Understanding Aura Migraines: Do You Need Lifelong Medication?
Prodromal migraine Hello Doctor: I would like to ask you about the aura flashes I started experiencing in 2018 before my migraines. I underwent medication treatment for a period of time, and since my headaches have become more manageable this year, I have not continued taking med...
Dr. Jiang Junyi Reply:
Hello: The aura symptoms you mentioned are a type of temporary focal neurological phenomenon that typically occur before or during a migraine attack. They gradually develop over a period of time and usually last no longer than 60 minutes. If there is no significant impact on dail...[Read More] Understanding Aura Migraines: Do You Need Lifelong Medication?
Understanding Sudden Sharp Pain in the Back of the Head
Pain in the back of the head? Two days ago, I suddenly experienced a sharp, lightning-like pain in the area near the back of my head, specifically on the right side. The pain occurs as a brief episode and is not consistent in timing; it can happen at any time throughout the day. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which 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 muscle fatigue, it typically sta...[Read More] Understanding Sudden Sharp Pain in the Back of the Head
Managing Appetite Loss After Head Injury: Insights and Recommendations
Intracranial hemorrhage after a car accident? Hello Dr. Jiang, my husband was involved in a car accident on February 7. After the emergency room visit, a CT scan revealed intracranial hemorrhage. Fortunately, the amount was small and it stopped bleeding shortly after the accident...
Dr. Jiang Junyi Reply:
Hello, 1. Is the issue of loss of appetite related to a traumatic brain injury or antibiotics? It depends on the location of your husband's brain injury. Generally, traumatic brain injuries from car accidents often affect the frontal lobe, which can lead to changes in exec...[Read More] Managing Appetite Loss After Head Injury: Insights and Recommendations
Understanding Eyebrow Pain: Causes and When to Seek Help
Pain and swelling in the forehead? Hello, Dr. Jiang... About a week ago, shortly after waking up in the morning, I started experiencing swelling and pain above my right eyebrow, specifically in the area above my eye. It is particularly painful when pressed. This has been ongoing ...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a feeling of heaviness, and sometimes palpable myofascial trigger points can be felt u...[Read More] Understanding Eyebrow Pain: Causes and When to Seek Help
Understanding Unexplained Dizziness: Causes and Solutions
Unexplained dizziness? Hello Doctor, I have been experiencing a pulsating sensation in the back of my head and a feeling of instability for five years. It feels like I am walking on cotton. I have undergone numerous tests and only found a small bone spur in my neck that does not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms may include pain at the affected site, discomfort, muscle stiffnes...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Understanding Tinnitus and Brain Sensations: When to Seek Medical Help
Recently, I experienced tinnitus, and now my brain feels strange whenever I hear sounds? Recently, I experienced a sudden sharp ringing sound in my ear. I consulted an otolaryngologist who suggested that it was caused by facial pain. However, the medication did not help, and I co...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Tinnitus and Brain Sensations: When to Seek Medical Help
Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
I would like to know what causes these symptoms? Tonight, I suddenly feel very dizzy and have a heavy sensation in my head, but I don't have any cold symptoms (no cough, no sore throat, etc.). Along with the dizziness, I also suddenly feel very cold, my scalp is tingling, an...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers may include...[Read More] Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Head heaviness and lightness in the feet, resulting in imbalance? Hello Doctor: Two nights ago, I stayed up late on Saturday night. I felt fine during the day on Sunday, but on Sunday night, before going to bed (after another late night), I experienced a sensation of heaviness in...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for the imbalance you are experiencing. First, it is important to consider the possibility of insufficient sleep. If the timing of your symptoms correlates with your menstrual cycle, the likelihood of vascular dizz...[Read More] Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Recently experiencing frequent dizziness, fatigue, chest tightness, and difficulty swallowing? Hello, doctor. I would like to inform you that I have mitral valve prolapse with mild regurgitation. For the past six months, I have been experiencing chest tightness and pressure near ...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms described above, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Understanding Headaches and Mood Changes: When to Seek Neurology Help
Headache and mood swings? Hello, doctor. Previously, I had a vague pain in the right occipital region, but I thought it was a migraine and didn't pay much attention. However, I recently noticed that this situation has become increasingly severe. I didn't notice when the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be a migraine. Migraine is a type of vascular headache caused by neurological factors, and it typically does not present with localized pain points. The more common cause of right-sided neck pain is cervical myofascial pai...[Read More] Understanding Headaches and Mood Changes: When to Seek Neurology Help
Understanding Post-Concussion Symptoms: When to See a Neurologist
Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist
Understanding Post-Traumatic Head Pain: Is It Normal After Injury?
Head trauma It has been a month since the car accident on December 14th. The head injury has had the stitches removed and is mostly healed. An MRI has confirmed that there are no fractures in the skull, but the area around the wound still feels numb and painful, and I experience ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms of headache may need to consider cervical spine disorders, and the likelihood of intracranial hemorrhage is lower. When encountering external factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive fo...[Read More] Understanding Post-Traumatic Head Pain: Is It Normal After Injury?
Understanding the Effects of Occipital Impact: What to Expect After a Fall
Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. 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] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. 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] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Understanding Sleep Disturbances: Causes of Uncomfortable Brain Sensations
Sleep issues Hello, Doctor: I would like to inquire about a sleep issue. When I sleep, I suddenly experience a ringing in my head, which makes me feel very uncomfortable and wakes me up. However, I usually hesitate to change my position. It feels like my head is overly full, and ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist and an otolaryngologist for examination and treatment.[Read More] Understanding Sleep Disturbances: Causes of Uncomfortable Brain Sensations
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Dry Heaving: Is It a Sign of Brain Tumor?
The issue of dry heaving? Hello, doctor. I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit. I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea. Is that correct?
Dr. Hong Weibin Reply:
Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions. These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others. The most common causes are gastrointe...[Read More] Understanding Dry Heaving: Is It a Sign of Brain Tumor?
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps