Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Understanding the Dietary Effects of Medication for Dizziness Management
The effects of drug consumption? Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me. However, I have many questions regarding the dietary implications of this medication. Please clarify the following: 1. Thi...
Dr. Peng Shiwei Reply:
Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects. The physician advised ...[Read More] Understanding the Dietary Effects of Medication for Dizziness Management
Head Injury and Dizziness: When to Seek Medical Attention
Dizziness after hitting the head? Hello doctor, I accidentally bumped into a scaffold at the construction site yesterday while wearing a hard hat. I felt that the impact wasn't significant, but I felt a bit dizzy and had some nausea (though I didn't vomit) that day. I s...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that if your symptoms have persisted for more than 24 hours, you should visit a hospital to check for a concussion or any potential brain injury. Thank you for your question.[Read More] Head Injury and Dizziness: When to Seek Medical Attention
Understanding Dizziness: Insights from Neurology for Better Health
Dizziness issues? The link above refers to a question asked in February of this year. People tend to be carefree until something happens, and then they start to feel anxious. So, after a gap of nine months, I really made an appointment for your clinic on November 8th in the morni...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, we will discuss this further in the clinic on November 8th. Thank you for your questions.[Read More] Understanding Dizziness: Insights from Neurology for Better Health
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?
Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Dizziness or occasional pain in the limbs? Hello, doctor. I have ulcerative colitis (diagnosed last May) which is currently well-controlled, and my mucosa has healed. Additionally, I have a cervical disc herniation at C3-C4-C5-C6 (as shown in an MRI). Occasionally, I experience p...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned can have multiple possible causes. It is recommended to visit a neurologist for an examination to determine the underlying cause, which will help establish a clear treatment direction.[Read More] Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...
Dr. Peng Shiwei Reply:
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Sudden loss of consciousness leading to a fall, with the head striking the floor, followed by persistent fever? Hello Doctor, last night I stood up from a chair and suddenly felt dizzy, then lost consciousness and fell to the ground, hitting my head on the floor. When I regained ...
Dr. Wu Mukhan Reply:
Hello, sudden dizziness accompanied by altered consciousness can be dangerous, as it may be caused by conditions such as cerebrovascular disease, epilepsy, encephalitis, or central nervous system infections, all of which require thorough examination. If symptoms persist, it is ad...[Read More] Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Dizziness and Imbalance: Neurological Insights
Dizziness and imbalance? In the past two months, I have been experiencing dizziness and a feeling of imbalance upon waking up. My body feels unsteady, and the next day I have a sensation of ear fullness and decreased hearing. After a few days, my hearing improves, but the dizzine...
Dr. Cai Zongzhang Reply:
Hello, there are various causes of dizziness. If the examination by an otolaryngologist shows no abnormalities, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Imbalance: Neurological Insights
Understanding Auditory Evoked Responses in Neurological Disorders
Auditory Evoked Potentials Inquiry Hello, doctor. I would like to share my condition over the past few years. Four years ago, during my re-examination, I experienced dizziness for the first time. When I consulted a doctor, he mentioned that I had inner ear imbalance, which took t...
Dr. Jiang Junyi Reply:
Dear Mr. Da Qian, You mentioned that "the values of the brainstem are slightly poor... and you have gained 20 kilograms." Do you have metabolic syndrome? If the 20-kilogram increase is muscle mass, it could be healthy. The autonomic nervous system is closely related to...[Read More] Understanding Auditory Evoked Responses in Neurological Disorders
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...
Dr. Peng Shiwei Reply:
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Naegleria fowleri meningoencephalitis Hello doctor, today on August 18th, I saw online that Naegleria fowleri might be present in soil. I live in a rural area, and today, while riding my bike past a field, I saw a truck carrying a farming machine with soil on its wheels. At that ...
Dr. Peng Shiwei Reply:
Hello, if you are experiencing headaches, dizziness, difficulty in consciousness, persistent fever, vomiting, or any other symptoms, please seek medical attention at a hospital. Thank you.[Read More] Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding Occasional Numbness and Dizziness: When to Seek Help
Occasional sensation of tingling in the head? Hello, doctor. Last year, I experienced a severe episode of dizziness where everything felt like it was spinning, along with loss of muscle control in my limbs, vomiting, and incontinence. After vomiting, I rested for about 1 to 2 hou...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like an issue related to inner ear imbalance. If you experience this condition again, it is recommended that you consult an otolaryngologist.[Read More] Understanding Occasional Numbness and Dizziness: When to Seek Help