Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Assessing Risk of Chronic Subdural Hematoma After Head Injury
Head trauma Hello Doctor, my father is 52 years old and has a history of liver cirrhosis, currently undergoing medication treatment. Last week, he accidentally hit his head hard when closing the car door. The pain lasted for about two minutes, and there was no loss of consciousne...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "the rear door accidentally hit my head after closing, it was quite forceful, and it hurt for about two minutes. There was no loss of consciousness, and I did not experience any other discomfort." Generally speaking, if there is no l...[Read More] Assessing Risk of Chronic Subdural Hematoma After Head Injury
Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
Numbness in the soles of the feet? Hello, doctor. Three years ago, I was diagnosed with autonomic nervous system dysfunction due to dizziness. After taking medication, my condition improved significantly, and I stopped taking the medication. However, I have experienced intermitte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned experiencing dizziness that sometimes occurs with movement. Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of vertigo related to changes in head position, such as bending ov...[Read More] Understanding Persistent Foot Numbness: Is It Related to Autonomic Dysfunction?
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 Headaches and Facial Flushing: When to Seek Neurology Help
Headache and facial flushing? I suddenly experienced constipation one time, and after straining, I had a sudden headache. The next day, I was still constipated, and straining caused an even worse headache accompanied by facial flushing and chest pain. After that, every time I str...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi: If the headache symptoms do not improve, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Headaches and Facial Flushing: When to Seek Neurology Help
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 Asymmetrical Head Shape: Neurological Insights and Concerns
Asymmetry of the brain? I have had this symptom for a long time. I noticed that in photos, the left side of my head appears particularly protruded. I didn't pay much attention to it at first, but now I find it quite unattractive. It feels soft to the touch, and it seems like...
Dr. Cai Zongzhang Reply:
Hello, it is not hydrocephalus; it should be a scalp issue. I recommend seeing a dermatologist.[Read More] Understanding Asymmetrical Head Shape: Neurological Insights and Concerns
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
Understanding Nerve Sensations: Addressing Tingling and Discomfort
Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...
Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei Reply:
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Headaches When Lying Face Down: What You Need to Know
Experiencing headaches when lying down? Hello, I would like to ask about a situation where I do not experience any issues while sitting, lying flat, or standing, but sometimes when I lie face down (with my elbows propped up), I experience a buzzing sensation in my head along with...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it may be related to a transient increase in intracranial pressure due to straining. However, a detailed assessment by a physician in person would be preferable. If this situation is causing you significant distress, I recommend consulting...[Read More] Headaches When Lying Face Down: What You Need to Know
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Pain in the left occipital region accompanied by a throbbing sensation? Hello Doctor, I have recently started practicing freediving, but I often experience severe pain in the left posterior part of my head when descending to depths of about five to ten meters, despite normal ear ...
Dr. Jiang Junyi Reply:
Hello Chris, You mentioned experiencing "severe pain in the left occipital region during ascent, which evolved into a throbbing pain accompanied by a heartbeat after resting." Your symptoms may warrant consideration of "decompression sickness." Compared to fr...[Read More] Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation