Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Headache and neck pain, with the size and intensity of the pain points being consistent? Hello Doctor, thank you for taking the time to address my concerns amidst your busy schedule. Two days ago, while standing and working on a report, I suddenly experienced severe pain below my...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned wanting to know if this is a sign of a blood clot. A: If a blood clot is present, you can check the D-dimer to see if the clotting index has risen. In the case of vertebral artery embolism, it is usually accompanied by symptoms of loss of motor function...[Read More] Understanding Sudden Neck and Head Pain: When to Seek Neurology Help
Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Dizziness characterized by a heavy head and light feet? Hello Dr. Jiang, I've been experiencing dizziness for the past two mornings upon waking up. It's a sensation of feeling heavy-headed and light-footed, with the dizziness being most severe when standing, somewhat l...
Dr. Jiang Junyi Reply:
Hello Ms. Cheng, Based on your description, the first consideration for your symptoms is mild heat syncope associated with heat-related illnesses. The primary cause is vasodilation of the skin microvasculature in high-temperature outdoor environments, leading to blood pooling in...[Read More] Understanding Dizziness: Heavy Head and Light Feet Symptoms Explained
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Understanding Persistent Body Rocking: When to Seek Medical Attention
The body is shaking uncontrollably? Hello! I have been experiencing this condition for about a month now, occurring almost daily (over 95% of the time). The duration varies, but the frequency has increased in the past week, with episodes lasting longer, especially noticeable at n...
Dr. Jiang Junyi Reply:
Hello, The symptoms you mentioned may suggest tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by m...[Read More] Understanding Persistent Body Rocking: When to Seek Medical Attention
Understanding Elevator Sensation: Neurological Insights and Solutions
There is a sensation similar to the feeling of inertia after riding an elevator? Hello Doctor, I would like to ask a question. Since early March of this year, I have been experiencing a sensation similar to the aftereffects of riding an elevator, where it feels like my body is mo...
Dr. Jiang Junyi Reply:
Dear Ms. Ww, In addition to hyperventilation, your symptoms may warrant consideration of other diseases and causes that can lead to dizziness. If your headaches are related to your menstrual cycle, the likelihood of vascular headaches causing dizziness is higher. However, condit...[Read More] Understanding Elevator Sensation: Neurological Insights and Solutions
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Should I See a Doctor Three Days After Hitting My Hand?
It has been three days since the injury; should I still see a doctor? Hello, Doctor. I would like to ask about an incident that happened two days ago when I forcefully bumped into the sharp corner of a table. Initially, I thought it was just swollen, but then I ended up bleeding ...
Dr. Jiang Junyi Reply:
Hello, Miss: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head injuries are mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergency room: (1) Deteri...[Read More] Should I See a Doctor Three Days After Hitting My Hand?
Understanding Left-Sided Occipital Headaches: Causes and Remedies
Left-sided occipital headache? Hello, Doctor. I often experience pain in the left side of my occipital region, with a distinct sensation concentrated at a specific point. Sometimes, I even feel pain in my left eyebrow. The pain can persist even after a night's sleep, and the...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi! The symptoms mentioned are suggestive of neuropathic pain. It is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Left-Sided Occipital Headaches: Causes and Remedies
Understanding Chronic Headaches: Causes and Solutions for Long-Term Pain
Chronic headache I would like to ask the doctor, my boyfriend has been experiencing headaches for five years. Initially, he had headaches 2 to 3 times a week, lasting 3 to 5 hours each time. Now, he has headaches 4 days a week, and they only improve after sleeping for more than 1...
Dr. Hong Weibin Reply:
Hello: If you have long-term headaches but notice a change in the pattern of your headaches, it is advisable to seek assistance from a neurologist at a medical facility for further evaluation and testing.[Read More] Understanding Chronic Headaches: Causes and Solutions for Long-Term Pain
Understanding Unexplained Head Pain: Causes and Concerns
Headache issues? Dear Dr. Jiang Junyi, Thank you for taking the time to respond. On the afternoon of the 8th, I began experiencing an inexplicable sharp pain in the area of my right occipital region near the top of my head. The pain comes in brief episodes, each lasting no more ...
Dr. Jiang Junyi Reply:
Hello, sir: The pain you experience when you press or massage your neck may indicate myofascial inflammation, which can lead to tender points. Regarding your mention of feeling that the floor is uneven, it may be worth considering issues related to inner ear imbalance or insuffic...[Read More] Understanding Unexplained Head Pain: Causes and Concerns
Understanding the Effects of Sirdalud on Weight and Heart Rate
Shenda Heart Rhythm Tablets Hello Doctor: I have migraines, and the frequency of my attacks has increased recently, so I visited a neurologist. The doctor prescribed me Sotalol, two tablets a day, to be taken continuously for one month. I have been taking it for two weeks now, an...
Dr. Jiang Junyi Reply:
Hello, Miss: I would like to know if the neurologist has prescribed any other medications for migraine prevention for you. Propranolol works by reducing sympathetic nervous system activity. Side effects include dizziness, lightheadedness, dry cough, bradycardia, hypotension, and ...[Read More] Understanding the Effects of Sirdalud on Weight and Heart Rate
Should You See a Neurologist for Unexplained Shoulder Tremors?
Involuntary shoulder twitching and the sensation of goosebumps? Since I was a child, I sometimes experience involuntary shoulder twitching and goosebumps all over my body. During these episodes, I do not have any emotional fluctuations. Should I see a doctor for an examination? I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned symptoms that may need to consider involuntary movement disorders caused by instability of dopamine in the basal ganglia of the brain, resulting in involuntary muscle movements. The manifestations can be divided into two types: one primarily involves mo...[Read More] Should You See a Neurologist for Unexplained Shoulder Tremors?
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Experiencing severe dry mouth while taking Tofacitinib (20mg)? Hello Doctor: I have been taking Tofacitinib for almost three months and was supposed to return for a follow-up appointment! However, due to the outbreak of the pandemic, I am hesitant to go to the hospital! Recently,...
Dr. Jiang Junyi Reply:
Dear Ms. Gao, Atorvastatin is indicated for: reducing the risk of myocardial infarction, lowering the risk of stroke, and decreasing the incidence of cardiovascular events in high-risk groups for coronary heart disease. Since you are 50 years old, I would like to know which risk...[Read More] Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Head Pain When Lying Down: Understanding Neurological Symptoms
Experiencing a headache when lying down? Since the day before yesterday, I've had a slight headache, but last night it suddenly became an explosive pain, the kind that makes my whole head hurt and prevents me from sleeping well. However, sitting up provides some relief. Afte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The common cause of the neck compression and pain you are experiencing is likely cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially,...[Read More] Head Pain When Lying Down: Understanding Neurological Symptoms
Understanding Numbness in the Left Hand and Occipital Region
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight there is suddenly a tingling sensation in the back of the head. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, or neurological sensatio...[Read More] Understanding Numbness in the Left Hand and Occipital Region
Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight the back of the head suddenly feels numb as well. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, and possibly neuro...[Read More] Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Intermittent numbness in the body and a dull pain on the right side of the head? Hello, Doctor: Recently, I have been experiencing occasional tingling sensations throughout my body, similar to being suddenly shocked. Aside from my head, I don't feel discomfort anywhere else....
Dr. Jiang Junyi Reply:
Dear Mr. Chang, The symptoms you mentioned may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. This condition typically presents with pain at the affected site, discomfort, mus...[Read More] Understanding Sudden Numbness and Right-Sided Head Pain: Neurology Insights
Evening Discomfort: Understanding Symptoms and Seeking Help
I start to feel unwell every evening? Hello Doctor: When I was 19 years old, I underwent a unilateral thyroidectomy due to a thyroid nodule. Around the same time, I developed depression (which was later diagnosed as bipolar disorder) and was subsequently diagnosed with psoriasis ...
Dr. Cai Zongzhang Reply:
Hello Phoebe! Psoriasis is an autoimmune disease, which shares common characteristics with all autoimmune disorders. If you start experiencing discomfort in the evening, it is advisable to monitor your temperature in the morning and evening, engage in regular exercise, as this ca...[Read More] Evening Discomfort: Understanding Symptoms and Seeking Help