Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi Reply:
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Chronic Discomfort: Seeking Answers for Unexplained Neurological Symptoms
Long-term discomfort of various kinds? Hello Doctor: I have been troubled by a persistent feeling of discomfort for a long time, but aside from being diagnosed with mitral valve prolapse, I have not been able to find a definitive cause. I would like to seek your advice, thank you...
Dr. Cai Zongzhang Reply:
Hello, Scorpion: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Chronic Discomfort: Seeking Answers for Unexplained Neurological Symptoms
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27. After attending a wedding banquet that afternoon, I stepped out of the venue and experienced a sudden, electric shock-like tingling in my lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, experiencing intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it occurs only on one side, it may be necessary to consid...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27th. After attending a wedding banquet that afternoon, I stepped out of the venue and suddenly felt a tingling sensation in my left hand and lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, with intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it is only present on one side, it may be necessary to consider l...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Nausea after a car accident? Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet. At the time, I did not experience any nausea or dizziness. However, when I got home that evening, I started to have a loss of appetite and felt n...
Dr. Jiang Junyi Reply:
Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild. However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) D...[Read More] Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Understanding Symptoms: Could It Be Altitude Sickness or Something Else?
Suspected altitude sickness? Hello, Dr. Tsai. Recently, I went hiking in Gu Guan at an altitude of about 1500 meters without reaching the summit. During the hike, I suddenly experienced severe throbbing pain in my temples, nausea, vomiting, chills, weakness, fatigue, numbness in ...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist to check for any cerebrovascular diseases.[Read More] Understanding Symptoms: Could It Be Altitude Sickness or Something Else?
Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Brain issues Hello, Doctor. Recently, I've been feeling a bit dizzy at times, but it doesn't last long. I don't have much headache, but there's just a strange sensation. I've also been feeling quite fatigued lately, and my concentration and memory seem to...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned feeling "a bit dizzy... for a short duration, not much headache, but just a strange feeling... Is it a precursor to a brain tumor? Or is it simply due to lack of sleep?" The symptoms are more indicative of sleep deprivation or other causes s...[Read More] Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...
Dr. Jiang Junyi Reply:
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained