Managing Medication: Addressing Neurology Concerns and Side Effects
Medication issues? Hello, Dr. Gao. I recently changed my medication and would like to ask you about the medications I received at the clinic. In the morning, I take my blood pressure medication along with Nabota 0.5 mg (Mecobalamin), "Shenda" Yulishupan 0.25 mg (taken b...
Dr. Gao Chunde Reply:
If the symptoms started after changing medications, you should inform the original physician to clarify the relationship between the previous medication and the current one that may have caused these symptoms. If the symptoms were present before the medication change, it may not ...[Read More] Managing Medication: Addressing Neurology Concerns and Side Effects
Navigating the Challenges of Unexplained Neurological Symptoms in Teens
Perplexed parents Dear Dr. Lan, I have a 17-year-old daughter who experienced a sudden fainting episode last April. It was a hot day, and she left home without breakfast because she was in a hurry to meet her teacher. Shortly after leaving, she called to inform me that she was f...
Dr. Lan Shengxing Reply:
Dear Dabby, I didn't see anyone, but generally, at this time, we believe that parents should patiently accompany their children in receiving treatment, rather than constantly seeking different tests and treatments. I would like to recommend Dr. Li Jiayan to you; I believe Dr...[Read More] Navigating the Challenges of Unexplained Neurological Symptoms in Teens
Understanding Dizziness and Nausea: Autonomic Nervous System Disorders
Dizziness and nausea? Hello Doctor: I have been experiencing issues with autonomic nervous system dysregulation and have been on medication for over six months. Since last week, I have been feeling dizzy and lightheaded, which is affecting my sleep. Whenever I close my eyes, I fe...
Dr. Lan Shengxing Reply:
Dear Lai, if you are only eating one meal a day for several weeks and experiencing dizziness, this is called hunger, which can be more harmful to your body than any disease. Please make sure to eat properly; do not worry about autonomic nervous system issues. Once your diet and l...[Read More] Understanding Dizziness and Nausea: Autonomic Nervous System Disorders
Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Early-stage Parkinson's disease? Hello Dr. Lan: I have noticed that my hands have been trembling involuntarily since last year. Initially, I felt that both hands were shaking, but the tremors were very slight. However, since this had never happened before, I became quite anx...
Dr. Lan Shengxing Reply:
Dear Aaron, the likelihood of developing Parkinson's disease at your age is low, and the symptoms you described do not resemble the early signs of Parkinson's disease. Additionally, you did not mention any reactions after taking medication. I personally recommend that y...[Read More] Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Understanding Facial Nerve Dysfunction: Causes and Concerns
Facial nerve palsy Since May 2, I have noticed that the muscles on the left side of my face, including my eye and mouth, are unable to move. I am unsure if this is related to my long-term use of products containing Betamethasone dipropionate and Gentamicin sulfate.
Dr. Lan Shengxing Reply:
Dear Alex, this should not be a problem; it is likely facial nerve paralysis. Please see a neurologist for diagnosis and treatment as soon as possible.[Read More] Understanding Facial Nerve Dysfunction: Causes and Concerns
Feeling Dizzy After Oversleeping: Causes and Solutions
Sleeping for too long can cause dizziness upon waking? Yesterday, I accidentally overslept for about 18.9 hours. This morning, I felt fine, but later while taking a shower, I started to feel dizzy and uncomfortable. I kept seeing a bright area in front of my eyes. At first, it wa...
Dr. Gao Chunde Reply:
It seems more like low blood pressure, possibly due to prolonged lack of hydration and caloric intake.[Read More] Feeling Dizzy After Oversleeping: Causes and Solutions
Understanding Visual Disturbances: Are Brain Electrical Discharges to Blame?
Brain discharge I have been experiencing persistent flashes in the corner of my right eye for almost six months. The bright spots are more pronounced when looking at bright areas, and there are large black dots with several wavy black lines in the center. My right eye already has...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first rule out ophthalmic issues such as retinal or vitreous opacities. However, if there is also a headache present, one should consider common aura-type migraines. Symptoms include visual disturbances such as seeing stars and...[Read More] Understanding Visual Disturbances: Are Brain Electrical Discharges to Blame?
Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Facial nerve paralysis with impaired hearing? Hello, doctor. I have been experiencing facial nerve paralysis for over a month now. My facial asymmetry has improved, but I still have strange sensations in my ear, difficulty hearing, and I am very sensitive to loud and sharp sounds...
Dr. Jiang Junyi Reply:
Hello, based on your description, 80% of patients with facial nerve paralysis will recover within 4 to 6 weeks, while a small portion may experience very slow recovery, potentially taking over 2 years, and often with incomplete recovery. During the acute phase, treatment includes...[Read More] Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Chronic Insomnia and Headaches: Seeking Neurology Insights
Hello, Doctor. I have been experiencing chronic insomnia and migraines? Hello doctor, I have been experiencing chronic insomnia and migraines. I work in a labor-intensive job, and during my teenage years to early twenties, I was addicted to online gaming for a period of time afte...
Dr. Gao Chunde Reply:
Regarding the issue of migraines and the right eye, you can consult a neurologist. I find it difficult to understand the trigeminal nerve, but the physician will be able to assess it during the consultation and provide you with recommendations and treatment. If necessary, relevan...[Read More] Chronic Insomnia and Headaches: Seeking Neurology Insights
Understanding Dizziness and Numbness: When to Seek Neurological Care
Symptoms such as dizziness and numbness in the hands? Hello Doctor: In the past week, I have often felt a sensation of pressure in my head after walking just a few steps. My eyes, temples, neck, and throat feel very tight, and my legs feel light while walking. This sensation last...
Dr. Yang Shenggong Reply:
Based on your description, your issue seems to be dizziness characterized by a sensation of heaviness in the head and lightness in the feet, accompanied by cold and numbness in the limbs. These symptoms have been intermittent over the past week. Possible causes include: 1. Anemia...[Read More] Understanding Dizziness and Numbness: When to Seek Neurological Care
Understanding Tension Around the Eye and Temple When Wearing Glasses or Headphones
Tension or discomfort when wearing glasses and headphones? Hello Doctor, I have a problem that has been bothering me for a long time. Whenever I wear glasses or earphones (in-ear type), I experience a strong tightness around my temples and eyes, but it only occurs on the right si...
Dr. Gao Chunde Reply:
It may be necessary to have some examinations conducted by a physician in the outpatient setting to determine whether the impairment is due to psychological factors or a certain type of neurological reflex.[Read More] Understanding Tension Around the Eye and Temple When Wearing Glasses or Headphones
Understanding Left-Sided Head Pain: Causes and Treatments
Left-sided headache? Hello doctor, two days ago I woke up with a sharp pain on the left side of my head, similar to scalp pain. At first, I thought there might be a wound, but there are no visible abnormalities. The pain is triggered by touching, pulling my hair, or exposure to w...
Dr. Gao Chunde Reply:
The symptoms described resemble neuropathic pain, accompanied by sensory abnormalities. Sometimes the pain resolves on its own within a day or two, while other times it may be a prodromal symptom of shingles, which can take five to six days before rashes and vesicles appear on th...[Read More] Understanding Left-Sided Head Pain: Causes and Treatments
Understanding Severe One-Sided Headaches: Causes and Treatments
Unilateral severe headache Hello Doctor, two weeks ago I suddenly had a severe headache, and since then I've experienced pain almost every day. The pain is localized in the area of the right occipital region (I can feel tenderness when I press on it), and it radiates into my...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headache or cervicogenic 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 d...[Read More] Understanding Severe One-Sided Headaches: Causes and Treatments
Nighttime Visual Disturbances: Could a Brain Aneurysm Be the Cause?
Waking up in the middle of the night and perceiving visual disturbances or vibrations? Hello Doctor: When I wake up at night and open my eyes, I feel a slight tremor in my vision, similar to watching a movie screen. I previously had an MRI of my brain, which revealed an aneurysm....
Dr. Gao Chunde Reply:
If the visual disturbance is very brief and resolves on its own within a few seconds, it is more likely related to an inner ear issue. However, a brain aneurysm is also a possibility. The exact cause can only be determined through a physical examination conducted by a physician.[Read More] Nighttime Visual Disturbances: Could a Brain Aneurysm Be the Cause?
Understanding Eye Twitching and Facial Muscle Spasms: When to Seek Help
Eyelid twitching and facial muscle spasms? I started experiencing frequent twitching in my left upper eyelid about three months ago. After approximately two months, the twitching has decreased but still occurs. Subsequently, my left eye's vision began to blur, and I have bee...
Dr. Gao Chunde Reply:
There should be a lesion in the intracranial area, and prompt medical attention is necessary. It is advisable to first consult a neurologist, who may refer you to relevant specialties for further management if needed.[Read More] Understanding Eye Twitching and Facial Muscle Spasms: When to Seek Help
Managing Eye Fatigue and Sensations of Tingling Near the Temples
Itchy face and eye fatigue? Hello, I've been experiencing eye fatigue recently and visited a doctor. My symptoms include headaches and dry eyes. For the past two days, I've suddenly felt itching and tingling near my temples when looking at nearby objects. What should I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for dry eyes, such as dry eye syndrome, the effects of certain medications (e.g., antihistamines), neurological disorders, or infections (like a cold). An ophthalmologist may conduct tests for dry eye syndrome. As for the it...[Read More] Managing Eye Fatigue and Sensations of Tingling Near the Temples
Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Post-surgery for a nerve tumor in the left neck? Hello Doctor, I am a patient who underwent surgery for a schwannoma one month ago. After the surgery, aside from pain at the incision site and left eyelid drooping, I did not experience any discomfort. However, two weeks later, I b...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest neuroinflammation. The location of the pain may indicate trigeminal neuralgia. Generally, for neuritis or injury, medications such as anti-inflammatory pain relievers and vitamin B can help alleviate numbness and pain. R...[Read More] Post-Surgery Complications of Schwannoma: Seeking Answers for Lingering Symptoms
Understanding Sudden Numbness in Right Face and Hand: Possible Causes
Numbness in the right hand and right side of the face? Hello, Doctor. Last night before bed, I suddenly experienced pain behind my right ear, and gradually I felt a tingling sensation in my right cheek. About 10 minutes later, my right hand also started to feel numb, which lasted...
Dr. Gao Chunde Reply:
If there are symptoms on the right side of the face along with the right hand, the lesion is likely located in the brain. Transient symptoms could indicate ischemia or electrical discharge. If there is simply pain in the right ear followed by unusual sensations in the right cheek...[Read More] Understanding Sudden Numbness in Right Face and Hand: Possible Causes
Understanding Facial Numbness: Causes and Next Steps for Relief
Numbness in the left cheek? Hello, Doctor. My question is regarding my left cheek, from the corner of my left eye to the left side of my mouth. I have seen a neurologist and underwent facial nerve stimulation tests, which came back normal. I have taken antihistamines and medicati...
Dr. Lan Shengxing Reply:
Dear Mr. Liu, with the current technology, it is indeed difficult to detect the small branches of nerves in the epidermis. I believe this is more related to your issue. The facial nerve stimulation test can inform us whether there is an obstruction in the circuit between the fift...[Read More] Understanding Facial Numbness: Causes and Next Steps for Relief
Understanding Dizziness: Causes and Concerns After Stomach Issues
Hello doctor, I would like to ask you about the symptoms of dizziness? Hello Doctor, I have been experiencing severe stomach inflammation and bloating recently, which has just improved. However, I started feeling dizzy with a sensation of sinking downwards. While at work, I often...
Dr. Gao Chunde Reply:
Feeling faint and sweating, along with shortness of breath, can be concerning. Although it may be difficult to understand the situation, it is advisable to seek medical evaluation. Some cases of gastroenteritis can trigger autonomic neuropathy, which is very rare, but it should n...[Read More] Understanding Dizziness: Causes and Concerns After Stomach Issues