How to Diagnose Scrub Typhus: Symptoms and Key Considerations
Scrub typhus To determine whether the symptoms of headache, eye pain, and fever are indicative of scrub typhus, it is important to consider the following steps: 1. **Clinical Evaluation**: A thorough medical history and physical examination should be conducted by a healthcare pr...
Dr. Du Haojie Reply:
Exposure to grasslands or low shrubs may result in bites from chiggers, leading to symptoms such as headache and fever that resemble those of a cold. Several days later, noticeable necrotic lesions may appear on the skin. This disease is more likely to occur in mountainous areas.[Read More] How to Diagnose Scrub Typhus: Symptoms and Key Considerations
Understanding Facial Muscle Pain: Causes and Relief Strategies
Facial muscle pain? Dr. Yeh: Hello! I have been experiencing facial muscle pain for several years, and it seems to be getting worse. My job is programming, and I spend at least 7 hours a day in front of a screen. Initially, I only felt soreness around the muscles near the eye soc...
Dr. Ye Boshou Reply:
It sounds like facial muscle fatigue, which can be improved with warm compresses. Is your daily life too stressful? Relaxing and performing facial exercises in front of a mirror (not massage) should help. If pain and tightness persist, then medication treatment may be necessary.[Read More] Understanding Facial Muscle Pain: Causes and Relief Strategies
Managing Headaches: Tips for Dizziness and Eye Pain Relief
I'm not sure how to deal with a headache..? My symptoms include dizziness, swollen and painful eyes, feeling mentally unwell (I just want to take a short nap when I get home), dry throat at night, and a slight increase in liver heat. I'm unsure how to address this... Pl...
Dr. Ye Boshou Reply:
First, let's explore whether your symptoms are caused by sleep deprivation, as sleep is very important. You should rest more, and your symptoms will naturally improve. Is there a phenomenon of snoring, considering the dryness in your throat at night? Remember to drink plenty...[Read More] Managing Headaches: Tips for Dizziness and Eye Pain Relief
Understanding Dizziness and Nausea During Exercise: Causes and Solutions
Dizziness during exercise? Hello Doctor: For the past few days, I have been feeling dizzy and nauseous. Since I am scheduled to enlist in the military on December 27, I have been running every day to train my stamina. However, I start feeling very dizzy and nauseous shortly after...
Dr. Ye Boshou Reply:
Experiencing dizziness during exercise, despite having seen a neurologist with no abnormal findings, could potentially be related to anxiety. It is advisable to continue follow-up with the neurology department.[Read More] Understanding Dizziness and Nausea During Exercise: Causes and Solutions
Understanding Stroke: Managing Complications from High Blood Pressure
Stroke Hello, Doctor! My mother has a history of hypertension and was recently hospitalized due to extremely high blood pressure. The examination results indicated vascular blockage in her brain, with both old and new blockages present. When we inquired about the cause, the exami...
Dr. Ye Boshou Reply:
The situation you described is somewhat complex; it appears to be multiple cerebral strokes with newly formed blood clots. It is unclear where the bleeding is located. I recommend discussing this with the attending physician to understand the condition better (family members have...[Read More] Understanding Stroke: Managing Complications from High Blood Pressure
Understanding Muscle Pain in the Legs: A Neurological Perspective
Abnormal muscle pain in the legs? Dear Dr. Yeh, I am a glaucoma patient who was diagnosed and began treatment four years ago, and I am still undergoing treatment. Over these four years, I have rarely gone out, sometimes only once a month, and I mostly stay in my room. As the wea...
Dr. Ye Boshou Reply:
Based on your description, with a height of 175 cm and a weight of 88 kg, along with a sedentary lifestyle, it is likely that you are experiencing tendon fatigue and strains. It is probably not a vascular blockage, as that would cause severe pain that persists over time. I recomm...[Read More] Understanding Muscle Pain in the Legs: A Neurological Perspective
Why Does My Child See Things Shrink? Understanding Visual Disturbances
Objects appear smaller when viewed with the eyes? Hello Dr. Yeh, My son is 9 years old and has hyperopia. He is currently wearing an eye patch and undergoing corrective eyewear. Recently, he has frequently reported that objects appear smaller for about 10 to 20 seconds, and then...
Dr. Ye Boshou Reply:
To Yingying, regarding your son's chief complaint of experiencing fluctuations in the size of objects, it seems to be not closely related to the optic nerve. It is recommended to first have an ophthalmological examination of the ocular structures before consulting a neurolog...[Read More] Why Does My Child See Things Shrink? Understanding Visual Disturbances
Botox for Treating Eye Tics in Young Children: Safety and Efficacy Concerns
Tics I am a very anxious mother, and I would like to ask if botulinum toxin can be used for the treatment of eye tics. My daughter is currently 3 and a half years old and started exhibiting tics about six months ago. She is on oral medication, but the constant blinking continues ...
Dr. Ye Boshou Reply:
1. Injecting botulinum toxin may lead to muscle paralysis. 2. Generally, the results are satisfactory, but re-injection is needed after six months. 3. For a three-and-a-half-year-old child, the age is somewhat low, so it is advisable to discuss in detail with the specialist admin...[Read More] Botox for Treating Eye Tics in Young Children: Safety and Efficacy Concerns
Understanding Your Persistent Headaches: When to Seek Help
Headache Hello, Doctor! I have been troubled by headaches for a long time, and they have recently become more severe. It started around my college years; after every physical education class or off-campus internship, I would experience headache symptoms. The pain usually begins a...
Dr. Ye Boshou Reply:
To: Jennifer The headache above the left eye radiates to the back of the head and improves with rest. It appears to be tension-type headache, unrelated to intraocular pressure. It is advisable to consult a neurologist for evaluation and treatment.[Read More] Understanding Your Persistent Headaches: When to Seek Help
Effective Remedies for Heat-Induced Headaches: Tips and Dietary Solutions
Headache I am very prone to heatstroke. Whenever the weather gets hot and I spend some time in the sun, I start to get a headache (sometimes my eyes hurt as well). For mild cases, I can take over-the-counter medication and sleep it off, but for more severe cases, I need to underg...
Dr. Ye Boshou Reply:
Heatstroke in Xiao-Zhen mainly occurs in high-temperature environments. To prevent it, one should avoid exposure to hot and high-temperature conditions. It is recommended to use an umbrella, wear a hat, and drink plenty of water.[Read More] Effective Remedies for Heat-Induced Headaches: Tips and Dietary Solutions
Understanding Unexplained Dizziness: A Student's Journey Through Neurology
I'm experiencing dizziness of unknown origin..? Hello Dr. Yeh, I am a university student. For the past month, I have been experiencing some dizziness that I initially didn't pay much attention to, but it has become uncomfortable. The dizziness occurs intermittently, and...
Dr. Ye Boshou Reply:
There are many causes of dizziness, which can be primarily classified into central causes (such as dysfunction of the brainstem or cerebellum) and peripheral causes (such as imbalance or inflammation of the inner ear). Another symptom to consider is unexplained brief episodes of ...[Read More] Understanding Unexplained Dizziness: A Student's Journey Through Neurology
Exploring Treatment Options for Facial Tremors: Beyond Botox
Facial spasms Last July, I experienced twitching near the corner of my mouth on the right side of my face. Due to the increasing frequency of the twitching, I sought medical attention. Dr. Cheng from Mackay Memorial Hospital administered Botox injections to suppress the symptoms....
Dr. Ye Boshou Reply:
To Xiaomi: Currently, the treatment for muscle spasms primarily involves the use of botulinum toxin, which has an effective duration of 4 to 6 months. If the spasms recur, the treatment can be repeated. At present, there is no cure. Dr. Yeh Po-Shou, Neurology Department, Hsinchu ...[Read More] Exploring Treatment Options for Facial Tremors: Beyond Botox
Should I Get Checked? Understanding Neurological Symptoms
Should I get checked? Hello Dr. Yeh, In the past six months, I have been experiencing intermittent sharp pain near my temples and a sensation at the back of my head that feels like it has been submerged in water. I also see intermittent dark spots in front of my eyes, and at ti...
Dr. Ye Boshou Reply:
To: Based on the description in March, a diagnosis cannot be made. If symptoms persist, it is advisable to seek medical attention before making a diagnosis.[Read More] Should I Get Checked? Understanding Neurological Symptoms
Understanding Dizziness: When to Seek Neurological Help
"Vertigo" Hello, doctor. I would like to ask about my wife's dizziness issue. She is 33 years old, and the other day when I picked her up from work, she suddenly felt dizzy, as if everything around her was spinning, and she could barely stand. I thought, being a wo...
Dr. Ye Boshou Reply:
To Jeff, I am very touched by your careful and detailed description of your symptoms! From your account, I believe it is benign paroxysmal positional vertigo (BPPV) caused by imbalance in the inner ear's semicircular canals. It is usually episodic and related to posture, and...[Read More] Understanding Dizziness: When to Seek Neurological Help
Persistent Dizziness After Head Injury: What You Need to Know
Head Hello Doctor, I am reaching out on February 7th. My dizziness symptoms have not improved until today. Whether my eyes are open or closed, I feel an unbearable sensation that is very uncomfortable. Last month, I also experienced this symptom after hitting my head, which laste...
Dr. Ye Boshou Reply:
To: Ping, are you experiencing any vomiting? If you have persistent headaches, please consult a neurologist for an examination. Dr. Yeh Po-Shou, Neurology Department, Hsinchu Hospital.[Read More] Persistent Dizziness After Head Injury: What You Need to Know
Understanding Head Injuries: Symptoms and Concerns After a Blow to the Head
hit Last month, I was hit on the left side of my head with a hand axle, and I experienced dizziness for about two weeks. Now, I'm starting to feel dizzy again, but it feels more like an overwhelming sensation when I look at things, not vertigo. I often feel like I want to cl...
Dr. Huang Yingzhe Reply:
Your symptoms are likely related to post-concussion syndrome, and you may have injured your inner ear balance system. Your sensations could also be classified as a type of dizziness. "Intelligence may decline and there could be significant loss of brain function"—but th...[Read More] Understanding Head Injuries: Symptoms and Concerns After a Blow to the Head
Why Are My Thigh Muscles Twitching? Understanding Causes and Solutions
The thigh muscle is twitching continuously? Recently, I have been feeling a lot of pressure from work and school, and my thigh muscles twitch continuously, similar to eyelid twitching. To be honest, the twitching occurs quite frequently and lasts for a long time. Sometimes, there...
Dr. Ye Boshou Reply:
It is likely caused by excessive stress; it is recommended to engage in appropriate exercise. Dr. Yeh Po-Shou, Neurologist.[Read More] Why Are My Thigh Muscles Twitching? Understanding Causes and Solutions
Understanding Persistent Dizziness: Causes and Solutions
Dizziness Two years ago, I experienced dizziness and was hospitalized for three days. Since then, I often feel lightheaded, and sometimes the symptoms become severe enough that I need intravenous fluids to recover. It has been over two years, and I still experience dizziness. Add...
Dr. Ye Boshou Reply:
It is unclear whether dizziness is related to emotions. It is advised to avoid stimulating foods, such as coffee. If the condition persists, consider consulting a neurologist.[Read More] Understanding Persistent Dizziness: Causes and Solutions
Navigating Treatment Decisions for a Father with Cancer and Vision Issues
Please provide the content you would like My father is currently suffering from liver cancer with bone metastasis. He has been receiving radiation therapy at Hsin-Chu Hospital for five sessions on his left shoulder blade and the right thigh near the hip. After the treatment, he h...
Dr. Ye Boshou Reply:
The purpose of radiation therapy is to inhibit the division and proliferation of tumors, but it can also affect the normal brain cells. Any concerns regarding the side effects should be discussed in detail with your attending physician. Dr. Yeh Po-Shou, Neurology Department, Hsin...[Read More] Navigating Treatment Decisions for a Father with Cancer and Vision Issues
Understanding Tourette Syndrome: Causes and Treatment Options
Tourette syndrome My son has been diagnosed with suspected Tourette syndrome, experiencing intermittent twitching in his right hand and occasional rightward eye movement that causes his head to turn to the right. Could you please provide information on the causes and treatment op...
Dr. Huang Yingzhe Reply:
It is currently believed that excessive dopamine reactivity is caused by genetic factors, often associated with Attention Deficit Hyperactivity Disorder (ADHD) or Obsessive-Compulsive Disorder (OCD). Pharmacological treatment also targets the involuntary movements and associated ...[Read More] Understanding Tourette Syndrome: Causes and Treatment Options