Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Managing Visual Aura Migraines: Tips for Relief and Prevention
Dry heaving, dizziness, and migraine? Hello Doctor, this is Kevin, who asked a question previously. After your response, I have tried to avoid caffeine, alcohol, and chocolate, and I have also maintained a regular schedule (going to bed at midnight and waking up at 7 AM). I am dr...
Dr. Jiang Junyi Reply:
Dear Mr. Kevin, You mentioned the clinical recommendations for using migraine prophylactic medications for "visual aura migraines." Here are the key points: 1. Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities,...[Read More] Managing Visual Aura Migraines: Tips for Relief and Prevention
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi Reply:
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Understanding Non-Specific Dizziness: Symptoms and Next Steps
Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps
Persistent Eye Blinking and Strain: Understanding Neurological Causes
Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Unexplained Dry Heaving: Possible Neurological Causes
Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...
Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes
Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
There is a sudden sharp pain above the right eye on the forehead? Hello, as mentioned in the topic, I sometimes experience a sudden sharp pain in the upper right part of my forehead when I turn my head, squat down, or change the position of my head. This pain feels like it is rad...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a throbbing pain in the upper right part of the forehead that seems to radiate from within... the pain is always in the same location." Your symptoms may be related to your posture and could be due to myofascial issues associate...[Read More] Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
Understanding Facial Twitching: Causes and When to See a Neurologist
I've been experiencing twitching in my right cheek before going to bed these past couple of days? As per the title, over the past couple of days, I have been experiencing a tight sensation in my right cheek during the evenings, which may twitch once or twice. When lying down...
Dr. Jiang Junyi Reply:
Hello Ms. Chang, You mentioned that "the right cheek feels a bit tight and may twitch once or twice," which could still be symptoms related to poor sleep. Your symptoms do not seem to resemble facial nerve paralysis, which affects the seventh cranial nerve and is clini...[Read More] Understanding Facial Twitching: Causes and When to See a Neurologist
Understanding Throat Sensation and Nausea: When to Seek Medical Help
Sensation of a foreign body in the throat with dry heaving? Hello Doctor: About two weeks ago, I started experiencing headaches... The sensation is a tightness in the forehead between the eyebrows, with pain on both sides of the head. Sometimes I feel dizzy and nauseous. After vi...
Dr. Jiang Junyi Reply:
Dear Mr. Johnny, You mentioned that you feel tightness in your forehead and between your eyebrows, experience pain on both sides of your head, and sometimes feel dizzy and nauseous. After visiting the clinic and receiving pain medication, you noticed some improvement. You also m...[Read More] Understanding Throat Sensation and Nausea: When to Seek Medical Help
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Understanding Pain After Taking Acetaminophen: Causes and Concerns
Feeling unwell after taking Panadol? Hello doctor, I experienced severe pain during my menstrual period that prompted me to buy medication from the pharmacy. The pain reliever I took contained acetaminophen. When I took the first pill, it didn't provide much relief. After ab...
Dr. Jiang Junyi Reply:
Hello, miss: I'm not sure which medication you are taking and what additional ingredients it contains. Allergic reactions to acetaminophen are rare; most cases are caused by other combination medications. 1. Cold medications: These may contain multiple ingredients, and it&#x...[Read More] Understanding Pain After Taking Acetaminophen: Causes and Concerns
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Multiple Sclerosis I would like to ask that at the beginning of this month, I felt discomfort in my eyes and visited several doctors who all said it was eye fatigue but noted that my intraocular pressure was elevated. Following that, I experienced symptoms of heaviness in my head...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it cannot be definitively determined as multiple sclerosis. It is recommended to visit a neurologist for further evaluation and testing.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Multiple Sclerosis I would like to ask about some recent health issues I've been experiencing (numbness in my hands and feet, slight weakness, and discomfort in my eyes). The eye discomfort has persisted for nearly a month, accompanied by mild photophobia and some bloodshot ...
Dr. Peng Shiwei Reply:
Hello, the EEG test cannot rule out multiple sclerosis. If your eye symptoms are caused by optic neuritis, I strongly recommend that you complete an MRI examination. Thank you for your inquiry.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Should You See a Neurologist for Eye Flashing and Floaters?
Eye problems Hello, doctor. Last month, I visited an ophthalmologist due to floaters and underwent a dilated eye exam, which showed a normal retina. Recently, I've been experiencing regular flashes of light (more noticeable at night), along with occasional brief flashes rese...
Dr. Cai Zongzhang Reply:
Hello: For the above symptoms, it is recommended to visit a neurology outpatient clinic for examination to confirm the cause.[Read More] Should You See a Neurologist for Eye Flashing and Floaters?
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Head issues In the past two to three weeks, I have noticed that my head doesn't feel the same as usual. Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation. When I focus on a task, I don't notice it, but after finishing,...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia. Maintaining an improper posture for extended periods can lead to overuse of the tra...[Read More] Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes