help you, Lan Sheng...[Read More] Understanding Discomfort in the Back of the Head: A Neurology Perspective
Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Pain issues Hello, doctor. I apologize for bothering you. I have been experiencing persistent pain in my lower abdomen, which has now progressed to almost daily pain in my lower back for over a year. A gastroenterologist diagnosed me with irritable bowel syndrome (IBS). The abdom...
Dr. Gao Chunde Reply:
Irritable bowel syndrome (IBS) is primarily a functional issue, which is why symptoms can fluctuate. If the lower back pain is simply due to a strain or muscle soreness, rest and medication should lead to improvement. However, since this has been ongoing for over a year, I would ...[Read More] Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Electric Shock Sensation in the Back of the Head When Moving Eyes
When moving the eyes, there is a sensation of electric shock in the back of the head? Hello doctor, I started experiencing this issue about ten days ago. When I move my eyes (up, down, left, or right), I feel a brief electric shock sensation in the back of my head. Later, I also ...
Dr. Lan Shengxing Reply:
Dear Van, the symptoms you described are quite difficult to consolidate into a single diagnosis. However, these symptoms are not common and may not fall within the scope of ophthalmology, especially if the fundus examination is normal. There are other conditions that need to be r...[Read More] Electric Shock Sensation in the Back of the Head When Moving Eyes
Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Involuntary twitching My mother experiences involuntary twitching in her right armpit and upper back after undergoing a mastectomy on her right breast. During severe episodes, she also experiences pain. Pain relief injections and anti-inflammatory medications have not been effect...
Dr. Lan Shengxing Reply:
Dear Nina, there are many causes of involuntary movements, and unfortunately, not all of them can be fully diagnosed. Sometimes, it requires a trial-and-error approach with medication. I recommend that you first consult a neurologist. Possible directions to explore include brain ...[Read More] Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
The headache just won't go away? Hello Doctor: I have been experiencing headaches since early May, and now it's June 29. At first, I felt a bit tired after work and wanted to take a nap, but when I woke up, I had a severe headache that lasted for about two hours. Later,...
Dr. Lan Shengxing Reply:
Dear KIKI, I am truly sorry to hear about your detailed symptom description. New and progressively worsening headaches can sometimes be a warning sign that indicates the need for a thorough examination. Your headache description is difficult to categorize under a single conditi...[Read More] Chronic Headaches: Understanding Symptoms and Seeking Effective Treatment
Understanding Occipital Neuralgia: Causes and Long-Term Solutions
Occipital Neuralgia Doctor: Why are these symptoms occurring, and is there a method to improve them? (Permanent improvement!)
Dr. Gao Chunde Reply:
The occipital region, commonly referred to as the back of the head, contains the greater and lesser occipital nerves. Sometimes, trauma or unknown reasons can lead to neuralgia, where the surrounding muscles, fascia, or other soft tissues compress these nerves. If there is no obv...[Read More] Understanding Occipital Neuralgia: Causes and Long-Term Solutions
Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps
Discomfort in the back of the head? Doctor, have you heard of this condition? I often feel discomfort in the back of my head, which I can't quite describe. One sensation is that it feels like there is air accumulating in the back of my head, and it becomes hard. I also exper...
Dr. Lan Shengxing Reply:
Dear Xiao Ming, have you considered going to a psychosomatic clinic for testing of autonomic nervous system disorders? Many psychosomatic clinics have such equipment available. Best regards, Lan Shengxing.[Read More] Understanding Persistent Discomfort in the Back of the Head: Possible Causes and Next Steps
Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Numbness on one side of the right palm and numbness in both big toes? Hello, Dr. Lan! I previously had a herniated disc in my lumbar and cervical spine, and I have been undergoing traction therapy for my neck and back rehabilitation. However, recently I have been experiencing num...
Dr. Lan Shengxing Reply:
Dear Blue Sam: If the symptoms are new and persistent, it may indicate a worsening of the original condition. A re-evaluation and comparison with previous assessments are necessary for proper diagnosis. Blue Saint Star[Read More] Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Pain in the back of the head leading to poor balance? Hello Doctor, I have had a long-standing issue with unsteady walking. This year, my doctor diagnosed me with essential tremor. After starting medication, my condition improved, but in the past two months, I have begun experien...
Dr. Gao Chunde Reply:
Waking up after sleep has been improving, but it gets worse the later it is. This is more likely related to chronic fatigue or tension in the shoulder and neck muscles. It can be alleviated by dedicating an hour to light stretching activities or applying a warm towel during a sho...[Read More] Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Understanding the Causes of Heaviness in the Back of the Head
Head heaviness Hello, Dr. Gao. It's been a while since I've experienced a heavy sensation in the back of my head. This feeling becomes more pronounced when I slightly shake my head. What could be the issue with this phenomenon?
Dr. Gao Chunde Reply:
The sensation of heaviness can be described as not quite pain, especially in the absence of pulsating moderate to severe headaches, which makes migraine less likely. However, a significant portion of patients with tension-type headaches in the outpatient setting report a tight, u...[Read More] Understanding the Causes of Heaviness in the Back of the Head
Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Persistent and irregular episodes of dizziness and lightheadedness (heaviness in the back of the head)? Hello Doctor: I suddenly experienced dizziness symptoms over two years ago, particularly when looking at the computer screen, which lasted for about a month. After seeing a doc...
Dr. Gao Chunde Reply:
If there are no symptoms of ear fullness, tinnitus, or hearing loss, it is more likely to be benign paroxysmal positional vertigo (BPPV), albeit with a higher frequency of episodes. However, some conditions that warrant attention include multiple sclerosis in young women, vestibu...[Read More] Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Severe autonomic nervous system dysfunction? Dear Doctor, I have read a lot of relevant information and would like to focus on my daily routine and dietary intake. I would also like to explain my symptoms. In recent years, I have developed a strong liking for very spicy food, to...
Dr. Gao Chunde Reply:
It seems that there may be symptoms of anxiety and even approaching panic attacks. This can be examined in daily life to identify any specific external causes, such as dietary factors, work, family, or other stressors. If no external causes are found, it may be related to intrins...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Headaches and Neck Lumps: What Could Be Wrong?
Presence of a foreign body? I have been experiencing chronic headaches for a long time, and recently the headaches have become more frequent, requiring me to take painkillers for relief. In the past few days, I noticed a lump at the back of my neck that becomes noticeably larger ...
Dr. Huang Zixuan Reply:
We hope the patient can come to the outpatient clinic for further evaluation and examination.[Read More] Understanding Headaches and Neck Lumps: What Could Be Wrong?
Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Recently, I've been feeling strange in my head, as if there is something stuck at the back of my brain? Hello, I have gallstones and have previously experienced vertigo, but I was taken off medication by my doctor five years ago because I hadn't had an episode in over t...
Dr. Huang Zixuan Reply:
If you are concerned about conditions related to epilepsy, it is recommended to undergo an electroencephalogram (EEG) at a hospital. Additionally, it is advisable to keep a record of the times when you experience these uncomfortable sensations, as having a complete record will he...[Read More] Understanding Unusual Head Sensations: When to Seek Neurological Evaluation
Understanding Scalp Numbness After a Motorcycle Accident: Causes and Concerns
Numbness in the right posterior scalp? I had a motorcycle accident at the beginning of the lunar year. I was hit by a car and was thrown off due to the low speed and the cold weather, so I didn't notice any issues at the time. However, one or two months later, I've rece...
Dr. Huang Yongquan Reply:
The extent of the injury at that time is unknown, but since several months have passed, it is likely not significantly related to the car accident. I'm not sure about your work type, but numbness near the back of the head is generally associated with cervical nerve compressi...[Read More] Understanding Scalp Numbness After a Motorcycle Accident: Causes and Concerns
Understanding Head Pain After a Car Accident: When to Seek Help
Headache issues? I was in a car accident about two years ago and hit my head. Sometimes I experience sharp pain in the same area (the right back of my head). When the pain occurs, making sudden movements can be very painful. Should I seek medical attention? Additionally, I someti...
Dr. Lan Shengxing Reply:
Regarding the issue of headaches, a complete neurological examination is necessary to determine whether there is a connection to past injuries. Therefore, please visit the neurology outpatient clinic for further evaluation.[Read More] Understanding Head Pain After a Car Accident: When to Seek Help
Chronic Severe Buttock Pain: Understanding Neurological Causes
Severe hip pain? I have been experiencing hip pain for 56 years, and at times the pain is so severe that I am unable to move.
Dr. Chen Haorong Reply:
Hello: Severe hip pain is mostly caused by prolonged sitting or extended labor, leading to muscle fatigue or inflammation in the lower back or hip, lumbar spondylitis, or pelvic tendonitis. A smaller portion is due to nerve compression in the lumbar or sacral region, resulting in...[Read More] Chronic Severe Buttock Pain: Understanding Neurological Causes
Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions
Experiencing numbness in the ear while lying flat? Hello, I have a question. When I sleep on my back, my right ear experiences persistent numbness, to the point that I have to sleep on my right side for it to stop. If I sleep on my left side, my right ear still feels numb. This i...
Dr. Gao Chunde Reply:
I must honestly say that this symptom is the first time I have encountered in my over ten years of practice. I can only provide answers based on my understanding of neurophysiology and other related clinical experiences. Consider the possibility of circulatory issues; lying flat ...[Read More] Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions