Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Consultation for Forehead Tics Dear Dr. Jiang, Recently, I have experienced occasional twitching in the area above my right eye on the forehead. The duration of the twitching varies; sometimes it lasts longer, and other times it disappears quickly. There are no noticeable discom...
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Hsiang, You mentioned experiencing occasional twitching in the area above your right eye. If your symptoms involve muscle movements in the forehead region, these are typically controlled by the facial nerve. It is important to carefully observe the patient's fac...[Read More] Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi Reply:
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Should I Seek Medical Attention After Nasal Swab Mishap?
I would like to ask Dr. Jiang whether this situation requires medical attention or if it can be monitored further. Thank you? Hello, Doctor Jiang. I recently had contact with a confirmed case, and during a rapid test, I mistakenly inserted the swab stick 11 centimeters into my no...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "an operational error led to the rapid test swab being inserted 11 centimeters into the nostril," which likely means it passed through the nasal turbinates and reached the oropharynx. Our nasopharynx contains bone, and unless there ha...[Read More] Should I Seek Medical Attention After Nasal Swab Mishap?
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi Reply:
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Understanding Right Arm Pain: Possible Causes and Solutions
Right arm pain? Hello Dr. Jiang: Since mid-April, I have been experiencing pain in my right arm upon waking up, but it usually subsides after about an hour. Recently, by the end of April, the pain has persisted for a long time after waking up. The affected areas include a tinglin...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jeng, You mentioned experiencing a tingling sensation in your fingers and pain in your arm near the neck, particularly above the elbow (which becomes more pronounced when pressed). This may indicate cervical nerve root compression and related myofascial pain syndrome....[Read More] Understanding Right Arm Pain: Possible Causes and Solutions
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Frequent sharp pain in the heart, with headaches and tightness in the neck occurring approximately every 4.5 days? I have been evaluated by a neurologist and diagnosed with autonomic dysfunction, which fluctuates between good and bad. The main issue is that my symptoms have not i...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for evaluation.[Read More] Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi Reply:
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention
Understanding the Sensation of Head Pressure and Balance Issues
Feeling of pressure in the head? In the past month, I have occasionally felt a sensation of pressure in my head, and sometimes I feel like my body is leaning to one side. There was also an instance when I felt like the floor was spinning, making it difficult to stand, but it quic...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "sometimes I feel like my body is tilting to one side, and once I felt like the floor was spinning, making it hard to stand, but I quickly recovered." These symptoms are more indicative of Benign Paroxysmal Positional Vertigo (BPPV). The c...[Read More] Understanding the Sensation of Head Pressure and Balance Issues
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Managing Medication Side Effects and Dosage Reduction in Neurology
Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology
Can Tooth Extraction Affect Mental Health and Cognitive Function?
Dementia? Hello doctor, after having two teeth extracted last year, my mental state has been very poor, and I have experienced difficulties with memory, cognition, and awareness. I later found some information suggesting a connection between teeth and the brain. Can you tell me i...
Dr. Jiang Junyi Reply:
Hello Mr. Ashu, You asked, "Can tooth extraction really change a person's mental state?" Many case reports suggest that poor dental hygiene may increase the risk of dementia. However, systematic reviews indicate that the evidence is insufficient to draw such concl...[Read More] Can Tooth Extraction Affect Mental Health and Cognitive Function?