Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Frequent sharp pain in the heart, with headaches and tightness in the neck occurring approximately every 4.5 days? I have been evaluated by a neurologist and diagnosed with autonomic dysfunction, which fluctuates between good and bad. The main issue is that my symptoms have not i...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for evaluation.[Read More] Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi Reply:
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Understanding the Sensation of Head Pressure and Balance Issues
Feeling of pressure in the head? In the past month, I have occasionally felt a sensation of pressure in my head, and sometimes I feel like my body is leaning to one side. There was also an instance when I felt like the floor was spinning, making it difficult to stand, but it quic...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "sometimes I feel like my body is tilting to one side, and once I felt like the floor was spinning, making it hard to stand, but I quickly recovered." These symptoms are more indicative of Benign Paroxysmal Positional Vertigo (BPPV). The c...[Read More] Understanding the Sensation of Head Pressure and Balance Issues
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Post-Ride Dizziness: Causes and Self-Care Tips
dizzy Hello doctor, last week I went to an amusement park and rode a roller coaster. After returning home, I have been experiencing mild dizziness for the past few days. It doesn't feel like the room is spinning, but rather like being on a boat swaying. The sensation is more...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after returning home, I have been experiencing mild dizziness for the past few days, not a spinning sensation but more like the feeling of being on a boat, which is more pronounced when sitting." Your issue may involve the vestibular nerv...[Read More] Understanding Post-Ride Dizziness: Causes and Self-Care Tips
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?
Understanding Facial Changes After Tension Headaches: A Neurology Perspective
The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...
Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...
Dr. Jiang Junyi Reply:
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Infection probability Hello, doctor. I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity. My family has always used well water for oral hygiene, and a...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. The time frame you mentioned is too long, as ...[Read More] Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
Feeling Shaky or Earthquake Sensation While at Rest: A Neurological Concern
Feeling like the body is swaying or experiencing tremors while at rest? Since the earthquake on March 22, I have been feeling a constant sensation of my body swaying, whether I am sleeping or sitting. At night, my heart beats very strongly while I sleep, causing my body to sway e...
Dr. Cai Zongzhang Reply:
Hello Yuky: It is recommended to visit a neurologist to check for any neurological dysfunction.[Read More] Feeling Shaky or Earthquake Sensation While at Rest: A Neurological Concern
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Which Specialist to See for Migraine with Nausea and Vomiting?
If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist? Hello Dr. Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest. However, two weeks ago, I started having migraines again,...
Dr. Jiang Junyi Reply:
Dear Ms. Ru, You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then. I would like to know if you have a history of migraines. If this is a new onset of symptoms, it may be advisa...[Read More] Which Specialist to See for Migraine with Nausea and Vomiting?
Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...
Dr. Jiang Junyi Reply:
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Understanding Right Neck and Head Pain: Causes and Relief Strategies
Right shoulder and neck pain with tenderness upon palpation at the right occipital region? Hello, I have a history of migraines, but recently I've been feeling a sense of heaviness in my head at times (not dizziness). After looking down for a while, I experience soreness in ...
Dr. Cai Zongzhang Reply:
Hello Ting: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Right Neck and Head Pain: Causes and Relief Strategies
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? I have recently noticed a numbness in my fingers and the soles of my feet, similar to having a layer of skin over them. A few days ago, I experienced numbness in my right fingers while sleeping, which made me uncomfortable and unable to sleep. The ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing a "numbness in your fingers and the soles of your feet." If this occurs bilaterally, it may be worth considering hyperventilation. This can lead to systemic reactions and symptoms, with common manifestations including vasoconstrict...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns