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
Understanding Dizziness and Disorientation: When to Seek Medical Help
Dizziness and disorientation? Hello Doctor: About two weeks ago, I had inflammation of the right tonsil, which also caused pain in my right ear. I visited an ENT specialist, and the doctor prescribed medication for three days. After completing the medication, the pain in my tonsi...
Dr. Jiang Junyi Reply:
Hello, I hope you are doing well. I'm not sure about your sleep situation, but insomnia can lead to autonomic nervous system dysfunction, which may present similar symptoms. I recommend consulting with a neurologist or a sleep medicine specialist for evaluation and treatment...[Read More] Understanding Dizziness and Disorientation: When to Seek Medical Help
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Benign fasciculation syndrome (BFS) is a neurological condition characterized by the presence of involuntary muscle twitches, known as fasciculations, without any associated muscle weakness or atrophy. These twitches can occur in various muscle groups and are often benign, meanin...
Dr. Lan Shengxing Reply:
The term "benign" indicates that the condition is unlikely to involve any serious or difficult-to-treat diseases, and there is no need for excessive worry. Clonazepam has few side effects, with daytime drowsiness being the most commonly reported complaint.[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Excessive sleepiness and mental fatigue? Hello Doctor... The patient's condition is as follows: They do not experience insomnia at night, fall asleep normally, sleep for 8 hours, but still wake up feeling very fatigued, with slight headaches and persistent brain fog througho...
Dr. Gao Chunde Reply:
It would be advisable to have a neurologist reassess whether the issue is related to intracranial pressure. If none of the neurologists can provide a reasonable explanation, chronic fatigue syndrome could be considered, which seems to be an area of expertise for family medicine p...[Read More] Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Understanding Hemorrhagic Stroke Symptoms and Recovery in Elderly Patients
Hemorrhagic Stroke Issues Hello doctor, I would like to ask about the symptoms of a stroke. My grandfather suddenly felt dizzy and experienced weakness in his left hand and left leg while in the bathroom over two weeks ago. His speech became increasingly slurred, and he was taken...
Dr. Hong Weibin Reply:
Hello: Based on your description, Grandpa has suffered a hemorrhagic stroke in the right hemisphere of the brain, complicated by an infection and fever, and the volume of bleeding from the stroke may not be insignificant. After leaving the intensive care unit, Grandpa's cons...[Read More] Understanding Hemorrhagic Stroke Symptoms and Recovery in Elderly Patients
Understanding Dizziness After Head Trauma: When to Seek Medical Help
Dizziness in the back of the head? Hello, I am currently a student. During tutoring today, a classmate with a rather excitable personality hit me on the back of the head several times. Since he tends to be very animated, I didn't stop him at the moment, but afterward, I noti...
Dr. Gao Chunde Reply:
If symptoms worsen, such as experiencing headaches, vomiting, or drowsiness, along with signs of neurological symptoms like lethargy or unsteady gait, it is important to seek medical attention promptly. If symptoms gradually subside, then there is no cause for concern.[Read More] Understanding Dizziness After Head Trauma: When to Seek Medical Help
Understanding Medication Side Effects: Insights from a Neurology Perspective
Last question? Hello, Dr. Gao. (I apologize for pressing send before finishing my message yesterday.) I would like to ask about the medications I recently changed. These are the medications I received at the clinic: I take a 0.5 mg capsule of Mecobalamin (Nerve Growth Factor) in ...
Dr. Gao Chunde Reply:
Side effects of medications are inevitable, but it is important to weigh the benefits against the side effects to determine if the medication is worth taking. If a medication causes a tingling sensation in the head, one should consider the purpose of taking it. If it does not ser...[Read More] Understanding Medication Side Effects: Insights from a Neurology Perspective
Understanding Dizziness and Nausea After a Basketball Injury
Getting hit in the jaw by a basketball can cause dizziness? Yesterday, I was hit in the jaw by a basketball and experienced symptoms of dizziness. By bedtime, I suddenly felt a bit nauseous, but I didn't think much of it and went to rest. Today, I no longer feel dizzy, but I...
Dr. Gao Chunde Reply:
If the symptoms become more pronounced, it is important to see a doctor. Headache, drowsiness, and vomiting are all signs of increased intracranial pressure.[Read More] Understanding Dizziness and Nausea After a Basketball Injury
Understanding the Risks of a Hard Hit to the Back of the Head
Hit the back of the head? Yesterday, I fell backward and hit the back of my head hard against the floor. At the moment, I only felt pain and did not experience any dizziness. Today, I occasionally feel a very slight pain and have some stiffness in my neck. What could be the issue...
Dr. Gao Chunde Reply:
If there was no brief loss of consciousness at the time of the impact, but you are experiencing headaches, nausea, or drowsiness, there is a concern about potential internal bleeding, swelling, or increased intracranial pressure. If the pain is mild and your mental state is stabl...[Read More] Understanding the Risks of a Hard Hit to the Back of the Head
Should You See a Doctor After a Head Injury Near the Temple?
Head trauma The left side of the head near the temple was struck hard. Currently, the person is conscious and did not lose consciousness at the time of the impact. There is a slight headache, and there is pain when pressing on the area. Should they see a doctor immediately, or ca...
Dr. Gao Chunde Reply:
If there is a depression in the bone or a noticeable hematoma, along with symptoms of neurological dysfunction such as double vision, drowsiness, or unsteady gait, it is advised to seek medical attention promptly.[Read More] Should You See a Doctor After a Head Injury Near the Temple?
Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Brain fog and irritability? Hello, Doctor: I usually go to bed around 11 PM and tend to feel anxious. However, I experience daily symptoms of dizziness, nasal congestion, frequent yawning and tearing, irritability, fatigue, and cold extremities, often feeling excessively sleepy. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-re...[Read More] Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Dizziness due to Qi deficiency? Hello, doctor. I used to love sleeping in and often slept for more than 9 hours. In recent years, I have frequently experienced dizziness, sensitivity to heat and cold, and feelings of oxygen deprivation during exercise. Could my previous poor slee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of sleep-related brain hypoxia is sleep apnea. If you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounti...[Read More] Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Are My Symptoms Side Effects? Understanding Neurological Drug Reactions
Symptoms resembling side effects? Hello, doctor. I noticed in the previous text that it mentioned "taking antiepileptic medication, patient side effects, drowsiness, lethargy, poor appetite, and chest tightness." Personally, I lack N3 and N4 sleep stages, and even after...
Dr. Gao Chunde Reply:
N3 and N4 stages correspond to Slow Wave Sleep (SWS). Gabapentin can increase GABA levels in the brain, and another structurally similar neurotransmitter, GHBA, can also enhance SWS. Therefore, physicians may repurpose gabapentin, originally used for treating epilepsy, to address...[Read More] Are My Symptoms Side Effects? Understanding Neurological Drug Reactions
Managing Antiepileptic Drug Side Effects After Surgery
Issues with Antiepileptic Medications Hello Dr. Yang, my mother-in-law underwent a chronic subdural hematoma drainage surgery in December last year. After the surgery, she successfully regained consciousness. She has been taking antiepileptic medication since then, but she has be...
Dr. Yang Shenggong Reply:
Hello Mr. A-Chung, chronic subdural hematoma is one of the many causes of epilepsy, but it does not necessarily occur in every case. If a neurosurgeon prescribes antiepileptic medications, it is primarily to prevent the occurrence of seizures, as seizures can adversely affect the...[Read More] Managing Antiepileptic Drug Side Effects After Surgery
Head Injury Symptoms: Do You Need to See a Doctor for a Concussion?
Did I get a concussion from hitting my head? Last time, I had an accident and hit my head, causing a bump. After the impact on Saturday, November 28, I started experiencing dizziness and headaches, but they come and go. Sometimes I have them, and sometimes I don't. Occasiona...
Dr. Gao Chunde Reply:
It is important to monitor whether the dizziness, headache, and nausea are gradually decreasing or alleviating; it is not sufficient to simply observe the disappearance of any swelling or lumps. If symptoms continue to increase, or if there is a response of drowsiness and letharg...[Read More] Head Injury Symptoms: Do You Need to See a Doctor for a Concussion?
Understanding Dizziness and Neck Pain: When to See a Neurologist
Dizziness and neck and shoulder pain? Frequent dizziness (floating, swaying sensation), feeling sleepy, particularly dizzy when lying on the right side, experiencing dizziness and nausea upon standing up, blurred vision when focusing on objects, and shoulder and neck pain. These ...
Dr. Gao Chunde Reply:
If you experience dizziness and drowsiness, and lying on your right side worsens the dizziness while lying down makes you feel nauseous, this is more indicative of Benign Paroxysmal Positional Vertigo (BPPV), and you should consult an otolaryngologist or a neurologist. However, i...[Read More] Understanding Dizziness and Neck Pain: When to See a Neurologist
Is Your Dizziness a Sign of Concussion After a Head Injury?
Dizziness or concussion? Hello Doctor: Three days ago in the afternoon, I hit my head at work. At that time, I only experienced a headache for a while, and there were no other symptoms. However, during the night, I suddenly experienced severe dizziness and vomiting, and I was una...
Dr. Gao Chunde Reply:
If the dizziness and vomiting are episodic and related to changes in head position, it is likely due to vestibular imbalance in the inner ear rather than a concussion. Of course, inner ear dizziness can also be associated with head trauma, as external forces can cause dislocation...[Read More] Is Your Dizziness a Sign of Concussion After a Head Injury?
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding Unexplained Dizziness: Causes and Solutions
Dizziness of unknown origin? I have been experiencing dizziness for about 4.5 days. Initially, it was severe enough to cause vomiting. Two days ago, I visited an otolaryngologist, which provided some relief. However, I still feel dizzy when walking or turning my head, and I often...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms are more consistent with positional vertigo, occurring when turning the head, tilting the head back, or rising from a lying position. This is likely caused by otoliths dislodging into the posterior semicircular canal. As for the drowsiness,...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Understanding Dizziness vs. Fatigue: A Neurology Perspective
Dizziness or fatigue? Hello, doctor... I would like to inquire about my personal experience with poor sleep quality due to respiratory pauses, which leads to fatigue, excessive daytime sleepiness, and a lack of energy. Sometimes I also feel slightly dizzy and experience visual di...
Dr. Gao Chunde Reply:
Sleep apnea can significantly affect sleep quality, leading to symptoms such as daytime drowsiness, difficulty concentrating, and even memory impairment, as you described. The fundamental solution is not medication, but rather addressing the underlying issue of sleep apnea. Depen...[Read More] Understanding Dizziness vs. Fatigue: A Neurology Perspective