Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi Reply:
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Understanding Post-Exercise Headaches: Causes and Remedies
Post-exercise headache Hello, doctor. Last Wednesday, after a four-month break, I played basketball for almost four hours. Afterward, I went home, had hot pot, and drank some beverages. The next day, I woke up with a headache that lasted all day (I took Tylenol). It's been f...
Dr. Jiang Junyi Reply:
Hello Mr. Kai, You mentioned, "It's been five days, and although my head doesn't hurt as much, I still feel a throbbing pain at the top of my head." Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manif...[Read More] Understanding Post-Exercise Headaches: Causes and Remedies
Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Understanding Hand Numbness and Headaches: Possible Causes and When to Seek Help
Numbness in the hands and headaches? Hello Doctor, I have been experiencing numbness in my hands and headaches for quite some time. 1. Numbness: This mainly occurs after taking a shower. Sometimes both hands are affected, other times just one hand, and occasionally only a few f...
Dr. Cai Zongzhang Reply:
Hello, Miss Apei: The symptoms mentioned may be due to cranial nerve compression. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Hand Numbness and Headaches: Possible Causes and When to Seek Help
Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Numbness, heat, and swelling in a localized area after a head injury, along with nausea while driving? Hello, the day before yesterday, I experienced some emotional instability and hit the table hard, resulting in a strong impact felt in the left posterior part of my head, follow...
Dr. Jiang Junyi Reply:
Dear Mr. Micky, Your symptoms may suggest cervical nerve root compression. This condition is often associated with tightness in the cervical muscles and fascia, as well as cervical degeneration. It typically presents as pain, discomfort, muscle stiffness, or neurological symptom...[Read More] Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Understanding Temporal Fossa Depression and Its Neurological Implications
The indentation at the temples extends to the forehead, causing a depression in the veins? Hello Doctor, I would like to inquire about a condition I am experiencing. There is a noticeable indentation when I press on my left temple, which extends up to the area above my ear. This ...
Dr. Cai Zongzhang Reply:
Hello GIGI! It is recommended to visit the neurology outpatient clinic![Read More] Understanding Temporal Fossa Depression and Its Neurological Implications
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi Reply:
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Understanding Nighttime Headaches: Causes and Solutions
Waking up with a headache in the middle of the night versus waking up with a headache in the morning? Hello, Dr. Jiang! Regarding my headache issue, I have undergone an MRI, and the neurologist said there were no abnormalities. However, I still wake up in pain during the night. T...
Dr. Jiang Junyi Reply:
Hello: The headache you mentioned may be related to issues with the cervical myofascia. Many primary headaches do not show abnormalities on MRI, primarily caused by abnormal activation of the trigeminal nerve. Brain imaging is performed to rule out structural problems such as tum...[Read More] Understanding Nighttime Headaches: Causes and Solutions