Understanding Post-Concussion Symptoms: When to See a Neurologist
Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist
Understanding Facial Numbness: Causes and When to Seek Help
Numbness on one side of the face? About a month ago, one night while lying in bed trying to sleep, I noticed a tingling sensation on my right cheek. It wasn't complete numbness, but rather a sensation similar to when your legs fall asleep from sitting cross-legged. The next ...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, trigeminal nerve disorder is suspected. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Facial Numbness: Causes and When to Seek Help
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Numbness in both hands, both feet, and the face? About a week ago, I suddenly experienced numbness in the backs of both hands, the upper and lower arms, the backs of my feet and toes, the calves, the inner thigh of my left leg, and a tingling sensation in my lips and face. What c...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. This condition is characterized by a decrease in carbon dioxide levels in the blood, leading to an increase in pH, medically referred to as "respiratory alkalosis." This can trigger systemic reactions and sympt...[Read More] Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Understanding Neck Discomfort: Symptoms and Treatment Options
Discomfort in the head and neck? I would like to ask the doctor, two months ago I underwent chiropractic treatment for my neck, but it seems it wasn't done properly. A few days later, I started experiencing mild dizziness when turning my head, and a tingling sensation on the...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. The causes could include external factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation, which may lead to cervical insta...[Read More] Understanding Neck Discomfort: Symptoms and Treatment Options
Understanding Persistent Head Pain: Is It Related to Your Cold?
Intermittent headaches? Hello Dr. Jiang, last Sunday I experienced a sore throat, and the next day I started having occasional sharp pains on the scalp above my left ear, happening every few minutes. I have experienced this occasionally in the past, but it usually lasts no more t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should indeed first consider the possibility of poor local circulation caused by a cold, which can lead to tension-type headaches. Tension-type headaches are, in fact, a form of myofascial pain. The fascia refers to the connective tissue that envelops the sur...[Read More] Understanding Persistent Head Pain: Is It Related to Your Cold?
Understanding Occasional Numbness in the Back of the Head During Urination
Numbness in the scalp during urination? I would like to ask, I often experience numbness in the right back of my head when urinating, but there is no pain, and it goes away after I finish urinating. What could this situation be? Thank you.
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cervical myofascial tightness. The primary concerns could be cervical disc degeneration, facet joint degeneration, and cervical disc herniation. Once there is pathology in the cervical spine joints, it can lead to neck pain and stiffness, as well ...[Read More] Understanding Occasional Numbness in the Back of the Head During Urination
Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Shoulder and neck pain? Hello doctor, I would like to ask what could be the cause of persistent numbness on the left side of my face and the back of my head for the past four days?
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Persistent Left Facial and Occipital Numbness: Causes and Concerns
Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...
Dr. Hong Weibin Reply:
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
After forcefully blinking, the tail end of the left eyelid twitches? Hello Doctor: About four days ago, I noticed that after I forcefully blinked and then opened my eyes, the outer part of my left upper eyelid would twitch slightly. It's not very noticeable in the mirror, bu...
Dr. Jiang Junyi Reply:
Your description of eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, there is no twitching in other facial muscles, it is considered simple ey...[Read More] Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Relieving Ulnar Nerve Pain: Duration and Heart Impact Explained
Joint numbness and pain? 1. What methods can alleviate ulnar nerve paralysis, and how long does it typically last? Note: Since last night until now. 2. What impact can the aforementioned symptoms have on the heart? Thank you very much for the doctor's response. 3. What m...
Dr. Jiang Junyi Reply:
Hello: If the left chest discomfort and pain are caused by the heart, it may sometimes radiate to the shoulder, but it rarely affects a single finger. You mentioned ulnar nerve entrapment, which is primarily caused by resting the elbow on a hard surface or applying pressure to th...[Read More] Relieving Ulnar Nerve Pain: Duration and Heart Impact Explained
Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
I'm not sure if I need to seek medical attention? I have always felt that my face is asymmetrical; the right side feels looser and weaker, the corners of my mouth droop, and my right eye appears larger and is more prone to dryness (which has led me to habitually blink harder...
Dr. Jiang Junyi Reply:
Hello, based on your description, the issue of facial asymmetry can be evaluated through facial nerve electrophysiological tests to help clarify whether there is any facial nerve damage. Regarding the dizziness and the sensation of vibrations you mentioned, it may be worth consid...[Read More] Understanding Facial Asymmetry and Neurological Symptoms: When to Seek Help
Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Facial nerve paralysis with left-sided facial pain during treatment? Hello Doctor, I started experiencing an imbalance and paralysis in my face on August 1st. After seeking treatment at the hospital on August 3rd, I have been undergoing a combination of Western medication and acu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes patients...[Read More] Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Tardive dyskinesia Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime Doxepin 25mg * 2 tablets, Lyrica (Pregabalin) 75mg * 2 tablets, Xyzal 5mg (for ski...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, extrapyramidal symptoms (EPS) are more common in patients using Primperan or certain antipsychotic medications, and are somewhat related to individual constitution. Children and the elderly are also more susceptible. Essentially, to enhance intestinal m...[Read More] Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained
Foot arch problems? The patient reports experiencing numbness on the side of the thigh extending down to the foot, which is mild in nature. A nuclear magnetic resonance imaging (MRI) scan was performed at a large hospital, examining the cervical spine and pelvis, but no cause was...
Dr. Hong Weibin Reply:
Hello: Your symptoms may warrant an evaluation by a neurologist. If there is no evidence of sciatic nerve compression, it may be necessary to consider the possibility of a demyelinating nerve disease. It might be necessary to arrange for upper and lower limb nerve conduction stud...[Read More] Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained