Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Long-Term Effects of Ice Water on Migraine and Cognitive Function
Several years ago, I drank ice-cold water during a migraine, and as a result, I immediately felt dizzy and have had difficulty concentrating ever since? I have experienced migraines since childhood, typically located at the back of my head. One day during my senior year of high s...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is best to visit a hospital and consult a neurologist for a detailed assessment. Thank you for your inquiry.[Read More] Long-Term Effects of Ice Water on Migraine and Cognitive Function
Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Unilateral limb numbness and headache? Hello Dr. Wu, on March 18th around 5 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot, which lasted until about 9 PM. After taking a hot shower, it slightly improved. At 10 PM, I then felt numbness in my ...
Dr. Wu Mukhan Reply:
Hello, if there is sudden unilateral numbness or weakness in the limbs, it is important to be cautious about potential cerebrovascular issues (such as a stroke). If the symptoms have resolved, it is advisable to visit a neurology outpatient clinic as soon as possible; however, if...[Read More] Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Understanding Pulsating Temples: Causes and Concerns After Head Injury
The temple is pulsating continuously? Hello, I am consulting on behalf of my mother. A few years ago, she was in a car accident where she hit the left side of her head, but there were no external injuries. Over the years, she has occasionally experienced headaches, but since the ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that your mother "often presses on the left temple..." which may indicate tension-type headache, caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, resembling the sens...[Read More] Understanding Pulsating Temples: Causes and Concerns After Head Injury
Why Mixing Medications Can Lead to Severe Headaches
Taking medications together can cause headaches? Hello, doctor. I have previously taken both Tylenol and antibiotics without any issues, but whenever I take two or more medications together, I experience headaches. It doesn't matter if they are pain relievers or antibiotics;...
Dr. Jiang Junyi Reply:
Dear Miss Yoda, You mentioned "antibiotics... headaches, orbital pain, tongue pain, pain inside the ears, and pain on almost half of the face." I am unsure of the specific antibiotic you are referring to. If it is a fluoroquinolone, headaches can indeed occur as a side...[Read More] Why Mixing Medications Can Lead to Severe Headaches
Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Cognitive impairment Hello doctor, I was diagnosed with affective psychosis and discharged from the hospital in Tucheng last October. At that time, the attending physician provided me with a diagnosis certificate stating depression. During my hospitalization, I had blood tests th...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "my mental reactions have become very unusual, my personality has also changed strangely, and I only know that my head has been uncomfortable and my left eye has been hurting for a long time." Your symptoms may suggest a migraine. Migrain...[Read More] Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Myasthenia gravis with leukopenia? Hello: My mother is a patient with myasthenia gravis, specifically type I, which only affects the ocular muscles, resulting in muscle weakness around the eyes, leading to ptosis and diplopia. Since recovering from herpes zoster three months ago,...
Dr. Peng Shiwei Reply:
Hello, in response to your questions: 1. Currently, there are no specific foods that can increase white blood cell counts. Typically, blood cell counts will gradually return to normal after the acute phase of an illness has passed. However, it is still recommended to consume nu...[Read More] Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Trigeminal neuralgia Hello, doctor: I accidentally pulled my left ear and now I have trigeminal neuralgia. What should I do?
Dr. Wu Mukhan Reply:
Hello, the trigeminal nerve is one of the important sensory nerves in the human face, primarily located around the forehead, eyes, nose, cheeks, and lips. Pain behind the ear is likely not related to the trigeminal nerve. If the pain behind the ear is caused by a pull or injury, ...[Read More] Managing Trigeminal Neuralgia After an Ear Injury: Expert Advice
Understanding Sleep Issues in Children: Causes and Solutions
Sleep problems in children? Hello, I would like to ask about an 8-year-old child who starts twitching their hands and feet every night as soon as they fall asleep. Initially, there were no twitches before falling asleep, but once they are held, the twitching indicates they have f...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned that "you have been tossing and turning all night, experiencing repetitive movements, and not sleeping well, resulting in dark circles under your eyes." If this is affecting your sleep quality, it is advisable to seek medical treatment. Fir...[Read More] Understanding Sleep Issues in Children: Causes and Solutions
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Binocular diplopia occurs within 1 centimeter (at least) without lateral shadows, but outside of 1 centimeter, lateral shadows will be present? However, beyond 1 meter, there is double vision. What could be the neurological issue? Additionally, there is a sharp pain behind the le...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "diplopia" may require consideration of issues related to cranial nerves (oculomotor, trochlear, and abducens) to the brainstem. It may also involve compression of the muscles behind the eye. Typically, brain imaging, blood tests, and nerv...[Read More] Understanding Diplopia: Causes and Symptoms Beyond One Centimeter
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I have been experiencing slight twitching pain in the right posterior side of my head whenever I raise or furrow my right eyebrow. The pain was...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned, "The first day was quite intense, and today (the third day) is relatively mild. Is this a normal phenomenon, or do I need to seek further medical attention?" Your symptoms resemble those of myofascial inflammation, which typically stabilize...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Frowning and raising eyebrows, with a sharp pain at the back of the head? Hello doctor, since the afternoon of the day before yesterday, I've noticed that whenever I raise or furrow my right eyebrow, I feel a slight pulling pain in the back right side of my head. The pain wa...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned experiencing a "slight pulling pain in the right posterior side of the head," which is commonly associated with left-sided neck pain due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the temporalis mus...[Read More] Understanding Eyebrow Movements and Associated Head Pain: When to Seek Help
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery