Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello, doctor. I have been experiencing involuntary muscle twitching for the past two to three years. As I prepare to enter the second year of high school, I have noticed that the twitching has become more pronounced. Initially, it was just my eyelid...
Dr. Lan Shengxing Reply:
Hello, constantly feeling anxious or searching for disease information online is actually unhelpful and will only increase your stress unnecessarily. It's better to visit a neurologist's office for a consultation and receive advice from a physician, which is more practi...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Could My Severe Headaches Indicate a Brain Tumor?
Hello doctor, could my condition be a brain tumor? Hello, Doctor. In recent years, I have been experiencing frequent headaches. When they occur, they are quite severe, sometimes causing nausea and vomiting that affect my daily life. I often feel fatigued, dizzy, and have a sensat...
Dr. Gao Chunde Reply:
Based on your description, it is a classic case of migraine with aura. You should seek further evaluation and treatment from a neurologist. Brain tumors can present with symptoms or be asymptomatic, making it difficult to definitively rule them out. However, your headache exhibit...[Read More] Could My Severe Headaches Indicate a Brain Tumor?
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
Managing Dizziness and Sharp Pain: Neurological Insights
Dizziness with sharp pain? Recently, I have been experiencing frequent headaches, especially when squatting down and standing up. After standing, the sharp pain lasts for about a minute. At the same time, my vision becomes blurry and dark, and sometimes I suddenly feel warm, but ...
Dr. Gao Chunde Reply:
Vascular headaches, such as migraines, can be considered in this context. Generally, rest or the use of analgesics may provide relief. If the pain persists, it is advisable to seek further evaluation and treatment from a neurologist.[Read More] Managing Dizziness and Sharp Pain: Neurological Insights
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal neuralgia Hello, doctor. For the past couple of days, I've been experiencing pain on the left side of my teeth. Sometimes it affects my lower jaw, and other times it shifts to my upper jaw. There are moments when the pain subsides, but when it does hurt, I also fe...
Dr. Gao Chunde Reply:
Trigeminal neuralgia can sometimes have an unknown cause, while in other cases, it may be due to irritation from surrounding blood vessels or issues with the nerve itself, such as inflammation or compression. Stress can also be a contributing factor. If using carbamazepine in a 2...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Abdominal Pain and Vision Issues: A Neurological Perspective
Severe abdominal pain causing fainting, resulting in a bruise on the chin? I am small in stature, standing at 155 cm and weighing 45 kg. I experience symptoms such as seeing many colorful dots when looking at dark places or closing my eyes, similar to television static, and somet...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of dizziness and blackening of vision may indicate vertigo, which could be caused by conditions such as anemia, autonomic nervous system dysfunction, or inner ear imbalance. It is advisable to first rule out anemia or dehydration tha...[Read More] Understanding Abdominal Pain and Vision Issues: A Neurological Perspective
Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Questions related to brain tumors? About 13 years ago, I was involved in a serious car accident where the person I was with suffered multiple fractures, while I only had abrasions. For about 4 to 5 years afterward, I experienced severe migraine symptoms that would typically occur...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, there is little correlation between head trauma and the occurrence of brain tumors. However, damage to cerebral blood vessels can increase the likelihood of vascular malformations, such as arteriovenous malformations. The head...[Read More] Understanding Brain Tumor Risks and Symptoms After a Serious Accident
Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Headache (pain deep in the eyes) Hello, Doctor Gao. I occasionally experience headaches, a condition that has persisted for over ten years. However, I have not sought medical attention frequently; it may occur two to three times a month or just once every two to three months. Som...
Dr. Gao Chunde Reply:
Your headache is a migraine, not trigeminal neuralgia. You should undergo a thorough examination to confirm the diagnosis and seek appropriate treatment. It is recommended to visit a neurology outpatient clinic. As for your eye pressure, it is advisable to have an ophthalmologist...[Read More] Understanding Deep Eye Pain: Causes, Treatments, and When to Seek Help
Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Regarding the use of steroids for facial nerve paralysis? Dr. Gao: Hello! My mother has been living in Shanghai, China, and she experienced facial nerve paralysis in early May, with symptoms including lower eyelid drooping and eversion, drooling while eating, pain behind the ear,...
Dr. Gao Chunde Reply:
The use of steroids is effective in reducing inflammation and edema during the early stages of the disease, typically for seven to ten days. After that, rehabilitation and acupuncture are relied upon. Your physician's approach may have specific considerations, and if you hav...[Read More] Effectiveness of Steroid Treatment for Facial Nerve Paralysis
Severe Head and Eye Pain During Airplane Landings: What to Do?
Severe pain in the head and eyes during airplane landing? Hello Doctor: I typically travel abroad by plane once or twice a year. However, since the year before last, I have experienced severe pain in one side of my head and eyes during landing. It feels very sharp and throbbing, ...
Dr. Gao Chunde Reply:
This is a rare type of headache, sometimes referred to as "aeroheadache," associated with barotrauma to the sinus mucosa, leading to edema, fluid accumulation, and even bleeding. In principle, it is managed by a neurologist, although some patients may also consult an ot...[Read More] Severe Head and Eye Pain During Airplane Landings: What to Do?
Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Facial paralysis on one side? The left side of the face does not experience numbness, drooping, tearing, or drooling, but it does not move when smiling or speaking. Could this also be a facial nerve issue? Thank you.
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis can sometimes present with sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, patients may notice increased sensitivity...[Read More] Understanding Facial Nerve Issues: One-Sided Facial Movement Problems
Understanding Sudden Headaches: Causes and Concerns for Night Shift Workers
Sudden onset headache Hello Doctor, I have been working night shifts for 7 years. Since mid-May, I have been experiencing sudden headaches that are irregular and do not last long. During the pain, I do not have symptoms like dizziness, vomiting, or weakness in my limbs. When I am...
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, sometimes with widespread pain. The nature of the pain is dull, aching, with a sensati...[Read More] Understanding Sudden Headaches: Causes and Concerns for Night Shift Workers
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello, doctor. About a year ago, I experienced facial nerve paralysis on the left side of my face, which recovered well and was almost fully healed. However, two weeks ago, I developed similar symptoms on the right side of my face, with nerve paralysis. Sin...
Dr. Jiang Junyi Reply:
Hello, based on your description, facial nerve paralysis may sometimes present with pain behind the ear, and there may be sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. If the nerve damage is more extensive, pat...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Understanding Post-Stroke Symptoms and Management in Patients
Conditions After a Stroke Hello, Doctor: I would like to ask about my father, who is 58 years old and has high blood pressure. His blood pressure usually ranges from 150 to 160, and he has experienced dizziness for over ten years. In mid-March of this year, his blood pressure spi...
Dr. Jiang Junyi Reply:
Hello, based on your description, I would like to know if your father has a history of diabetes or any other medical conditions besides hypertension. The use of many medications can have related side effects, and if he has a unique constitution that makes him more sensitive to me...[Read More] Understanding Post-Stroke Symptoms and Management in Patients
Understanding Muscle Twitches: Connection to ALS and Other Causes
The relationship between muscle twitching (spasms) and amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am 35 years old and started experiencing muscle twitches six months ago. At that time, the frequency was low, and I didn't pay much attention to it. However, for the ...
Dr. Gao Chunde Reply:
Amyotrophic lateral sclerosis (ALS) is characterized by the progressive loss of motor neurons, leading to a decrease in motor nerve function, muscle atrophy, and observable fasciculations. Concurrently, or at some point before or after, there is no definitive timeline; however, t...[Read More] Understanding Muscle Twitches: Connection to ALS and Other Causes
Managing Neurological Symptoms and High Body Fat: A Guide
Unclear about which direction to take in handling the situation? On May 21, I experienced a tingling and heavy sensation around my nose, and my eyelids also felt heavy. After about a month, I detected that my body fat percentage was too high. I am 155 cm tall and weigh 53 kg. Wha...
Dr. Lan Shengxing Reply:
Dear White Cat, these symptoms are not obvious and cannot be consolidated into a single disease. Please visit a neurology or family medicine clinic for evaluation. Blue Saint Star.[Read More] Managing Neurological Symptoms and High Body Fat: A Guide
Understanding Facial Nerve Issues: Tips for Managing Facial Tingling
Facial nerve Hello, I have been experiencing facial numbness (especially when using my eyes) for the past six months. However, it is not severe, does not affect my daily life, and has not progressed to facial nerve paralysis. I previously consulted a doctor who mentioned that it ...
Dr. Jiang Junyi Reply:
Based on your description, the issue with facial numbness is likely related to the trigeminal nerve. The trigeminal nerve distributes sensory information from the forehead, cheeks, and chin to our brain. Sensations within the oral cavity are also transmitted by the trigeminal ner...[Read More] Understanding Facial Nerve Issues: Tips for Managing Facial Tingling
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 Eye Movement Difficulties: A Neurological Perspective
When I move my right eye, it feels very stiff and difficult to move? Hello, doctor! ^ ^ Please help me! ^ ^ Thank you! ^ ^ I have been to ophthalmology, psychiatry, dentistry, neurology, and neurosurgery for a year, but the medication from the neurologist hasn't worked. My e...
Dr. Gao Chunde Reply:
If you have recently seen an ophthalmologist and a neurologist, it indicates that there are currently no issues detectable by the physicians or instruments. You may observe your symptoms for a period of one to three months. If the symptoms persist, you can return to the neurologi...[Read More] Understanding Eye Movement Difficulties: A Neurological Perspective
Understanding Chronic Headaches and Insomnia: A Neurology Perspective
Headache and insomnia? Hello Doctor: I have been experiencing chronic headaches that often last all day. Sometimes the pain is so intense that when I walk, it feels like my legs aren't my own. At times, the pain is severe enough that I feel like I'm about to faint, and ...
Dr. Gao Chunde Reply:
Although the symptoms resemble tension-type headaches, the pain worsens during sleep and affects both work and daily life. It is advisable to consult a neurologist for further evaluation and management to control the frequency and intensity of the headaches.[Read More] Understanding Chronic Headaches and Insomnia: A Neurology Perspective