Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
The muscles of the upper jaw are twitching continuously? Hello! My upper jaw near the throat has been twitching continuously, and I can hear the muscle twitching with a clicking sound in my ears. When I open my mouth, I can see the muscle twitching, and when I look down, my eyes ...
Dr. Cai Zongzhang Reply:
Hello, if you do not see significant improvement through neurology, it is recommended that you seek assistance from an otolaryngologist.[Read More] Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Involuntary Eye Blinking: Causes and Solutions
Involuntary twitching Hello, Doctor. Yesterday, while I was using my phone, my aunt noticed that my left eye was blinking involuntarily. She mentioned that this could lead to some health issues if it continues. I would like to ask the doctor why this is happening and how I can im...
Dr. Hong Weibin Reply:
Hello: The most common causes of uncontrollable eyelid twitching may include irritation from foreign objects, fatigue, lack of sleep, side effects of medications, smoking, alcohol, caffeine, and stress, among other factors. It is recommended to get plenty of rest and maintain ade...[Read More] Understanding Involuntary Eye Blinking: Causes and Solutions
Head Trauma and Sleep Issues: When to Seek Medical Attention
I would like to inquire about being hit hard on the back of the head and sleep issues? Hello Doctor, here’s the situation: I just had a conflict with my mother at home, and she hit the back of my head twice with her hand. I personally think it was quite hard. After being hit, I f...
Dr. Cai Zongzhang Reply:
Hello, both of the aforementioned symptoms require further examination. It is recommended that you visit a neurologist for evaluation.[Read More] Head Trauma and Sleep Issues: When to Seek Medical Attention
Understanding Dizziness and Eye Twitching: Neurological Insights
Dizziness, frequent eyelid twitching, and inability to focus the eyes? Hello Doctor: Over the past month, I have been experiencing intermittent dizziness, and at times, I mistakenly think there is an earthquake. Additionally, my left lower eyelid has been twitching intermittently...
Dr. Jiang Junyi Reply:
Hello, based on your description of muscle twitching and pain under the eyelid, it may be necessary to consider the possibility of nerve instability. Eyelid movement is controlled by the facial nerve, and if the eyelid is continuously twitching, the physician will first carefully...[Read More] Understanding Dizziness and Eye Twitching: Neurological Insights
Understanding Anxiety and Allergic Reactions to Insect Bites
Mosquito bites, medical consultation, neurological issues? Hello Doctor, I apologize for asking so many questions. I have been experiencing long-term anxiety and am currently undergoing treatment. Due to numerous unfortunate events and injuries in my life, along with my genetic p...
Dr. Jiang Junyi Reply:
Hello: I wonder if you have any wounds on your body when you come into contact with certain substances? Our skin serves as a barrier against external materials. Therefore, after coming into contact with potentially contaminated substances, remember to follow proper handwashing pr...[Read More] Understanding Anxiety and Allergic Reactions to Insect Bites
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Understanding Neck and Shoulder Pain: Causes and Solutions
Headache and neck and shoulder pain? Hello, doctor... I often have trouble sleeping and experience a lot of stress, which causes me to toss and turn at night and adopt poor sleeping positions. This has led to frequent shoulder and neck pain. A week ago, I woke up with severe sore...
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. Sometimes, headaches may extend to t...[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Can Migraines Cause Eye Pain and Blinking Issues?
Migraine headache Hello, doctor. I've been experiencing frequent migraines lately, which are causing my eyes to twitch and feel sore. I would like to ask if migraines alone can affect the eyes. Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the aura appears, y...[Read More] Can Migraines Cause Eye Pain and Blinking Issues?
Understanding Eye Issues: When to Worry About Muscle Weakness
Eye problems Hello Doctor, On May 3, 2019, I visited a neurologist due to arm pain. The doctor mentioned that it was caused by work-related issues and long-term poor posture. However, the doctor advised me to pay attention to my eyes, as I have a noticeable difference in size (...
Dr. Hong Weibin Reply:
Hello: If the drooping eyelids have been a pre-existing symptom, and the drooping is not episodic (for example, more pronounced when fatigued or in the late afternoon, and improves after a brief rest with closed eyes), and there are no symptoms such as double vision, difficulty s...[Read More] Understanding Eye Issues: When to Worry About Muscle Weakness
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Understanding Dizziness: Tension in Head and Neck Muscles Explained
Dizziness with tightness in the muscles around the head and behind the ears? I have been experiencing sudden episodes of dizziness that last for a few seconds over the past few days, whether I am sitting or walking. It feels like my head goes numb, my mind goes blank, and I feel ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of tightness in the back of the neck is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder pain. Initially, restin...[Read More] Understanding Dizziness: Tension in Head and Neck Muscles Explained
Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Follow-up on sequelae after fever? Hello, doctor. Thank you for addressing the issue of tinnitus after fever in your previous response to #144833! In addition to the tinnitus question, I would like to ask: 1. Could the fever have exceeded 41 degrees Celsius, and with the thick bl...
Dr. Jiang Junyi Reply:
Hello: 1. Is it possible that the situation involved a fever exceeding 41 degrees Celsius, and under the condition of being covered with thick blankets, the high temperature caused brain damage, which led to the onset of tinnitus? A: Hearing should be assessed for any damage. 2. ...[Read More] Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Understanding Post-Fever Complications: Insights from Neurology
Post-fever sequelae Hello, doctor. After I had an eye stone removed from my upper eyelid, I may not have had clean hands and rubbed my eyes. The next morning, I started to have a fever. At that time, I was home alone and couldn't find a thermometer. I felt very tired and wan...
Dr. Jiang Junyi Reply:
Hello: According to your description, there are many causes of tinnitus, including external auditory canal inflammation, foreign body obstruction, and earwax buildup, all of which can lead to tinnitus. Even tooth extraction and temporomandibular joint inflammation can trigger tin...[Read More] Understanding Post-Fever Complications: Insights from Neurology
Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Autonomic Nervous System Dysregulation Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the le...
Dr. Jiang Junyi Reply:
Hello: In addition to considering diseases of the immune system, your symptoms may also suggest trigeminal neuralgia, particularly given your neuropathic pain symptoms that may involve the mandibular branch. According to the International Classification of Headache Disorders, Thi...[Read More] Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Understanding Scalp Sensations and Discomfort During Naps in Young Adults
During napping, I often experience scalp irritation, and sometimes I feel discomfort between my eyebrows? Hello, doctor. I am a 22-year-old university student currently taking mirtazapine 30mg for anxiety, and I am in my second month of treatment. Although I have experienced simi...
Dr. Jiang Junyi Reply:
Hello: The medication you mentioned, mirtazapine 30mg, is classified as an antidepressant that enhances the neurotransmission of norepinephrine and serotonin in the central nervous system. Such medications typically require 2-4 weeks to achieve stable therapeutic effects. Common ...[Read More] Understanding Scalp Sensations and Discomfort During Naps in Young Adults
Understanding Eyelid Movement Linked to Chewing: A Neurological Insight
Occlusion, eyelid movement? I experience involuntary movement of my left eyelid whenever I engage in chewing or biting behavior, while my right eyelid remains unaffected. I am not aware of this occurrence myself; it was brought to my attention by others. A few years ago, I search...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the abnormal movement of your eyelids may be related to the symptoms of blepharospasm. The opening and closing of the eyes are controlled by the coordinated contractions of the orbicularis oculi muscle (innervated by the facial nerve) and the levator pal...[Read More] Understanding Eyelid Movement Linked to Chewing: A Neurological Insight