Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Perceptual Disorders: When to Seek Medical Advice
Regarding issues related to sensory integration disorder? Hello, doctor. Sometimes I suddenly experience a strange sensation where it feels like the surroundings are speeding up, and sounds suddenly become amplified. The speed and volume can be so overwhelming that it makes me fe...
Dr. Cai Zongzhang Reply:
Hello Gina: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Perceptual Disorders: When to Seek Medical Advice
Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Nausea after a car accident? Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet. At the time, I did not experience any nausea or dizziness. However, when I got home that evening, I started to have a loss of appetite and felt n...
Dr. Jiang Junyi Reply:
Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild. However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) D...[Read More] Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Coolness in the back of the head. Fatigue? I woke up feeling fatigued this morning, but I am currently on my menstrual period, so I'm not sure if that is related. Then tonight, while lying in bed, I suddenly felt a cool sensation at the back of my head, which went away withi...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaozhu: You mentioned feeling a sudden coolness at the back of your head and that your feet have been consistently cool. These may be two separate issues. The cool sensation at the back of your head could indicate an abnormality in the peripheral nerves, such as ner...[Read More] Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Sore cheeks after drinking alcohol? Hello: Recently, I've noticed that my cheeks feel sore when I drink alcohol, but it doesn't happen every time, even with the same type of alcohol. Could this be related to the trigeminal nerve? Should I avoid alcohol completely or see...
Dr. Jiang Junyi Reply:
Dear Ms. WH, You mentioned that you experience a tingling sensation in your cheeks when drinking alcohol. I would like to know if you also experience headaches during this time. Is it more pronounced when you drink red wine? The combination of red wine and cheese may trigger mig...[Read More] Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Understanding Head Pain: Causes and Concerns in Neurology
Head issues Hello, doctor. I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair. The pain is not located at the area in contact with the chair, but rather closer to the top of my head. I haven't hit my head or experienced ...
Dr. Jiang Junyi Reply:
Hello Mr. Ren, You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain. Prolonged periods of ...[Read More] Understanding Head Pain: Causes and Concerns in Neurology
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Occipital neuralgia? Every time I experience gum inflammation and ulceration, I feel a sharp pain in the back of my head. The pain is located slightly above the center of the back of my head, and it feels like an electric shock, occurring intermittently every few seconds. Once th...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate trigeminal nerve inflammation, possibly due to herpes zoster affecting the trigeminal nerve. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings