Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Migraine attack Hello Doctor, I have been struggling with typical migraines. It starts with flickering in my right eye, followed by severe pain on the left side of my head, then dizziness and nausea, and sometimes diarrhea. I have already undergone examinations, and the doctor sa...
Dr. Cai Zongzhang Reply:
In your description, you did not specify what examinations were conducted. If your description suggests that this migraine is related to washing your hair (such as tilting your head to the side), I recommend that you visit an outpatient clinic for a thorough examination and treat...[Read More] Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects 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, patients may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding Sleep Disorders: When Sleepwalking Turns Violent
Sleepwalking and hitting? Hello Doctor: I am inquiring on behalf of my family. My father hears sounds at night that resemble something being swiped by a hand while he is sleeping. A few days later, I heard my mother say that he has been hitting people in his sleep. Could you plea...
Dr. Hong Weibin Reply:
Based on your description, it is highly likely that you are experiencing "REM Sleep Behavior Disorder." Sleep can be divided into light sleep, deep sleep, and rapid eye movement (REM) sleep. During REM sleep, dreaming occurs, and under normal circumstances, the brain in...[Read More] Understanding Sleep Disorders: When Sleepwalking Turns Violent
Should I See a Neurologist for My Mother's Eye and Facial Symptoms?
Should I schedule an appointment with a neurologist? About a month ago, my mother started experiencing excessive tearing in her eyes. Three weeks ago, the symptoms worsened, and she began to feel numbness from the lower part of her right eye to her upper lip. She first visited an...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate inflammation of the tissues around the eyes, leading to compression of the trigeminal nerve. It is recommended to start by consulting the neurology department at the same hospital, where the physician can make a more accurate assess...[Read More] Should I See a Neurologist for My Mother's Eye and Facial Symptoms?
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
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. Initially, resting may alleviate the...[Read More] Understanding Recent Headaches and Dizziness: Neurological Insights
Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Is it narcolepsy? Hello Dr. Jiang: For the past two months, I have been feeling like I have been dreaming a lot almost every night and not getting enough sleep. Sometimes, even though I am fully aware, my limbs feel paralyzed and it takes a moment for them to return to normal. Ad...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a sleep disorder, but narcolepsy is somewhat different from your condition. Diagnosing narcolepsy typically requires a detailed medical history, as narcolepsy is usually not directly related to the sleep quality of the previous night. In a sleep ...[Read More] Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Facial nerve Hello, doctor. Two years ago, I had a cosmetic mole removal procedure done near the inner corner of my eyebrow. About a month later, I noticed a slight drooping of my eyelid, but since it was not very noticeable, I thought I was overreacting and did not see a doctor....
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. Typically, the imp...[Read More] Understanding Facial Nerve Dysfunction After Cosmetic Procedures
Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Nerve damage or muscle damage? Three years after orthognathic surgery, I have been experiencing pain and pressure behind my eyes, eye fatigue, blurred vision, and mental exhaustion, with no improvement over the past three years. Muscle relaxants and pain medications have been ine...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if you have any refractive issues, such as myopia or presbyopia due to aging of the ciliary muscle, which may require more effort to focus when using your eyes. Since the distance from the sinuses to the eyeball is considerable, and the extraocular muscle...[Read More] Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep concerns? Since elementary school, I have experienced nightmares where my body moves as I wake up, usually involving my legs or body. I can remember the last scene of the dream, and when I feel my body move, I immediately wake up with a racing heart. I often find myself rea...
Dr. Jiang Junyi Reply:
Hello, based on your description, if the body movements during the rapid eye movement (REM) sleep are caused by Parkinson's disease, patients typically have difficulty recalling the events upon waking. Your issue may warrant consideration of obstructive sleep apnea: this con...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Pain extending from the right posterior neck to the right orbital region? Hello Dr. Jiang, a few days ago I started experiencing a dull pain in the right posterior neck, which has continued for the past two days, typically starting around noon. The pain is localized in the right ...
Dr. Jiang Junyi Reply:
Hello: 1. What could be the possible causes of the current headache symptoms? A: 1. You mentioned that the symptoms improve after stretching, which may indicate a myofascial issue. 2. Additionally, consider cluster headaches, which are more common in males and typically occur ...[Read More] Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Persistent Dizziness After Cold: What Could Be the Cause?
Dizziness throughout the day? Hello, Doctor Jiang... Three weeks ago, I had a cold with fever, sore throat, cough, and overall body weakness and aches. After two weeks, most of the symptoms improved, leaving only a slight cough. However, since last Wednesday, I have been feeling ...
Dr. Jiang Junyi Reply:
Hello: There are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms appeared after a cold, it is important to first rule out side effects from medications (many decongestants or cold symptom relie...[Read More] Persistent Dizziness After Cold: What Could Be the Cause?
Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Sleep issues Hello Doctor: Recently, almost every week, I experience a strange sensation while sleeping, where I feel completely awake but my body cannot move, and I am unable to speak. Then, I hear a low-frequency buzzing sound in my ears. After a while, I can slowly move again....
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate sleep paralysis, which is a type of sleep disorder. It typically occurs when a person is transitioning into sleep or waking up. Patients often feel as if they have just awakened; they can open their eyes and see their surroundings as well as hear...[Read More] Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation