Understanding Eye Movement Issues: When to See a Neurologist
Experiencing shaking or oscillation of the eyes while looking at objects, along with discomfort in the eyes and head? Recently, I've been experiencing a sensation of things shaking when I look at them, and my head feels uncomfortable. It feels like the movement frequency of ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to be considered in relation to issues involving the ocular muscles, optic nerve, and brain. If the symptoms persist, it is advisable to visit a major hospital's neurology department for further examination and discussion (including visual evoke...[Read More] Understanding Eye Movement Issues: When to See a Neurologist
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
Head Pain When Bending Down: Causes and Solutions
Headache when bending down? I have been experiencing persistent swelling and pain in the left side of my nasopharynx extending to the eye socket for the past couple of days. The symptoms become more pronounced when I bend down or lower my head, and I feel significant pressure thr...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cluster headache. This type of headache is concentrated around one eye or the temporal region, most commonly occurring behind one eye socket, and is accompanied by ipsilateral conjunctival injection, rhinorrhea, tearing, forehead and facial swelli...[Read More] Head Pain When Bending Down: Causes and Solutions
Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
Eyelid twitching and facial muscle spasms? I have been experiencing eyelid twitching in my right eye for about two weeks. After a week of twitching, I visited an ophthalmologist who reassured me that the twitching would eventually resolve and advised me not to worry. A few days l...
Dr. Jiang Junyi Reply:
Hello: The majority of causes of eyelid spasms are unknown, with females being affected approximately three times more than males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity, consumption of caffeine and tobacco, dysfunction ...[Read More] Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Persistent Headaches: Understanding Symptoms and Seeking Solutions
Persistent headache for six months? One night, I experienced severe headaches and pain around my eye sockets. I was only able to sleep after taking a sleeping pill. The next day, the pain subsided, but I developed shoulder pain. This lasted for a day and then went away. Subsequen...
Dr. Jiang Junyi Reply:
Hello: You may need to consider issues related to cervical fascia. Degenerative changes in the cervical spine can lead to neck pain and stiffness, as well as pain that radiates to the shoulders, arms, and hands due to compression of nearby nerve roots, causing discomfort. Medic...[Read More] Persistent Headaches: Understanding Symptoms and Seeking Solutions
Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Hello, I would like to inquire about facial nerve paralysis? Hello, thank you very much for taking the time to respond. About two days ago, I noticed some abnormalities in my face, which I would like to describe: I am experiencing weakness on the right side of my face, such as be...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
The chin tuck exercise caused a migraine accompanied by swelling and pain in the eyes? Hello, doctor. Due to prolonged computer use, I have developed what is commonly referred to as "turtle neck." To help relax my neck, I perform chin tucks, but every time I do, my righ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms still suggest the possibility of muscle tension in the C3-C4 region of the cervical spine. It may be that some muscles are not fully relaxing. I recommend consulting a physical therapist to learn proper relaxation techniques. Also, pay attention to your postu...[Read More] Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Please take a look for me, thank you? I experience eye strain, dizziness, a feeling of pressure in my head, numbness in my head and the back of my skull, tinnitus, rapid heartbeat, numbness and trembling in my hands, chest tightness, stomach pain, loud bowel movements, dry mouth,...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic for further examination.[Read More] Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Understanding Eyebrow Pain: Causes and When to Seek Help
Pain and swelling in the forehead? Hello, Dr. Jiang... About a week ago, shortly after waking up in the morning, I started experiencing swelling and pain above my right eyebrow, specifically in the area above my eye. It is particularly painful when pressed. This has been ongoing ...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness, and sometimes palpable myofascial trigger points can be felt u...[Read More] Understanding Eyebrow Pain: Causes and When to Seek Help
Understanding Morning Numbness: Causes and Solutions for Facial and Hand Tingling
Numbness in the face and hands? I usually don't eat anything in the morning, so I get hungry until noon. However, today during class, after sitting for an hour or two, I started to feel my mouth getting numb and a bit dizzy. Eventually, my mouth, nose, and eyes all felt numb...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation. This condition leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, medically referred to as "respiratory alkalosis." This can trigger systemic reactions and symptoms, with common man...[Read More] Understanding Morning Numbness: Causes and Solutions for Facial and Hand Tingling
Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid issue: Right lower eyelid twitching for two and a half months? Doctor: My right lower eyelid has been twitching for two and a half months. I visited the ophthalmology department at Taipei Medical University Hospital, and they said everything is normal. The doctor mentioned...
Dr. Jiang Junyi Reply:
According to your description, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and there are no involuntary movements in othe...[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Understanding Lip Twitching: When to See a Neurologist
Lip twitching Hello Doctor, I have recently noticed that my upper lip has been twitching frequently. It's not a shake, but rather a spasm similar to an eyelid twitch. When I look in the mirror or when friends observe me closely, they can see that my upper lip is continuously...
Dr. Jiang Junyi Reply:
Hello: If you are experiencing abnormal sensations, it may be necessary to consider issues with structures near the brainstem. Generally, benign muscle twitching can be triggered by various factors in daily life, such as exercise, acute viral infections, anxiety, and medication u...[Read More] Understanding Lip Twitching: When to See a Neurologist
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Managing Headaches and Dizziness: Insights from Neurology
Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Car Accidents and Stroke: Understanding Risks and Treatment Options
Car accidents and strokes? The mother was involved in a car accident where she sustained a head impact, but there were no external injuries. She was taken to a nearby hospital's emergency department, where a head X-ray was not performed. At the time of the accident, her bloo...
Dr. Hong Weibin Reply:
Hello: It is unclear whether it is a hemorrhagic stroke or an ischemic stroke. A car accident is unlikely to directly cause a stroke, but it could potentially lead to a brain hemorrhage, which may subsequently cause vascular spasms and result in an ischemic stroke. I recommend di...[Read More] Car Accidents and Stroke: Understanding Risks and Treatment Options
Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness and lightheadedness? Hello Doctor, I have been suffering from dizziness and headaches lately, primarily in the lower back area of my head, centered in the middle of the brain and below the ears. This is accompanied by difficulty focusing my eyes on a single point, follo...
Dr. Jiang Junyi Reply:
Hello: It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) first. 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 turning...[Read More] Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness When Lying Flat at Night: Possible Causes and Solutions
Experiencing dizziness (vertigo) while lying flat at night? In recent days, when lying flat at night, I feel as if there is an earthquake, and my vision seems to be spinning. However, after lying down for a while or closing my eyes, the sensation goes away (I don't experienc...
Dr. Hong Weibin Reply:
Hello: Your condition may be related to an inner ear issue causing dizziness. In addition to benign paroxysmal positional vertigo (BPPV), there are other potential causes of inner ear problems. It is advisable to seek assistance from an otolaryngologist.[Read More] Dizziness When Lying Flat at Night: Possible Causes and Solutions
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Temple Pain: Causes, Symptoms, and Concerns
Temporalis pain Hello, doctor. I have been experiencing headaches for the past year, and I also have symptoms of anxiety. Occasionally, I get headaches in the afternoon, with pain on both sides of my temples, forehead, eye sockets, and the back of my neck. Could this be a serious...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome, as the decrease in carbon dioxide levels in the blood leads to an increase in pH, causing systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium levels in the blood. The red...[Read More] Understanding Temple Pain: Causes, Symptoms, and Concerns