Understanding Sleep-Related Brain Issues: Causes and Concerns
Sleep-related brain issues Hello Doctor: When I was in middle school, I often stayed up late without taking medication or drinking coffee. I don't know the reason, but I frequently experienced increased pressure in my brain accompanied by persistent noise, which would sudden...
Dr. Jiang Junyi Reply:
Hello: Since your symptoms occur during sleep, it may be necessary to consider sleep disorders such as REM Sleep Behavior Disorder, abnormal brain discharges during sleep, etc. It is recommended that you consult a sleep medicine specialist to discuss examinations (including multi...[Read More] Understanding Sleep-Related Brain Issues: Causes and Concerns
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Dizziness, headache, and vision changes? Hello Doctor, I have a problem with anemia. Since last week, I have been experiencing frequent dizziness and nausea, and I have difficulty walking and standing steadily. About three days ago, I visited a doctor who prescribed me Iron suppl...
Dr. Jiang Junyi Reply:
Hello, Have you had a blood test? Do you have iron deficiency anemia? The iron supplement you mentioned, "Yixuekang," contains Ferrous Fumarate 50mg, Vitamin B2 1mg, Vitamin B12 2mcg, Vitamin B1 1mg, Niacinamide 3mg, and Folic Acid 2mg. Generally speaking, if your ane...[Read More] Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Understanding Hand Tremors: Possible Causes and Insights
Causes of Hand Tremors Hello doctor, I've recently noticed that my hand seems to shake when I use chopsticks, but it only happens at certain angles. Specifically, when I'm trying to pick something up with the chopsticks and it's in the middle of the motion, my hand...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider physiological and psychological tremors. The electromyography and CT scan of the head are normal. 1. Physiological tremors: These do not occur regularly and only manifest in certain situations such as stress, t...[Read More] Understanding Hand Tremors: Possible Causes and Insights
Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Fainting after experiencing abdominal pain? Last night, I suddenly experienced abdominal pain and got up to go to the bathroom (I have been eating spicier foods these past few days). After walking just a few steps, I fainted. When I regained consciousness, I found myself sitting ...
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 include tra...[Read More] Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Temple Pain: Causes, Symptoms, and Concerns
Temporalis pain Hello, doctor. I have been experiencing headaches for the past year, and I also have symptoms of anxiety. Occasionally, I get headaches in the afternoon, with pain on both sides of my temples, forehead, eye sockets, and the back of my neck. Could this be a serious...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome, as the decrease in carbon dioxide levels in the blood leads to an increase in pH, causing systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium levels in the blood. The red...[Read More] Understanding Temple Pain: Causes, Symptoms, and Concerns
Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Tension headache Doctor, I occasionally experience headaches that usually start in the afternoon and persist. The pain is located in my temples, forehead, eye sockets, and the back of my neck. It worsens with exertion, but I don't have any other symptoms. This has been going...
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, resembling the feeling of wearing the Monkey King's golden headband. Since it is cause...[Read More] Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Understanding Bedwetting: Could It Be a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at 5 AM today, 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 tumor or something sim...
Dr. Hong Weibin Reply:
Hello: Usually, simple urinary incontinence does not only consider issues related to the head, but also requires attention to spinal cord problems. Additionally, if this is just a one-time occurrence, it is difficult to say that there is a pathological issue. It is more likely th...[Read More] Understanding Bedwetting: Could It Be a Neurological Issue?
Understanding Bedwetting: Is It a Sign of Neurological Issues?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five in the 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 mean I have a brain tumor or somet...
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 it only happened once, it is difficult to say that there is a pathological issue. It is more likely that you ma...[Read More] Understanding Bedwetting: Is It a Sign of Neurological Issues?
Understanding Persistent Headaches and Dizziness: A Neurology Perspective
Headache, head pressure, dizziness? Hello doctor, I have been experiencing dizziness and headaches for the past one to two months. Two months ago, I had an unknown cause of severe head pressure and pain that made it impossible for me to work properly for several days. It improved...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine. This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as se...[Read More] Understanding Persistent Headaches and Dizziness: A Neurology Perspective
Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Persistent headache Hello Doctor, On a certain day in May, I suddenly experienced a severe headache accompanied by nausea and the urge to vomit. At that time, I was undergoing treatment in the obstetrics and gynecology department for recurrent candidiasis, and I had taken multi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a vascular headache. Consider the following criteria: (a) recurrent migraine attacks that significantly affect the patient's quality of life or daily activities, with triggers ruled out, and appropriate use of acute treatment medications and ...[Read More] Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Understanding Scalp Pain: Causes and When to Seek Help
Pressing on a certain area of the head causes pain? Hello, Doctor. Today, while I was sitting and bending down, I suddenly felt pain near the top of my head, similar to the sensation of hair being pulled. I pressed on the painful area with my hand, but I couldn't tell if the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical myofascial tension. This condition is characterized by pain at the affected site, discomfort, muscle stiffness, and possibly neurological symptoms. Symptoms may worsen in the morning upon waking or with ch...[Read More] Understanding Scalp Pain: Causes and When to Seek Help
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Understanding Neck Discomfort: Symptoms and Treatment Options
Discomfort in the head and neck? I would like to ask the doctor, two months ago I underwent chiropractic treatment for my neck, but it seems it wasn't done properly. A few days later, I started experiencing mild dizziness when turning my head, and a tingling sensation on the...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. The causes could include external factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation, which may lead to cervical insta...[Read More] Understanding Neck Discomfort: Symptoms and Treatment Options
Understanding Pain at the Back of the Head: Causes and Concerns
Pain in the posterior part of the head? 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Could this be a sign of a brain hemorrhage? 2. Besides imaging studies, are there any other characteristics or methods to detect arterioven...
Dr. Jiang Junyi Reply:
Hello: 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Is this a precursor to a brain hemorrhage? A: These symptoms are more indicative of a vascular headache; typically, a brain hemorrhage would present with focal neurological s...[Read More] Understanding Pain at the Back of the Head: Causes and Concerns
Understanding Recurrent Dizziness: Causes and Solutions
Recurrent dizziness? Hello, doctor: I would like to inquire about a recent issue I've been experiencing. I've been having frequent episodes of dizziness, where I suddenly feel lightheaded while walking, and at times my vision becomes blurry. I have to squat down to alle...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of Benign Paroxysmal Positional Vertigo (BPPV). 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 sudde...[Read More] Understanding Recurrent Dizziness: Causes and Solutions
Understanding Persistent Head Pain: Is It Related to Your Cold?
Intermittent headaches? Hello Dr. Jiang, last Sunday I experienced a sore throat, and the next day I started having occasional sharp pains on the scalp above my left ear, happening every few minutes. I have experienced this occasionally in the past, but it usually lasts no more t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should indeed first consider the possibility of poor local circulation caused by a cold, which can lead to tension-type headaches. Tension-type headaches are, in fact, a form of myofascial pain. The fascia refers to the connective tissue that envelops the sur...[Read More] Understanding Persistent Head Pain: Is It Related to Your Cold?
Understanding Occasional Numbness in the Back of the Head During Urination
Numbness in the scalp during urination? I would like to ask, I often experience numbness in the right back of my head when urinating, but there is no pain, and it goes away after I finish urinating. What could this situation be? Thank you.
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cervical myofascial tightness. The primary concerns could be cervical disc degeneration, facet joint degeneration, and cervical disc herniation. Once there is pathology in the cervical spine joints, it can lead to neck pain and stiffness, as well ...[Read More] Understanding Occasional Numbness in the Back of the Head During Urination