Understanding Pain in the Back of the Head During Excitement: When to Seek Help
During excitement and agitation, there is a stabbing pain in the posterior part of the left hemisphere of the brain? Hello Doctor, two weeks ago during sexual intercourse with my girlfriend, I experienced a sharp pain in the back of my left head that lasted for about 10 minutes. ...
Dr. Jiang Junyi Reply:
Hello: "Headaches associated with sexual activity" may need to rule out some structural lesions such as subarachnoid hemorrhage due to ruptured cerebral aneurysm, arterial dissection, cerebral vasospasm, or brain tumors. If the examination results are normal, one may co...[Read More] Understanding Pain in the Back of the Head During Excitement: When to Seek Help
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Persistent Dizziness and Fever: Understanding Neurological Issues
Dizziness and recurrent fever? Hello, doctor! I have been experiencing dizziness and recurrent fever since June 25. I underwent a treatment from June 26 to June 29, but the issue has not improved since then (the doctor diagnosed it as vestibular neuritis caused by a cold, leading...
Dr. Jiang Junyi Reply:
Hello, based on your description, the dizziness you are experiencing seems to be related to benign paroxysmal positional vertigo (BPPV), which is often triggered by changes in posture. You can consult an otolaryngologist for a canalith repositioning procedure or consider medicati...[Read More] Persistent Dizziness and Fever: Understanding Neurological Issues
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Concerns About Propranolol: Side Effects and When to Stop Medication
I would like to ask a question about antiarrhythmic medications? A few days ago, I went for an examination due to slight hand tremors and was prescribed 245 mg of propranolol to take twice daily. The next morning, after taking the medication, I experienced several side effects, i...
Dr. Jiang Junyi Reply:
Hello, based on your description, the action of Propranolol is to reduce sympathetic nervous system activity. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympat...[Read More] Concerns About Propranolol: Side Effects and When to Stop Medication
Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Recent Headaches and Dizziness: Neurological Insights
Understanding Dizziness: When to Seek Neurological Help
Regarding the issue of dizziness? Hello doctor, I have been experiencing mild dizziness for the past week, sometimes accompanied by a feeling of unsteadiness. It suddenly feels like I'm spinning. My menstrual period started three days ago, and I initially thought it might be...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occur after menstruation, it is essential to rule out anemia or fluid deficiency that could lead to insufficient ...[Read More] Understanding Dizziness: When to Seek Neurological Help
Understanding Pituitary Tumors: Impact on Health and Treatment Options
Pituitary tumor The father is 77 years old and has heart disease (arrhythmia, mitral valve insufficiency). According to the cardiologist, his heart function is only at 20%. His kidney function is poor but has not yet reached the stage of requiring dialysis. Currently, he can walk...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you mentioned that the issue with the pituitary tumor was noted three years ago. If you are concerned about the tumor enlarging, a visual field test can be arranged. If the visual field test shows an increase in defects, an MRI can be scheduled f...[Read More] Understanding Pituitary Tumors: Impact on Health and Treatment Options
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Feeling dizzy while walking? I have had tinnitus for many years, and recently I've been experiencing mild dizziness when walking. It’s not a spinning sensation, and I don’t feel nauseous. Sleeping is the most comfortable position, and I don’t feel dizzy while sleeping. I hav...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to disturbances or dysfunction of the inner ear balance system, which commonly occurs in individuals while traveling. Dizziness can trigger sympathetic nervous system responses such as gastrointestinal discomfort, nausea, vomiting, vertigo, pal...[Read More] Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Persistent Dizziness After Cold: What Could Be the Cause?
Dizziness throughout the day? Hello, Doctor Jiang... Three weeks ago, I had a cold with fever, sore throat, cough, and overall body weakness and aches. After two weeks, most of the symptoms improved, leaving only a slight cough. However, since last Wednesday, I have been feeling ...
Dr. Jiang Junyi Reply:
Hello: There are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms appeared after a cold, it is important to first rule out side effects from medications (many decongestants or cold symptom relie...[Read More] Persistent Dizziness After Cold: What Could Be the Cause?
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Should You See a Doctor After a Head Injury from a Fall?
Head struck the ground? Today at 2 PM, while playing with my child at home, I was sliding around in a wheeled chair. I hit a threshold in the kitchen because I couldn't stabilize my speed, and I fell backward, hitting the ground. At that moment, I experienced dizziness and d...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, and no use of anticoagulants or obvious local hematomas, head trauma is mostly mild. However, it is important to monitor for neurological symptoms within a week. If any of the following co...[Read More] Should You See a Doctor After a Head Injury from a Fall?
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management