Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang Reply:
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Involuntary Head Tremors: Causes and Solutions
Involuntary head tremors? Hello, doctor. Since around middle school, I've noticed that whenever I get nervous, my head starts to shake involuntarily (side to side). During high school, when I had to give presentations, I found it even harder to control. Sometimes, even when ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be essential tremor, which is one of the most common movement disorders. Head tremors (for example, during "yes" or "no" movements) occur without abnormal head posture. Emotional excitement, high stress, fever, physical...[Read More] Understanding Involuntary Head Tremors: Causes and Solutions
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Sometimes when sitting, it feels like being in an elevator? Hello, doctor. I often use my computer and phone while looking down, but one day I suddenly started experiencing shoulder and neck pain, along with stiffness and pain in the occipital region. I also began to feel dizzy w...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "shoulder and neck pain, dizziness similar to being in an elevator... could this be autonomic nervous system dysfunction?" Your symptoms do not align with autonomic nervous system issues. It may be necessary to first consider Benign Paroxysmal ...[Read More] Understanding Neck Pain and Dizziness: Is It Autonomic Nervous System Dysfunction?
Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Heat sensation in the back of the head? Recently, I have been frequently experiencing a sensation of heat at the back of my head, sometimes at the crown as well. This occurs whether I am outdoors in the heat or indoors in an air-conditioned room. I am unsure what the cause might ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsuan, You mentioned experiencing a sensation of heat in your scalp, sometimes at the back of your head and other times at the top. This may indicate cervical myofascial pain syndrome, which can present with symptoms such as pain, discomfort, muscle stiffness, or...[Read More] Understanding Heat Sensation in the Back of the Head: Causes and Solutions
Understanding Foot Numbness and Small Steps: Neurological Insights
Numbness in the toes and shuffling gait? Hello Dr. Jiang, I am 72 years old this year. I previously visited a neurologist because I experience small shuffling steps when walking and cannot turn my head too quickly, otherwise I feel dizzy. Both of my feet feel numb, primarily in t...
Dr. Jiang Junyi Reply:
Hello, Aunt Hsu: You mentioned, "Is it possible to improve small fiber symptoms through dopamine in non-Parkinson's disease?" The answer is no. You also noted that "both feet feel numb, primarily in the toes," which may indicate symptoms of peripheral ne...[Read More] Understanding Foot Numbness and Small Steps: Neurological Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi Reply:
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Sudden Dizziness and Weakness: Could It Be Epilepsy?
Dizziness and weakness in the limbs? Hello doctor, I suddenly felt dizzy and weak all over while walking, and I lost control of my body, almost losing consciousness. During this episode, I felt twitching at the junction of my neck and head (but there was no twitching in my limbs)...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are not indicative of epilepsy; they are suspected to be related to orthostatic hypotension. It is recommended to visit a neurology outpatient clinic.[Read More] Sudden Dizziness and Weakness: Could It Be Epilepsy?
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Sneezing-Induced Headache: Causes and When to Seek Medical Help
Sneezing headache? Hello, I would like to ask about my mother. A few days ago, she sneezed and then started experiencing sharp pain in her head. After a day or two, she said the pain has worsened compared to the previous days. I suggested she see a doctor, but she refuses to go. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that after your mother sneezed, she started experiencing sharp pain in her head. I'm wondering if there are any localized tender points that can be pressed. If there are, it might indicate an issue with the cervical muscle fascia. However, if the headach...[Read More] Sneezing-Induced Headache: Causes and When to Seek Medical Help
Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Rhythmic twitching of various body parts during sleep? Hello, doctor. I am a 28-year-old female, 160 cm tall and weighing 43 kg. I am a "sleep-onset" type. My partner has informed me that while I am asleep, my body exhibits rhythmic shaking or twitching, which feels lik...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing Periodic Limb Movement Disorder (PLMD). I recommend seeking assistance from a neurologist or a sleep specialist, or visiting a hospital with a sleep center. Depending on the situation, blood tests and a po...[Read More] Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options