Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...
Dr. Hong Weibin Reply:
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Inquiry about Transient Ischemic Attack (TIA) Hello, my family member is 52 years old and recently experienced numbness on the right side of the body, leading to a diagnosis of a minor stroke. They previously had a history of smoking and drinking but have since quit. A magnetic r...
Dr. Jiang Junyi Reply:
Hello: 1. Recently, I experienced numbness on the right side of my body and was diagnosed with a minor stroke. I had a history of smoking and drinking but have quit. I have also scheduled an MRI. After the MRI, it was confirmed that there are no blockages in the brain vessels. ...[Read More] Managing Post-Stroke Recovery: Dietary Changes and Work Readiness
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Understanding Dizziness and Imbalance: Possible Neurological Causes
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing frequent headaches and dizziness lately. However, the dizziness is not like the room spinning; it feels more like a sudden moment of disorientation, accompanied by a sensation of my heart skipping a beat. ...
Dr. Jiang Junyi Reply:
Hello: If dizziness is related to head position, it may be necessary to consider benign paroxysmal positional vertigo (BPPV), which is usually caused by inner ear imbalance. However, since you mentioned symptoms of visual and sensory tilt, it may be important to consider issues r...[Read More] Understanding Dizziness and Imbalance: Possible Neurological Causes
Understanding the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Dizziness and Balance Issues: Causes and Solutions
Dizziness and loss of balance while walking? Hello, Doctor. On Tuesday evening, I started to feel something unusual while walking; I found myself leaning to the right and began to feel a bit dizzy. My hearing seems to be normal without any issues. I thought that resting at night ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign paroxysmal positional vertigo (BPPV), which occurs when turning the head, tilting the head back, or getting up from a lying position. The condition is caused by the displacement of otoliths into the posterior semicircular canal. However, th...[Read More] Understanding Dizziness and Balance Issues: Causes and Solutions
Should I Get Further Tests for Possible Neurological Issues?
Should I undergo additional tests to rule out the possibility of any lesions? Thank you? Hello Doctor: I have developed elevated intraocular pressure due to poor posture from frequently looking down while taking naps. I have seen an ophthalmologist, and my eye pressure is now und...
Dr. Jiang Junyi Reply:
Hello: The causes of discomfort in the forehead may initially be attributed to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder pain that may extend to the forehead. In the early st...[Read More] Should I Get Further Tests for Possible Neurological Issues?
Understanding Head Injuries: When to Seek Medical Attention
Head issues Hello Doctor, about three weeks ago, I hit my forehead quite hard. I didn't lose consciousness at the time, but after two days, I experienced some dizziness and nausea that lasted for about one to two weeks. I didn't see a doctor. About five days later, due ...
Dr. Jiang Junyi Reply:
Based on your description: The neurological symptoms you mentioned after taking a hot shower are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to a rapid decrease in blood pressure or vasoconstr...[Read More] Understanding Head Injuries: When to Seek Medical Attention
Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Muscle twitching Hello Doctor: I experienced dizziness and weakness in my limbs at the end of December last year. After visiting a neurology department at the hospital, an EEG showed no abnormalities. However, I continued to feel dizzy into early January, so I switched to another...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches: Are They Linked to ALS or Anxiety?
Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Persistent dizziness with no clear cause ~ I can only relieve the symptoms with sedatives each time? Hello Doctor: My dizziness symptoms occur several times a day, characterized by brief episodes of fatigue, lethargy, weakness, and occasional short bouts of dizziness and nausea. ...
Dr. Jiang Junyi Reply:
Hello: You have many symptoms, and my final recommendation is to focus on examinations at the same medical center to gain a deeper understanding. If you are concerned about a previous stroke, you can rule it out by undergoing a self-paid MRI of the brain. Regarding your tendency ...[Read More] Unexplained Dizziness: Seeking Answers Beyond Medication Relief
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
Understanding Tinnitus: When to Consult a Neurologist for Relief
Tinnitus issues Hello Doctor: Over the past year, I have been hearing a high-pitched ringing or hissing sound in my left ear, especially in quiet environments, which often affects my sleep. I have visited an otolaryngologist three times, and the doctors have stated that there are...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if you are experiencing frequent tinnitus, it may be necessary to consider potential issues with the cochlea in the inner ear and the auditory nerve. This is commonly seen in individuals who work in noisy environments for extended periods, use me...[Read More] Understanding Tinnitus: When to Consult a Neurologist for Relief
Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Dizziness and Low Potassium Levels in Older Adults
Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...
Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults
Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Symptoms after a gravitational impact? Hello, doctor. I would like to inquire about an incident that happened several years ago when I was hit on the top of my head by a corner of a life jacket made of foam after falling from a height. I underwent some examinations at that time, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or the presence of significant local hematomas typically indicates mild symptoms. Additionally, since your symptoms have persisted for over two years, the c...[Read More] Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
When speaking more excitedly, I experience dizziness for about 1-3 seconds? Hello Doctor: I would like to ask, when I speak more excitedly (or when I am more emotionally elevated), I sometimes experience sudden dizziness for about 1-3 seconds, and then it returns to normal. What ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common causes of poor cerebral circulation are as follows: 1. Decreased peripheral vascular tone due to neurogenic reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension caused by cha...[Read More] Why Do I Feel Dizzy for a Few Seconds When Speaking Excitedly?
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective