Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms
Seeing upon waking up Hello doctor, I have autonomic nervous system dysfunction. Since February of this year, whenever I focus on an object for a prolonged period, that object appears to vibrate back and forth, although my eyes themselves do not shake. This sensation sometimes co...
Dr. Gao Chunde Reply:
These symptoms can often occur in healthy individuals and fall within the range of physiological responses, so there is no need for excessive concern. It seems that you have a keen sense of observation and are noticing subtle physiological changes in your nervous system. As long ...[Read More] Understanding Visual Disturbances: A Neurological Perspective on Eye Symptoms
Chronic Pain in Right Second Toe: Causes and Treatment Options
Pain in the toes of the right foot? Hello Doctor, the information above pertains to my mother. She has been experiencing pain in her right foot's second toe for nearly 40 years, with no interruption, only varying in intensity. The pain is described as a sharp, shooting pain ...
Dr. Gao Chunde Reply:
It may be worth considering a rare condition known as "leg pain toe movement syndrome," which was previously reported by Taipei Veterans General Hospital. You can search for it online. The related diseases and underlying mechanisms are still somewhat complex, but there ...[Read More] Chronic Pain in Right Second Toe: Causes and Treatment Options
Severe Headache and Vomiting: Is It Related to Neurological Issues?
Severe headache accompanied by persistent vomiting? Doctor, I have a headache that makes me vomit continuously until there's nothing left to vomit. The pain is located below my right eye socket. Could this be related to something inside my head?
Dr. Gao Chunde Reply:
Such severe headaches and vomiting should prompt a visit to a healthcare provider for immediate evaluation and management of the acute discomfort. As for the cause of the headache, it needs to be determined through a careful assessment of the timing and characteristics of the epi...[Read More] Severe Headache and Vomiting: Is It Related to Neurological Issues?
Understanding Coma: Signs of Awareness and Recovery Chances
Unconsciousness Hello Doctor: Here is what happened... My father suddenly collapsed on the evening of November 3rd. When the ambulance arrived, there were no signs of life, and it is estimated that he had been without oxygen to the brain for about 15-20 minutes. After being rushe...
Dr. Lan Shengxing Reply:
Dear Xiao Yi, if we consider a period of 15-20 minutes of hypoxia, the likelihood of complete recovery from hypoxic-ischemic encephalopathy is nonexistent. However, the human brain has compensatory mechanisms; damaged areas can be compensated by other neural synapses. These compe...[Read More] Understanding Coma: Signs of Awareness and Recovery Chances
Waking Up Dizzy: Understanding Morning Vertigo and Its Causes
Feeling dizzy upon waking up and turning over? Hello, doctor. For the past two or three days, when I wake up and try to turn over to go back to sleep, I feel extremely dizzy and even feel like I might vomit when I close my eyes. What could be the cause of this? It takes me a whil...
Dr. Lan Shengxing Reply:
Dear Alvena, the symptoms you described are more indicative of vertigo caused by BPPV (Benign Paroxysmal Positional Vertigo), especially the brief episodes of dizziness triggered by turning over. It would be more appropriate to consult an otolaryngologist (ENT specialist) for thi...[Read More] Waking Up Dizzy: Understanding Morning Vertigo and Its Causes
Persistent Eye Twitching: Causes and Solutions Explained
Eyelid twitching? I have been experiencing twitching in my lower eyelids for several days now, and it occurs in both eyes almost continuously. What are some solutions for this?
Dr. Lan Shengxing Reply:
Dear eyelid spasms are generally a condition that is spontaneous or related to fatigue and anxiety. Relaxing, managing stress, and eliminating caffeine intake usually lead to improvement. If there is no improvement, you may consider visiting a neurology clinic for further evaluat...[Read More] Persistent Eye Twitching: Causes and Solutions Explained
Understanding Diplopia: Is It Always a Neurological Issue?
Diplopia issues Is double vision always caused by a problem with the cranial nerves, or can stiffness in the neck and shoulders also lead to double vision? I have been experiencing long-term double vision, but I also have stiffness in my neck and shoulders, along with swelling on...
Dr. Gao Chunde Reply:
Diplopia is not necessarily a neurological issue. If covering one eye still results in double vision, then the problem lies with the eye itself. If the double vision resolves, it indicates an issue with the extraocular muscles or cranial nerves. Stiffness in the shoulders and nec...[Read More] Understanding Diplopia: Is It Always a Neurological Issue?
Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Choosing a hospital Hello, doctor. I'm here again to seek your advice. After some time of consultation and reviewing information, I strongly feel that your suggestion to undergo further neurological examination is warranted to check for a non-functional pituitary tumor. Here...
Dr. Gao Chunde Reply:
MRI can only be requested through health insurance or paid out-of-pocket; it cannot be done out-of-pocket and then later submitted to health insurance for reimbursement (if it meets the criteria, it will be approved; if not, even if abnormalities are found, it cannot be submitted...[Read More] Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Sudden drop in blood oxygen levels..? Hello Doctor, I have a question again. Originally, I had severe obstructive sleep apnea, but after a major surgery, I have seen significant improvement in my "fatigue" and the "snoring" has noticeably decreased. However, t...
Dr. Gao Chunde Reply:
If daytime sleepiness and fatigue are not caused by sleep apnea, other underlying conditions should be considered. Blood oxygen levels are typically measured using a fingertip pulse oximeter; however, if the extremities are cold or circulation is poor, or if the sensor is misalig...[Read More] Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Understanding Seizures in Infants: Signs and Parental Concerns
Unsure if the baby is experiencing a seizure? Hello Dr. Lan: I have a one-year and two-month-old child with epilepsy that is not caused by a fever. He has been on medication for over two months now. On October 29, he fell and hit the back left side of his head, resulting in a cut...
Dr. Lan Shengxing Reply:
Dear Orange Mom, the situation described on 10/30 does indeed resemble a seizure. As for 11/1, it is uncertain; if it differs from previous episodes, please take your baby back to the original physician for further evaluation and treatment.[Read More] Understanding Seizures in Infants: Signs and Parental Concerns
Understanding Neck Pain and Nausea: When to Seek Medical Help
Head and neck pain leading to vomiting? Hello Doctor: In the past, whenever I caught a cold, I would experience tightness and pain in the back of my neck, which radiates to my head, temples, and eyes, causing severe pain. I also experience visual disturbances such as flashing lig...
Dr. Gao Chunde Reply:
These symptoms combined are more indicative of a prodromal migraine, which is a typical migraine. If the episodes meet the criteria for preventive medication treatment, the physician will prescribe long-term preventive medication to gradually reduce the frequency and intensity of...[Read More] Understanding Neck Pain and Nausea: When to Seek Medical Help
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? In the past two weeks, I have noticed involuntary muscle twitching in various parts of my body, particularly around the shoulders, elbows, and knees, which are mostly near the joints. The twitching is quite pronounced and can be seen with the naked e...
Dr. Gao Chunde Reply:
Fibromyalgia rarely presents with the muscle twitching symptoms you described; however, arthritis is more commonly reported to have such symptoms. Some medications used to treat arthritis can also cause involuntary muscle twitching. If you have a follow-up appointment soon, you m...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Long-term numbness on the left side of the face and scalp? A patient with polio has been sitting for long periods. (1) The left side of the face experiences intermittent numbness, particularly in the cheek and scalp, with symptoms persisting for two to three years. The numbness d...
Dr. Gao Chunde Reply:
The sensation in the left forehead and left cheek is associated with the left trigeminal nerve pathway, while the ptosis of the left eye and the weakness in the movement of the left side of the face are related to the left facial nerve pathway. These two issues indicate a lesion ...[Read More] Understanding Long-Term Left-Sided Facial and Scalp Numbness Symptoms
Understanding Unusual Facial Sensations: Causes and Solutions
The left side of my face feels strange? Hello Doctor, I have been experiencing autonomic nervous system dysregulation for the past three months, but most of the symptoms have improved significantly. Currently, I am still dealing with dizziness, a sense of unreality, and fatigue. ...
Dr. Lan Shengxing Reply:
Dear A-Quan, this should be blepharospasm. You can visit a neurology clinic for treatment. Thank you.[Read More] Understanding Unusual Facial Sensations: Causes and Solutions
Understanding Eye Pressure Pain: Possible Causes and Solutions
Eye pressure and pain? Hello, doctor. Due to long-term fatigue from sleep apnea, I often experience a dull, mild pressure pain in the upper part of my eye sockets (not intense). After using CPAP, my fatigue has not improved, and this condition has become more pronounced (I have n...
Dr. Gao Chunde Reply:
The standard symptoms of sleep apnea include daytime fatigue and headaches, particularly upon waking. However, these headaches tend to improve after some activity during the day. The symptoms you mentioned warrant attention to whether there is inflammation or other issues in the ...[Read More] Understanding Eye Pressure Pain: Possible Causes and Solutions
Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective
What is the reason for this? Hello, doctor! For several years now, I have been experiencing stiffness in my shoulders and neck, along with swelling in my neck. I have also noticed symptoms such as frequent fatigue, increased anxiety, and a general feeling of heaviness. Additional...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of your symptoms is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but...[Read More] Understanding Persistent Neck and Facial Symptoms: A Neurology Perspective
Understanding Neck Pain and Facial Weakness: When to See a Specialist
Stiffness in the shoulders and neck, swelling in the neck, and facial weakness? I have numbness in the skin on the back of my right shoulder, and there is swelling extending along the right side of my neck. The right side of my face feels weak starting from the eyebrow area, whic...
Dr. Gao Chunde Reply:
It is suspected that there may be inflammation, infection, or other mass lesions in the skull base or deep right neck. A consultation with a neurologist or an otolaryngologist is recommended, and further examinations should be arranged if necessary.[Read More] Understanding Neck Pain and Facial Weakness: When to See a Specialist
Sudden Dizziness and Weakness: When to Seek Neurological Help
Dizziness and weakness? I experience sudden dizziness followed by a loss of consciousness for about 1 to 2 seconds, during which my body feels weak and limp. I have high blood pressure that is being managed with medication. This can happen while driving or even when watching TV a...
Dr. Lan Shengxing Reply:
Dear Bobo, it is essential to identify the cause of these symptoms to prevent any danger while driving. Please seek immediate consultation with a cardiologist or a neurologist. Best regards, Lan Shengxing.[Read More] Sudden Dizziness and Weakness: When to Seek Neurological Help
Understanding Numbness in Hands and Feet: Causes and Concerns for Teens
Numbness in the hands and feet? Hello, I am 17 years old. Recently, I often feel numbness in my hands and feet, but it's not very severe, just uncomfortable. I haven't done anything specific to cause it, and it lasts for a long time. Could this be related to sitting too...
Dr. Lan Shengxing Reply:
Dear high school seniors, the numbness in your hands and feet is likely not significantly related to a spinal issue, unless the symptoms are occurring in the neck area. This may be associated with prolonged sitting or lack of posture changes. Additionally, the mention of headache...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns for Teens