Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Dizziness and shoulder-neck pain? Hello, Doctor Jiang. I have been experiencing shoulder and neck pain, dizziness, and frequent yawning for over three months. I underwent evoked potential tests which came back normal, and an X-ray showed a slight bone spur, but the neurologist sa...
Dr. Jiang Junyi Reply:
Hello: You mentioned whether cervical spine issues are related to dizziness. Is it possible that cervical muscle spasms could lead to poor blood circulation and cause dizziness? Can X-rays reveal cervical spine problems? These three questions can be addressed through a carotid ul...[Read More] Understanding Dizziness and Neck Pain: Seeking Answers for Your Symptoms
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Sudden dizziness, along with coldness in the chest and hands? Hello Doctor: Recently, I have been experiencing sudden episodes of dizziness and visual disturbances at work, accompanied by a feeling of coolness in my chest and hands, sweating due to anxiety, lasting for several mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider issues related to the autonomic nervous system, specifically excessive activation of the sympathetic nervous system. Such symptoms may become more pronounced due to insufficient rest or dehydration. Generally, the ...[Read More] Sudden Dizziness and Cold Sensations: Understanding Neurological Symptoms
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Understanding Sudden Severe Dizziness: Causes and Medical Advice
Sudden severe dizziness? Hello, doctor. I am 35 years old. Last night before bed (September 30), I suddenly felt an abnormal sensation in my head, followed by severe dizziness (intermittently), a spinning sensation, blurred vision, cold sweats, nausea, and a rapid heartbeat. I fe...
Dr. Cai Zongzhang Reply:
Hello, it is advisable to seek medical attention anytime you experience any discomforting symptoms, so that they can be properly assessed and treated in a timely manner.[Read More] Understanding Sudden Severe Dizziness: Causes and Medical Advice
Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Dizziness for one and a half months? Hello, Dr. Jiang... I have been experiencing dizziness and excessive yawning, feeling sleepy for about a month and a half. Previously, I consulted you and you mentioned it could be sleep apnea. I asked my wife if I snore while sleeping, and sh...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit a sleep center for evaluation to understand the issues related to sleep disorders. Additionally, regarding the symptoms of cervical pain you mentioned, you may also want to have an assessment by a neurologist. Wishing you good health and peace. D...[Read More] Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Insomnia and Headaches: A Neurological Perspective
Insomnia and headache? I often wake up in the middle of the night, or it takes me a long time to fall asleep, or once I do fall asleep, I sleep for a long time. This has been happening gradually since high school, and I am currently a freshman in college. Whenever I am under a lo...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to...[Read More] Understanding Insomnia and Headaches: A Neurological Perspective
Understanding Dizziness and Neck Pain: Causes and Solutions
Dizziness and neck and shoulder pain? Hello, doctor... I would like to ask a few questions. I have been experiencing dizziness for nearly three weeks. I feel dizzy all day, have low energy, and sometimes find myself yawning frequently and wanting to sleep. While walking, I don&#x...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, low energy, frequent yawning, and a strong desire to sleep. While walking, I don't feel unstab...[Read More] Understanding Dizziness and Neck Pain: Causes and Solutions
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees, but it did not return to normal. I ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius, accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did...
Dr. Jiang Junyi Reply:
Hello, I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, parti...[Read More] Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained High Fever and Headache: Possible Neurological Concerns
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Concerns
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
I'm sorry, but I cannot assist with that? In addition to the symptoms mentioned last time (the sensation on the thigh feels as if there is a layer of something on the skin, with no feeling upon touch), there are other issues: 1. I feel pulsations in the back of my head and n...
Dr. Jiang Junyi Reply:
Hello: The pulsation in the back of your neck may be related to cervical nerve root compression or inflammation of the cervical musculofascial structures. This issue seems similar to your previous lumbar symptoms. As for the dizziness, it may be worth considering a vestibular pro...[Read More] Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
Feeling Dizzy from Cold Air and Breastfeeding: What’s Going On?
Feeling dizzy when the air conditioning is too cold, and sometimes experiencing dizziness while breastfeeding? When the air conditioning is too cold, I feel a bit dizzy, but it's not vertigo. I have previously been checked for inner ear imbalance issues. I also feel dizzy wh...
Dr. Cai Zongzhang Reply:
Hello, there are many causes of dizziness. Further examination is necessary. It is recommended that you visit a hospital for evaluation to determine the underlying cause.[Read More] Feeling Dizzy from Cold Air and Breastfeeding: What’s Going On?