Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Autonomic Nervous System Dysregulation Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the le...
Dr. Jiang Junyi Reply:
Hello: In addition to considering diseases of the immune system, your symptoms may also suggest trigeminal neuralgia, particularly given your neuropathic pain symptoms that may involve the mandibular branch. According to the International Classification of Headache Disorders, Thi...[Read More] Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Assessing Long-Term Effects of a Baseball Head Injury in Teens
Hit on the head by a falling baseball? I am 18 years old now, but about 6 to 8 years ago, when I was in elementary school, I was hit on the head (slightly towards the back right side) by a hard baseball that was thrown high into the air while playing on the playground. At that mo...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there was no loss of consciousness at the time of the head injury, no use of anticoagulants, or significant local hematoma, the head injury is mostly minor. Common symptoms of brain injury from head trauma typically occur w...[Read More] Assessing Long-Term Effects of a Baseball Head Injury in Teens
Understanding Scalp Sensations and Discomfort During Naps in Young Adults
During napping, I often experience scalp irritation, and sometimes I feel discomfort between my eyebrows? Hello, doctor. I am a 22-year-old university student currently taking mirtazapine 30mg for anxiety, and I am in my second month of treatment. Although I have experienced simi...
Dr. Jiang Junyi Reply:
Hello: The medication you mentioned, mirtazapine 30mg, is classified as an antidepressant that enhances the neurotransmission of norepinephrine and serotonin in the central nervous system. Such medications typically require 2-4 weeks to achieve stable therapeutic effects. Common ...[Read More] Understanding Scalp Sensations and Discomfort During Naps in Young Adults
Understanding Shingles: Pain Management, Prevention, and Treatment Options
Shingles, also known as herpes zoster, is contagious for up to 72 hours. It is associated with the varicella-zoster virus, which is also responsible for chickenpox? Last year, I had shingles and have been experiencing pain since then, so I returned for a follow-up. This year, I d...
Dr. Jiang Junyi Reply:
Hello: I would like to ask on behalf of my family. If someone has pain in certain areas, and they proactively inform the doctor that there has been a history of shingles in the household, will the doctor provide vaccination or other treatments, or will treatment for shingles only...[Read More] Understanding Shingles: Pain Management, Prevention, and Treatment Options
Why Drinking Hot Water Causes Headaches: A Neurological Perspective
Headache after drinking hot water? I usually don't have the habit of drinking hot water, but recently I've caught a cold and the weather is cold, so I thought drinking some hot water would be more comfortable. However, right after taking the first sip, I started to have...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, drinking cold water is more likely to trigger headaches. The common cause of headaches in this case is that the anterior cerebral arteries rapidly dilate after consuming cold water, allowing a large volume of blood to flow through, which produces pain-i...[Read More] Why Drinking Hot Water Causes Headaches: A Neurological Perspective
Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Seizures in the brain Hello Dr. Jiang: I am sixteen years old and male. Since I was around eleven or twelve, I have experienced a sensation of twitching or sharp pain in the back left or right side of my head, as if my brain is being tightly squeezed. The frequency is variable; s...
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 widespread pain. The nature of the pain is dull, aching, with a sensati...[Read More] Understanding Occasional Brain Twitches: Causes and Concerns for Teens
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Consult a physician? Hello Doctor: Two weeks ago, when I tried to get up and turn over to sit up, I noticed that the scenery in front of me was spinning. I felt dizzy to the point where I couldn't maintain my balance (at the moment of turning over). That day, I was so dizzy ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that over the past two weeks, you have experienced dizziness frequently when turning your head, bending over, looking down and then up, or getting up from a lying position for a few seconds (especially noticeable when turning to the left, though not every tim...[Read More] Understanding Benign Paroxysmal Positional Vertigo: Symptoms and Treatment Options
Understanding Migraine Triggers: Posture, Medication, and Symptoms
Migraine specific postures Hello Doctor, around January 5th, I took Ritalin for the first time because I had an exam. I had previously taken Adderall but hadn't taken it for over a year. Shortly after taking Ritalin, I experienced palpitations for about 10 minutes, and then ...
Dr. Jiang Junyi Reply:
Hello, Ritalin is a mild to moderate central nervous system stimulant. Its mechanism of action in the human body is not fully understood, but the stimulating effect is believed to occur through the inhibition of dopamine reuptake in the striatum without inducing dopamine release,...[Read More] Understanding Migraine Triggers: Posture, Medication, and Symptoms
Head Injury Symptoms: Dizziness and Headache After a Hit
Head trauma, dizziness, and headache? Two days ago (January 6th), I accidentally got hit on the head while playing with my classmates, specifically on the upper left side and the top of my head. At that moment, I was fully conscious and did not feel any significant pain in the ar...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should seek emergency care: (1) Deterioration...[Read More] Head Injury Symptoms: Dizziness and Headache After a Hit
Can Migraine Patients Safely Use Salazine Long-Term?
Can migraine patients take Salazine (sulfasalazine) long-term? Hello, Doctor. I have a medical history of ankylosing spondylitis, hepatitis B, and migraines. I am currently taking Topamax (topiramate) for my migraines (25 mg twice a day) and have started taking Salazopyrin (sulfa...
Dr. Jiang Junyi Reply:
Hello: Regarding your question about whether it is advisable for migraine patients to avoid long-term use of salazopyrine, the answer is as follows: Compared to ankylosing spondylitis, migraines can typically be prevented through lifestyle modifications, such as avoiding triggers...[Read More] Can Migraine Patients Safely Use Salazine Long-Term?
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
Understanding Persistent Dizziness: Causes and Treatment Options
Dizziness for a long time? Hello Doctor: I started experiencing sudden dizziness (the sensation of the surroundings spinning) in June of last year (2017). After visiting an otolaryngologist and taking medication for a week, I felt better. However, three weeks later, I experienced...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the effectiveness of taking Cinnarizine may need to consider the issue of unstable microcirculation in the brain. Cinnarizine is a highly effective vasodilator that can directly promote cerebral circulation, ensuring that brain tissue receives adequate o...[Read More] Understanding Persistent Dizziness: Causes and Treatment Options
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Head Injury Concerns: When to Seek Medical Attention During Pregnancy
Hit on the right side of the head? Hello Dr. Jiang: On Monday night, I bumped into the wall at the bottom of the stairs. At that moment, I only felt pain from the impact and did not apply ice. When I touch the area where I hit, it hurts. The next day, I woke up with a headache th...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should ...[Read More] Head Injury Concerns: When to Seek Medical Attention During Pregnancy
Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain? My husband has been experiencing headaches for 6 days, which is unusual for him. He has visited the hospital twice, but the doctors have been unable to determine...
Dr. Hong Weibin Reply:
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation. It may be necessary to rule out dangerous causes of headaches, such as central ne...[Read More] Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Severe Headaches and Nausea: Understanding Neurological Symptoms
Headache accompanied by nausea and other symptoms? I have been experiencing mild, intermittent headaches for about 3 to 4 months. They are usually not very noticeable, but I feel the pain more acutely when I shake my head. Recently, the situation has worsened, and for the past tw...
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 heavy sensation. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recur...[Read More] Severe Headaches and Nausea: Understanding Neurological Symptoms
Understanding Cold Weather Headaches: Causes and Treatments
Headache due to cold weather? Hello, doctor. I would like to inquire about a symptom that has been persistent for a long time. Whenever there is a sudden drop in temperature, I experience pain in the right occipital region of my head (the frequency on the right side is significan...
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 heavy sensation. These symptoms tend to worsen in colder weather and can be alleviated with stretching activities, often r...[Read More] Understanding Cold Weather Headaches: Causes and Treatments
Intense Nighttime Head Pressure: Causes and Concerns Explained
Severe pressure sensation in the head occurring at midnight? Hello Dr. Tsai: Recently, I have experienced two episodes during the night where I suddenly felt a strong pressure and numbness at the top of my left side of the head. It startled me awake, and I immediately sat up; the...
Dr. Cai Zongzhang Reply:
Hello, there are many possible causes for head and neck pain and a sensation of pressure. It is recommended that you visit an outpatient clinic for further evaluation.[Read More] Intense Nighttime Head Pressure: Causes and Concerns Explained
Understanding Neck Popping Sensations: When to See a Specialist
The sensation of popping or cracking in the neck? Hello, doctor. I have a question: Since middle school, I have occasionally experienced a sensation on the right side of my neck, as if something is snapping. Sometimes it feels like it extends from the top of my head to my right s...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of abnormal muscle twitching in the left side of the neck is cervical myofascial instability. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoul...[Read More] Understanding Neck Popping Sensations: When to See a Specialist