Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Weakness and soreness in the limbs, unilateral symptoms progressing to bilateral, along with headache, dizziness, and nausea? Hello, doctor. I will first describe my medical history. At the end of May, I experienced a severe impact on the left side of my left knee, so on May 26, ...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao Wu, You mentioned "1. axonal motor neuropathy in the left peroneal nerve; 2. demyelinating motor neuropathy in the left tibial nerve." These results indicate that there is neuropathy affecting the motor nerves in your left lower limb. However, they do not...[Read More] Understanding Neurological Symptoms: From Limb Weakness to Dizziness
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Dizziness while walking? Hello, doctor. I have been experiencing episodes of dizziness intermittently over the years, but it has become more frequent in the past six months. Two years ago, I suspected a stroke and went to a major hospital to see a neurologist, where I underwent a...
Dr. Hong Weibin Reply:
Hello: The majority of dizziness is caused by degenerative abnormalities of the vestibular structures in the inner ear. If you have already undergone thorough examinations and no dangerous underlying conditions have been found, the focus should be on identifying factors that exac...[Read More] Understanding Persistent Dizziness: Seeking the Right Medical Guidance
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Understanding Head Tremors: Causes and Solutions for Neurological Issues
I'm not sure what happened? Recently, when I lie down with my head resting against the back of the chair, and then sit up straight to write, my head starts to shake.
Dr. Jiang Junyi Reply:
Hello, Miss Han: You mentioned, "When I sit up straight to write, my head shakes?" This phenomenon is referred to as tremors. Physiological tremors occur only under certain conditions, such as stress, anxiety, or anger, and do not happen regularly. Some medications, suc...[Read More] Understanding Head Tremors: Causes and Solutions for Neurological Issues
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Stomach right upper abdomen In the past few days, I have been experiencing pain that feels similar to shortness of breath, with an itchy and constricted throat. It is also difficult to swallow when eating. During the painful episodes, I have severe headaches that feel like they a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Headaches After a Childhood Injury: What You Need to Know
I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...
Dr. Jiang Junyi Reply:
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....[Read More] Headaches After a Childhood Injury: What You Need to Know
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Understanding the Connection Between Meningitis and Fever Symptoms
The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...
Dr. Jiang Junyi Reply:
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...[Read More] Understanding the Connection Between Meningitis and Fever Symptoms
Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
If you have been experiencing persistent twitching in the forehead area and involuntary shaking in both hands for nearly a year, it would be appropriate to consult a neurologist? The mother-in-law's forehead has been twitching continuously, especially when she is focused on ...
Dr. Hong Weibin Reply:
Hello: You may seek assistance from a neurologist to differentiate the types of tremors commonly seen in the elderly, such as physiological tremor, Parkinsonian tremor, drug-induced tremor, and essential tremor, among others.[Read More] Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective