Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Headache Relief: When to Use Painkillers Safely
Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...[Read More] Understanding Headache Relief: When to Use Painkillers Safely
Understanding Numbness and Sweating: When to Seek Neurological Help
Numbness in the hands and feet with cold sweats? Hello, doctor. I would like to inquire about a situation that occurred today while I was commuting by train. I stood for about 40 minutes and suddenly felt numbness in my hands and feet, accompanied by cold sweats. I also experienc...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that you suddenly felt numbness in your hands and feet, experienced cold sweats, and seemed to have a brief loss of consciousness. By the time you regained awareness, you had already been offered a seat. Your symptoms may suggest mild heat syncope, w...[Read More] Understanding Numbness and Sweating: When to Seek Neurological Help
Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
On the fourth day after the concussion, experiencing a nosebleed and a sensation of fluid in the ears? Hello, doctor. My child suffered a concussion after a car accident. The emergency physician diagnosed her and stated that there was no bleeding in the brain, allowing us to go h...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned, "The neurosurgery outpatient clinic in my area will only be available in a few days. Should I wait for the clinic to open, or go directly to the emergency room?" Regarding head trauma, delayed intracranial hemorrhage typically occurs within ...[Read More] Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Tinnitus + headache I have been experiencing unilateral tinnitus (in my right ear) for over two months. In early April, I developed temporomandibular joint (TMJ) dysfunction, and since May, I have had tinnitus. I visited an otolaryngologist (ENT) and underwent hearing tests and a...
Dr. Chen Weida Reply:
Hello, Moon! Common symptoms of temporomandibular joint (TMJ) disorders include: 1. Clicking or popping sounds when opening or closing the mouth 2. Pain when opening the mouth 3. Facial pain while chewing 4. Limited mouth opening 5. Jaw deviation when opening the mouth 6. Inabili...[Read More] Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Snow blindness related? Regarding question 210275, there are no severe head trauma symptoms, but occasional headaches do occur, particularly during my menstrual period, and these migraines tend to be unilateral. I do experience sensitivity to light, but I have not had nausea or v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "during my menstrual period, I occasionally experience migraines that are indeed more one-sided, and while I do not have nausea or vomiting, I am sensitive to light. Since the beginning of last year, I have noticed floaters and have reduced my...[Read More] Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Snow blindness condition After consulting with an ophthalmologist, the doctor indicated that the situation I described sounds like "visual snow," which is characterized by the sensation of seeing static or snow-like visual disturbances. I underwent a dilated eye examina...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "visual snow syndrome." The primary cause of visual snow syndrome is a neurological disorder in the visual processing areas of the cerebral cortex. It commonly occurs after a concussion or mild traumatic brain injury. I would like to know if ...[Read More] Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Should You Seek Medical Attention After a Bathroom Fall?
Slipped in the bathroom and hit the back of the left side of the head? I just slipped and hit the back of my left head in the bathroom. At that moment, I experienced numbness in my limbs, but I was able to get up on my own after a while. Later, I felt a bit dazed. Should I seek m...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that you "slipped in the bathroom and hit the back of your left head, experiencing numbness in your limbs at the time, but were able to get up on your own shortly after." Generally speaking, if there is no loss of consciousness, no anticoa...[Read More] Should You Seek Medical Attention After a Bathroom Fall?
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Understanding Facial and Hand Numbness: Possible Neurological Causes
Numbness in the face, hands, and scalp (mild tingling sensation)? Hello, I would like to ask about experiencing symptoms of facial and scalp numbness that occur repeatedly. Sometimes it affects the right cheek and the scalp at the back of the head, and after a while, it may shift...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic to determine the cause.[Read More] Understanding Facial and Hand Numbness: Possible Neurological Causes
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi Reply:
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding Persistent Dizziness After Influenza: Causes and Solutions
Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions
Understanding Muscle Tremors: When to See a Neurologist
Muscle tremors issue? Hello, Doctor. About two to three weeks ago, I started experiencing involuntary muscle tremors throughout my body, along with a smooth urinary flow but no sensation of needing to urinate. In the past week, I've also developed intermittent sharp pain all...
Dr. Cai Zongzhang Reply:
Hello, Xiao Lin: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination to confirm the underlying cause.[Read More] Understanding Muscle Tremors: When to See a Neurologist
Understanding the Habit of Tensing Your Throat: Causes and Solutions
Constant strain on the throat? Hello Doctor, I’m not sure when I started the habit of straining my throat, but it has been at least two months (not related to swallowing, but near the chin area). It feels a bit like a frog (and I also tense and relax repeatedly). I have been tryi...
Dr. Jiang Junyi Reply:
Hello, Ms. Chocolate Bobbie: You mentioned feeling a bit of tightness in that area, and that you unconsciously exhibit certain behaviors that have been troubling you, even leading you to feel that your double chin has worsened. This may be indicative of a tic disorder, which is ...[Read More] Understanding the Habit of Tensing Your Throat: Causes and Solutions
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Unusual Head Sensations: Insights from Neurology
Abnormal sensations in the head? Hello, Doctor: 1. In recent months, when I close my eyes to fall asleep, I often feel a strange pressure on the top of my head (like a sensation of a large object pressing down on me, which I couldn't find any similar symptoms online). 2....
Dr. Chen Weida Reply:
Hello Mr. Liu, if this issue has been troubling you for a long time, I recommend that you visit a neurology clinic for an evaluation by a specialist, in order to improve your quality of life. Wishing you health and safety, thank you.[Read More] Understanding Unusual Head Sensations: Insights from Neurology