Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Pain in the right occipital region? Hello Doctor: I would like to briefly describe my situation. About three months ago, I experienced severe pain while swallowing due to a purulent infection in my right tonsil. At that time, I also felt tightness and pain in the occipital region...
Dr. Jiang Junyi Reply:
Hello: The most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles at the back of the neck, resulting in pain in the occipital region. This condition may become more rigid, tense, and painful, esp...[Read More] Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Trigeminal nerve symptoms Doctor, two months ago I experienced a dull pain in the area of the second-to-last tooth on the upper left side. I also felt numbness and a throbbing sensation from the lower left corner of my left eye to my left temple. However, the pain was not severe....
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems more like trigeminal neuralgia affecting the second branch of the trigeminal nerve. There are many causes of trigeminal neuralgia, with approximately 80% attributed to compression of the trigeminal nerve by vascular structures as it exit...[Read More] Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Facial Tingling: Causes and When to Seek Help
Tingling sensation on one side of the face? Hello, Doctor. Recently, I've experienced a slight tingling sensation on the left side of my face. Initially, I thought it was an allergic reaction to skincare products, but now all the sensations on the left side of my face have b...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider trigeminal nerve inflammation, with the area of sensory abnormality appearing at the location of the ophthalmic branch. The occurrence of trigeminal neuralgia is associated with demyelination of nerve fibers, but t...[Read More] Understanding Facial Tingling: Causes and When to Seek Help
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 Occipital Pain: Could Throat Issues Be the Cause?
Pain in the right occipital region of the brain? Hello Doctor: A few weeks ago, I had a sore under my tongue and a painful throat, which made it extremely difficult to eat and drink because swallowing was very painful. However, I had to force myself to eat, and during that time, ...
Dr. Jiang Junyi Reply:
Hello: The most common cause of left-sided neck pain is cervical myofascial pain. If a vertebral artery dissection occurs, it can cause severe pain near the posterior neck close to the occipital region due to the vascular dissection. Sometimes, the pain may radiate to the neck, j...[Read More] Understanding Occipital Pain: Could Throat Issues Be the Cause?
Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Dizziness, nausea, and generalized weakness? Hello, Doctor. On July 24th (Thursday), I hit the top of my head very hard. At that moment, I felt pain and a sensation of nasal congestion, but it improved shortly after. However, on July 27th (Sunday), after waking up from a nap, I f...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head trauma symptoms are mostly mild. The frequent occurrence of dizziness may have the following possible causes: 1. Reduced per...[Read More] Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Understanding Headaches and Dizziness: When to Seek Medical Attention
Headache so severe that it prevents sleep? Hello, doctor. Sometimes when I stand up quickly, I feel dizzy, and a few times I even see spots in front of my eyes. I thought it was due to anemia, so I didn't pay much attention to it. However, last night when I lay down, I exper...
Dr. Jiang Junyi Reply:
Hello, based on your description, you are experiencing both postural dizziness and tension-type headaches. Numerous factors can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. It is essential to rule out anemia or dehydration, which can lead to in...[Read More] Understanding Headaches and Dizziness: When to Seek Medical Attention
Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Trigeminal neuralgia or migraine? Hello doctor, I started having a cold at the end of June, which developed into sinusitis, but by the end of July, I had mostly recovered. However, I have been experiencing several issues since then. Every morning, I feel a sense of fullness in my...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. Trigeminal neuralgia often occurs in the areas innervated by its lower two branches, with a lower incidence in the region of the first branch. Additionally, trigemina...[Read More] Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal Neuralgia I've been having trouble sleeping at night lately, and taking a lot of painkillers hasn't helped. The pain is mainly located above my left ear, in the upper left teeth, and I feel a tingling sensation below my eyes, around my eyebrows, and next to m...
Dr. Jiang Junyi Reply:
Based on your description, the facial pain you are experiencing is primarily in the area innervated by the second branch of the trigeminal nerve. Generally, the examinations that may be conducted during your visit include: 1. Neurological examination: To identify specific areas...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Facial nerve Hello Doctor: I experience pain when pressing on the back end of my left eyebrow, which radiates down to my cheek and feels like nerve pain. I do not have any pain when not pressing on it. I would like to know what this symptom might indicate and which department I s...
Dr. Jiang Junyi Reply:
Hello: The nerve distribution you mentioned seems to resemble the trigeminal nerve. The branches of the trigeminal nerve are roughly distributed from top to bottom in the forehead, cheeks, and chin. The nerve endings that dentists anesthetize during tooth extraction are branches ...[Read More] Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. 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 dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Insomnia, headache, antiepileptic medication? Hello, Dr. Jiang. I have sleep issues, and because my relative referred me to a clinic that specializes in insomnia, they prescribed me anticonvulsant medication to help with my sleep. Over a year ago, I was in a car accident and lost...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to cervicogenic headache, which clinically presents as pain at the site of onset, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, subcutaneous myofascial trigger points can be palpated, and there may be referr...[Read More] Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Brain issues? Hello Doctor: When I was 15 years old, I had a direct impact to my chin against the ground, which caused my entire head to feel numb and my vision to be blurry for about 1 to 2 minutes. I did not experience any discomfort in the week following the incident and did n...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine rather than a consequence of a fall. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanie...[Read More] Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Myocardial infarction with coma? My father suffered a myocardial infarction and lost consciousness on May 14. He has been in a coma since being admitted to the hospital. Initially, he experienced seizures, and the hospital administered sedatives, increasing the dosage to four dos...
Dr. Jiang Junyi Reply:
Hello: When cardiac arrest occurs, patients typically lose consciousness rapidly within 15 seconds, brainstem function ceases after 1 minute, and brain damage occurs after 4-6 minutes due to lack of oxygen. Patients who are resuscitated through CPR may experience neurological dam...[Read More] Understanding Coma Recovery After Myocardial Infarction: A Patient's Journey
Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Facial nerve paralysis Hello, doctor. I would like to ask about my condition. Today marks the sixth day of my facial nerve disorder. I have been taking steroids for the first three days. Yesterday, I underwent an electromyography (EMG) test. After returning home, I started to mas...
Dr. Jiang Junyi Reply:
1. Facial nerve paralysis is a relatively common condition, with statistics indicating that there are 15 to 40 cases per 100,000 people each year. The progression of this condition is quite rapid in the early stages, typically reaching its peak within two days. Prior to the onset...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms
After the gum hole occurred, it was originally painful in the area of the hole, but now the pain has spread to the trigeminal nerve? Yesterday, I may have injured my gums while using a water flosser, resulting in a hole. Initially, only the area around the hole was painful. Now, ...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. During tooth extraction, the dentist anesthetizes the terminal branches of the trigeminal nerve. Trigeminal neuralgia frequently occurs in the areas supplied by its l...[Read More] Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms