Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased intracrania...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms tend to worsen with changes in weather and can be alleviated with stretching activities, of...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches for a while, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased...
Dr. Jiang Junyi Reply:
Based on your description, the more common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal-temporal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online and it seems to be a symptom of increased intracranial...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Yesterday, while sitting down, I hit the back of my head against a wooden podium. Occasionally, I experience pain in my left ear, which has become more frequent today. Additionally, I now have pain in my right ear and a feeling of drowsiness.
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and the patient should seek emergency care: (1...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...
Dr. Cai Zongzhang Reply:
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Understanding the Link Between Ischemic Stroke and Car Accidents
Ischemic stroke Before the car accident, my mother had stable blood pressure. After the accident, her blood pressure has been consistently high, around 200. She is now hospitalized for treatment of an ischemic stroke. I would like to understand whether the ischemic stroke is rela...
Dr. Hong Weibin Reply:
Hello: Clarifying the causal relationship is not easy because common risk factors for stroke include age, chronic hypertension, diabetes, hyperlipidemia, and smoking. If there was a hemorrhagic stroke immediately after the car accident, it could lead to vascular spasm and result ...[Read More] Understanding the Link Between Ischemic Stroke and Car Accidents
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Headache Hello doctor, I woke up this morning with a dull pain in the back of my head on the right side. The pain extends from the area below the protruding bone down to the upper part of my neck. What could be the issue?
Dr. Hong Weibin Reply:
Hello: If you are experiencing simple neck and upper back pain, it may be due to improper sleeping posture or an unsuitable pillow height, leading to muscle tension and strain. You can initially use pain relief patches, and symptoms should improve within 2-3 days. However, if you...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Car Accidents and Stroke: Understanding Risks and Treatment Options
Car accidents and strokes? The mother was involved in a car accident where she sustained a head impact, but there were no external injuries. She was taken to a nearby hospital's emergency department, where a head X-ray was not performed. At the time of the accident, her bloo...
Dr. Hong Weibin Reply:
Hello: It is unclear whether it is a hemorrhagic stroke or an ischemic stroke. A car accident is unlikely to directly cause a stroke, but it could potentially lead to a brain hemorrhage, which may subsequently cause vascular spasms and result in an ischemic stroke. I recommend di...[Read More] Car Accidents and Stroke: Understanding Risks and Treatment Options
Understanding Body Shaking: Possible Neurological Concerns Explained
Recently, I have been experiencing body tremors? It has been 5 days since I started experiencing shaking. Initially, I felt a bit dizzy, but gradually it felt like my body was swaying. I perceive it as my center of gravity shifting back and forth, which is especially noticeable w...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing acute body tremors, which should first consider issues related to proprioception or metabolic disorders such as thyroid problems. Generally speaking, the cerebellum is the center for balance, responsible for fine-tuning bodily equilibrium. If sym...[Read More] Understanding Body Shaking: Possible Neurological Concerns Explained
Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness and lightheadedness? Hello Doctor, I have been suffering from dizziness and headaches lately, primarily in the lower back area of my head, centered in the middle of the brain and below the ears. This is accompanied by difficulty focusing my eyes on a single point, follo...
Dr. Jiang Junyi Reply:
Hello: It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning...[Read More] Understanding Dizziness and Headaches: Causes and Specialist Guidance
Understanding Dizziness and Heart Palpitations When Lying Down
Lying flat feels like the world is spinning? In recent days, I have experienced sudden episodes of dizziness while lying flat at night, feeling as if the bed is shaking and my vision is also swaying. I can also hear my heart beating rapidly for a moment, but then it returns to no...
Dr. Hong Weibin Reply:
Hello: Your condition is likely due to an inner ear issue causing dizziness. It is advisable to seek assistance from an otolaryngologist. Adequate rest may also help improve your symptoms.[Read More] Understanding Dizziness and Heart Palpitations When Lying Down
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Understanding Headaches: When to Seek Medical Attention
Headache issues? Hello, doctor. I have a headache issue that usually starts in the afternoon, and sometimes I wake up with a mild headache. The pain is located in the back of my head and my temples, and it gets worse when I strain during bowel movements. I read online that this c...
Dr. Hong Weibin Reply:
Hello: There are many causes of headaches. If your headache worsens during straining to have a bowel movement, it is advisable to seek assistance from a neurologist.[Read More] Understanding Headaches: When to Seek Medical Attention
Head Injuries and Dementia: Understanding the Risks and Concerns
Head Trauma and Dementia Hello, Doctor. 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not exp...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is low, so there is no need to worry excessively. 2. If all other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psychosomat...[Read More] Head Injuries and Dementia: Understanding the Risks and Concerns
Head Injuries and Dementia Risk: Understanding the Connection
Head Trauma and Dementia Hello Doctor, 1. I recently read that head injuries can increase the risk of dementia. I would like to ask if, when I was in the first and second grades of elementary school, I had a head injury that resulted in bleeding on a CT scan, but I did not expe...
Dr. Hong Weibin Reply:
Hello: 1. If it is a single mild head injury, the likelihood of developing dementia is relatively low, so there is no need to worry excessively. 2. If other organ examinations are normal, it may be necessary to consider psychosomatic disorders. You can seek assistance from a psyc...[Read More] Head Injuries and Dementia Risk: Understanding the Connection
Understanding Dizziness and Weakness: Causes and Solutions
Dizziness, numbness in the head, and weakness? Taking care of a sick child at night, I felt anxious and scared, only managing to sleep for an hour. When I woke up, I occasionally experienced dizziness, during which my head felt empty, and I also had a tingling sensation in my hea...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it may be caused by insufficient sleep. It is recommended to first improve sleep quality; if there is no improvement, please visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Weakness: Causes and Solutions
Managing Long-Term Effects of Severe Concussions: A Patient's Guide
Approximately four years ago, I suffered a severe concussion? Hello Doctor: About 5 years ago, I suffered a severe concussion due to external force. I was in a coma for 3 days and was hospitalized for observation and recovery for about half a month before returning home to recupe...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic.[Read More] Managing Long-Term Effects of Severe Concussions: A Patient's Guide
Understanding Bedwetting: Could It Indicate a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five o'clock this morning, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this be a sign of a brain tu...
Dr. Hong Weibin Reply:
Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account. Additionally, if this is just a one-time occurrence, it is difficult to conclude that there is a pathological issue. It is more ...[Read More] Understanding Bedwetting: Could It Indicate a Neurological Issue?
Managing Dizziness and Drowsiness After a Stroke: Key Insights
Dizziness and drowsiness after a stroke? Hello Doctor: In July, I experienced paralysis and numbness on my left side. After being taken to the hospital, I was diagnosed with acute cerebral embolism located in a small vessel near the right brainstem. I received intravenous thrombo...
Dr. Hong Weibin Reply:
Hello: After a stroke occurs, even with the administration of thrombolytics, the blockage of blood vessels in the brain usually causes some degree of neurological damage, leading to certain sequelae. You may want to discuss this with your attending physician and evaluate whether ...[Read More] Managing Dizziness and Drowsiness After a Stroke: Key Insights