Head, Neurology FAQ - Page 40

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Understanding Sympathetic Nervous System Overactivity and Its Effects

Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...


Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...

[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects


Managing Fast Heartbeat and Medication Concerns in Neurology

Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...


Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...

[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology


Understanding Neck Tension and Its Impact on Your Well-Being

Hello, Dr. Jiang. Thank you for your assistance? I have had a long-standing question to ask you. Regardless of whether I am well-rested or fatigued, whenever I feel overly anxious or busy for two hours or focus on something, my neck starts to feel tight and warm. My lips suddenly...


Dr. Jiang Junyi Reply:
Hello, based on your description, dry mouth and muscle stiffness may indicate sympathetic nervous system overactivation. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one accelerates and the other decelerates. T...

[Read More] Understanding Neck Tension and Its Impact on Your Well-Being


Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds

Hearing a sound similar to a buzzing or ringing noise in the ears is often referred to as tinnitus? Hello Dr. Jiang, last Friday night while turning in bed, I accidentally hit my head. Since then, whenever I hear loud or high-frequency sounds, I experience a buzzing sound in my e...


Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that the function of the ear's tympanic membrane may be affected. Generally, common causes of tinnitus include poor blood circulation in the inner ear or anxiety leading to vasoconstriction and narrowed blood vessels, which can impe...

[Read More] Understanding Tinnitus: When Head Trauma Causes Buzzing Sounds


Understanding Tension Headaches: When to Seek Medical Attention

Head pressure and headache? Hello, doctor. In the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there are sharp pains, mostly starting in the afternoon or eve...


Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes are tension-type headache or migraine. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, p...

[Read More] Understanding Tension Headaches: When to Seek Medical Attention


Understanding Tension Headaches: When to Seek Medical Attention

Head pressure and headache? Hello Doctor, in the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, I have sharp pains, mostly starting in the afternoon or evening...


Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is 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, resting may alleviate the...

[Read More] Understanding Tension Headaches: When to Seek Medical Attention


Understanding Tension Headaches: When to Seek Medical Advice

Head pressure and headache? Hello Doctor, in the past few months, I have been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there is a sharp pain that occurs, mostly starting in the afternoo...


Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is 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, resting may alleviate the...

[Read More] Understanding Tension Headaches: When to Seek Medical Advice


Head Injury After Car Accident: Pain Management and Care Tips

A friend was in a car accident? Hello, the friend of mine had a car accident yesterday and hit their forehead, resulting in bruising and a small abrasion. Other injuries include abrasions on various parts of the body. After resting at home for a day, they still experience headach...


Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergen...

[Read More] Head Injury After Car Accident: Pain Management and Care Tips


Understanding Chronic Dizziness: Causes and Solutions for Relief

Dizziness with an unknown cause? Hello, doctor. I have been struggling with dizziness for a long time and would like your help in finding the cause. The first time I experienced dizziness was about 10 years ago while studying abroad. During these episodes, the world would spin ar...


Dr. Jiang Junyi Reply:
Based on your description, it is important to first consider Meniere's disease, as patients may experience recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During these episodes, resting and using antihistamine anti-vertigo medications along with anxiol...

[Read More] Understanding Chronic Dizziness: Causes and Solutions for Relief


Concussions and Epilepsy: Understanding Risks and Treatment Options

Concussion and Epilepsy Six years ago, I lost consciousness for no apparent reason, and a year later, it happened again. After seeking medical attention, the doctor suspected epilepsy. I had no idea what was happening, and both the brain MRI and EEG were normal. The sudden onset ...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult with a neurologist in the outpatient clinic.

[Read More] Concussions and Epilepsy: Understanding Risks and Treatment Options


Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey

Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...


Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is 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, resting may al...

[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey


Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?

The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...


Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.

[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?


Understanding Widespread Bone Pain: Possible Causes and When to Seek Help

Widespread bone pain throughout the body? Hello, doctor. Recently, for about one to two weeks, I have been experiencing bone pain in multiple areas of my body, specifically in my right arm, upper back around the scapulae, head, cheekbones, tibia in my legs, and the bones in my fi...


Dr. Jiang Junyi Reply:
Hello: If you are experiencing joint pain throughout your body, you may want to consider pseudogout as a potential cause of your polyarticular joint disease. It is advisable to consult a rheumatologist to discuss examination and treatment options. Wishing you good health and peac...

[Read More] Understanding Widespread Bone Pain: Possible Causes and When to Seek Help


Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms

Fell down a three-step staircase, bleeding below the right temple? Hello Doctor, I am currently working in Vietnam. Two days ago, after having dinner and drinking with colleagues, I lost my footing while going down the stairs and fell. I have a 4 cm laceration above my right temp...


Dr. Hong Weibin Reply:
Hello: In the days and months following a recent impact, you may experience dizziness and nausea, which could be caused by a mild concussion. It is advisable to follow up at a neurology clinic for further evaluation. Additionally, please make sure to rest adequately and limit the...

[Read More] Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms


Post-Meal Neck and Ear Discomfort: Possible Causes and Next Steps

Numbness in the neck or behind the ear after eating? Six months ago, I had tonsillitis and experienced a severe cough for two weeks. After recovery, I continued to feel a sensation of something stuck in my throat. I went to an ENT specialist for an endoscopy, but no abnormalities...


Dr. Hong Weibin Reply:
Hello: It may be due to consuming a larger portion. I suggest trying to eat half the amount of rice first to see if the stiffness in your neck and behind your ears, as well as the bloating sensation in your stomach, improve. Wishing you a speedy recovery.

[Read More] Post-Meal Neck and Ear Discomfort: Possible Causes and Next Steps


Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help

Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...


Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.

[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help


Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey

Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...


Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...

[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey


Understanding Lip Tremors: Causes and When to Seek Medical Advice

Trembling of the lower lip? Hello Dr. Jiang, my mother (65 years old) has been experiencing occasional tremors in her lower lip over the past two months, which she is not aware of. She has not had this issue before. In May of this year, she developed urticaria and was on corticos...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider essential tremor. If it does not affect your daily life, medication treatment is not required. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremo...

[Read More] Understanding Lip Tremors: Causes and When to Seek Medical Advice


Headache or Eye Strain? Understanding Your Symptoms and Next Steps

I'm not sure if it's a headache or an eye problem? Hello Doctor, I would like to ask about my issue. Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress. Last Friday evening, I visited an ophthalmologist who said ...


Dr. Jiang Junyi Reply:
Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include a tightening pain in the forehead and temples...

[Read More] Headache or Eye Strain? Understanding Your Symptoms and Next Steps


Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options

Right-sided neck nerve pain? Hello Doctor: I often experience sharp pain on the right side of my neck. The pain lasts for a short period of less than ten days, or for a longer duration of up to a month. When the pain occurs, I am unable to sleep, have no appetite, and feel nauseo...


Dr. Jiang Junyi Reply:
Hello, In addition to cervical headache, you may want to consider the possibility of vascular headaches. Regarding cervical headaches, I recommend the following: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any postu...

[Read More] Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options


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