Understanding Increased Headache Frequency: When to Seek Medical Advice
Increased frequency of headaches? Hello Doctor: I have experienced headaches since childhood, especially during stressful times. In the fourth grade, I underwent an EEG due to frequent headaches, which showed no abnormalities. Recently, the frequency of my headaches has increased...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a widespread area of pain. The nature of the pain is dull, aching, with...[Read More] Understanding Increased Headache Frequency: When to Seek Medical Advice
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
Only my left thumb feels warm intermittently, and it's becoming more frequent? Hello, Doctor. Recently, both of my ears have been feeling very warm, but sometimes when I touch them, they don't feel hot. I first visited my family doctor, who said that only my right ear w...
Dr. Hong Weibin Reply:
Hello: If your symptoms persist and tend to worsen, it is advisable to seek evaluation and treatment from a clinical physician. You may consult an otolaryngologist or a neurologist. Wishing you a speedy recovery.[Read More] Understanding Unexplained Ear Heat and Thumb Sensations: A Neurological Perspective
Understanding Ear Sounds: What Does a Bubbling Noise Mean?
It feels like my ear is hearing a sound similar to bubbles popping? This morning, shortly after I woke up, I started hearing strange sounds near my ear. These sounds last for about ten seconds before disappearing, but they return again shortly after, sometimes feeling like they a...
Dr. Jiang Junyi Reply:
Hello: It is recommended to investigate your issue starting from the ears towards the brain. This will help rule out problems such as Eustachian tube dysfunction or instability of the auditory nerve cells. It is advisable to consult an otolaryngologist to discuss examination and ...[Read More] Understanding Ear Sounds: What Does a Bubbling Noise Mean?
Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Experiencing pain at the back of the head the day after boxing? Experiencing dizziness immediately after being hit during boxing, even if the back of the head was not struck, can be attributed to several factors. The impact may have caused a concussion or a mild traumatic brain i...
Dr. Jiang Junyi Reply:
Hello: The most common cause of bilateral neck pain is cervical myofascial pain, which may occur due to soft tissue injury from external force. It is recommended to: 1. Rest: Resting allows the muscles to utilize their self-repair capabilities, and vigorous exercise should be avo...[Read More] Why Does My Head Hurt After Boxing? Understanding Post-Workout Pain
Chronic Headaches: Understanding Causes and Seeking Relief
Chronic headache Hello Dr. Jiang: I have been experiencing long-term headaches (entire head) along with severe pain in my shoulders and neck. The pain is continuous and does not stop; it lasts all day, every day. The worst pain occurs in the afternoon after my lunch break. I have...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headaches or migraines. If the symptoms or intensity of the headache change, intracranial tumors should be considered. However, focusing on tension-type headaches: (1) They are often bilateral, located in the occi...[Read More] Chronic Headaches: Understanding Causes and Seeking Relief
Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Dizziness worsens after a stroke? About three months ago, I was admitted to the emergency room due to a stroke, which was diagnosed as a cerebral infarction. I was hospitalized for a week, and my symptoms were relatively mild at that time. There was a blockage in the blood vessel...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your age is indeed in your 30s as stated in the records. If it is a young-onset stroke, the most important thing is to identify the risk factors that led to the stroke. You mentioned occipital lobe stroke, which primarily involves the posterior circulation...[Read More] Managing Dizziness After Stroke: Understanding Symptoms and Next Steps
Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Head trauma and shoulder-neck issues! Hello, doctor. I've loved using computers since I was young and often stayed up late with poor posture, which has led to frequent sharp pain in my right neck and shoulder. Over time, the pain has subsided, but my right neck and shoulder ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of cervical spine issues. In addition to an MRI, I recommend consulting a rehabilitation specialist for physical therapy and electromyography (EMG) testing. Wishing you good health and peace. Dr. Jiang, Neurology, Taoyuan Hosp...[Read More] Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Post-operative agitation and anxiety as side effects of using the medication Uriel after a subdural hematoma surgery? Hello Doctor, my father is 66 years old and has a history of epilepsy, Parkinson's disease, and head trauma. He used to take two tablets of Depakene 500mg an...
Dr. Jiang Junyi Reply:
Hello: You can first discuss your concerns with the primary care physician. If the primary care physician is unfamiliar with the medications, they typically consult with a specialist at the hospital via phone, which is the practice at our institution. Regarding the medications De...[Read More] Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Understanding Neck and Head Pain: When to Seek Further Medical Help
Head and neck issues? Hello doctor, a few days ago I suddenly experienced sharp pain in my neck along with stiffness, which was accompanied by headaches. However, after trying stretching and applying heat at night, the headache subsided, but my neck remains very stiff. Sometimes,...
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 muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate th...[Read More] Understanding Neck and Head Pain: When to Seek Further Medical Help
Understanding Scalp Tingling: Is It Related to Blood Circulation?
Scalp tingling? Frequent overuse of the brain can lead to a tingling sensation in the scalp, which feels tight as if wearing a hat. After taking a break, the scalp begins to twitch, and there is an increasing sense of relief, with less tension. I would like to know if this issue ...
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 Scalp Tingling: Is It Related to Blood Circulation?
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." 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 sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Understanding Head Trauma: Symptoms and Risks of Brain Injury
Head trauma Doctor, may I ask: I bumped the right side of my head against a wall five days ago. I only have slight headaches and neck and shoulder pain, with no other discomfort. Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or in...
Dr. Hong Weibin Reply:
Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. Wishing you a speedy recovery.[Read More] Understanding Head Trauma: Symptoms and Risks of Brain Injury
Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Cerebrospinal fluid leak Four years ago, I experienced headaches when standing, which would alleviate when lying down. I was hospitalized for examination, and the doctor suggested that I might have a cerebrospinal fluid (CSF) leak, although the cause was unclear. A lumbar punctur...
Dr. Jiang Junyi Reply:
Hello: For headaches caused by cerebrospinal fluid leaks, if the symptoms persist, it may be necessary to consider "spontaneous intracranial hypotension" (SIH) as the cause of the headache. Treatment options include hydration and the intake of coffee or tea. Additionall...[Read More] Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Understanding Involuntary Movements: Causes and Concerns
Involuntary movements? Hello, Dr. Jiang. About a week ago (on October 9), I suddenly noticed that before closing my eyes to sleep, I experience involuntary movements in my limbs or twitching in my head and neck (it feels like a muscle is moving), but the location is not fixed. In...
Dr. Jiang Junyi Reply:
Hello: The muscle twitching you mentioned is often associated with exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. In clinical practice, we frequently observe many patients caught in a vicious cycle ...[Read More] Understanding Involuntary Movements: Causes and Concerns
Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Numbness and tingling in the left side of the limbs? Hello doctor, sometimes I feel numbness in my left hand and left foot, and my right eye feels swollen. I'm not sure if these two symptoms are related. What could be the issue? Is it possible that there is something growing...
Dr. Jiang Junyi Reply:
Hello: Based on your description, a brain computed tomography (CT) scan is generally performed to rule out significant lesions such as intracranial hemorrhage or obvious brain tumors. If clinical symptoms such as vomiting, headaches, seizures, or neurological deficits are present...[Read More] Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues