Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Can Loud Headphone Sounds Cause Permanent Brain Damage?
Headache Head-related issues Hello, Doctor Jiang. I would like to ask a question. Yesterday, when I plugged my full-cover headphones into the computer, there was a sudden loud noise in the headphones. This has happened before, but this time it was particularly loud and caused sig...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there is a sudden exposure to loud sounds, the eardrum has a protective mechanism. The muscles connecting the ossicles and the middle ear will reflexively reduce the transmission of sound to protect the inner ear. However, prolonged exposure t...[Read More] Can Loud Headphone Sounds Cause Permanent Brain Damage?
Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Understanding Arm Pain and Muscle Tightness After Workouts
Arm pain and muscle stiffness? Hello Doctor, I've been working out for seven months now. After my arm workouts, I haven't been doing any cool-down stretches. Recently, after performing bench presses, I've been feeling tightness and stiffness in the inner head of my...
Dr. Jiang Junyi Reply:
Hello: If your symptoms do not include numbness, it may be worth considering tissue inflammation. Your symptoms could suggest subacromial bursitis, commonly known as frozen shoulder, which is often associated with inflammation of the fascia and joints, possibly due to overexertio...[Read More] Understanding Arm Pain and Muscle Tightness After Workouts
Understanding Recent Headaches and Dizziness: Neurological Insights
Recently, I have been experiencing dizziness, headaches, and a feeling of heaviness? Hello doctor, about two weeks ago I started experiencing sudden, unexplained sharp pains in my head. Sometimes it’s in the left occipital area, sometimes in the right parietal region, and other t...
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 Recent Headaches and Dizziness: Neurological Insights
Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Inquiry about the risks of hydrocephalus surgery? Hello, doctor! Recently, I have read many articles that only describe symptoms, sequelae, and surgical methods. I am inquiring about the risks during the surgical process. The patient has experienced elevated intracranial pressure...
Dr. Hong Weibin Reply:
1. General anesthesia typically involves the use of intravenous and inhalational anesthetics to block pain. In a normal human body, the brainstem's respiratory center sends signals to the respiratory muscles to facilitate breathing. However, during the administration of anes...[Read More] Understanding Risks of Hydrocephalus Surgery: A Guide for Families
Understanding Pituitary Tumors: Impact on Health and Treatment Options
Pituitary tumor The father is 77 years old and has heart disease (arrhythmia, mitral valve insufficiency). According to the cardiologist, his heart function is only at 20%. His kidney function is poor but has not yet reached the stage of requiring dialysis. Currently, he can walk...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you mentioned that the issue with the pituitary tumor was noted three years ago. If you are concerned about the tumor enlarging, a visual field test can be arranged. If the visual field test shows an increase in defects, an MRI can be scheduled f...[Read More] Understanding Pituitary Tumors: Impact on Health and Treatment Options
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness 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, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Severe Headaches: Seeking Second Opinions and MRI Benefits
throbbing headache Hello, I experienced a severe headache for the first time in early March, accompanied by pain in the upper abdomen above the navel, which felt like a twisting pain. It lasted for 1 to 2 hours and then subsided. During my trip abroad from late April to early May...
Dr. Jiang Junyi Reply:
Hello: Due to the longer examination time and higher costs associated with magnetic resonance imaging (MRI), the National Health Insurance Administration has strengthened its review process to prevent misuse by physicians, especially when used as a preliminary screening tool. How...[Read More] Understanding Severe Headaches: Seeking Second Opinions and MRI Benefits
Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Feeling dizzy while walking? I have had tinnitus for many years, and recently I've been experiencing mild dizziness when walking. It’s not a spinning sensation, and I don’t feel nauseous. Sleeping is the most comfortable position, and I don’t feel dizzy while sleeping. I hav...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to disturbances or dysfunction of the inner ear balance system, which commonly occurs in individuals while traveling. Dizziness can trigger sympathetic nervous system responses such as gastrointestinal discomfort, nausea, vomiting, vertigo, pal...[Read More] Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Pain extending from the right posterior neck to the right orbital region? Hello Dr. Jiang, a few days ago I started experiencing a dull pain in the right posterior neck, which has continued for the past two days, typically starting around noon. The pain is localized in the right ...
Dr. Jiang Junyi Reply:
Hello: 1. What could be the possible causes of the current headache symptoms? A: 1. You mentioned that the symptoms improve after stretching, which may indicate a myofascial issue. 2. Additionally, consider cluster headaches, which are more common in males and typically occur ...[Read More] Understanding Right Neck Pain Radiating to the Eye: Possible Causes and Solutions
Understanding Dynamic Vision Loss: Neurological Insights and Treatment Options
Dynamic visual acuity loss I participated in a course called "Listening Analysis" organized by a certain religious group. Due to some events that occurred, I felt as if one of my nerves had sunk down, and many neural connections seemed to disappear. Since then, I have b...
Dr. Jiang Junyi Reply:
Hello: If the symptoms are sudden, it may be necessary to consider vascular diseases, and it is recommended to consult a vascular neurologist for evaluation. Regarding rehabilitation, dynamic visual acuity issues are common among many children, and a relevant specialist may be an...[Read More] Understanding Dynamic Vision Loss: Neurological Insights and Treatment Options
Understanding Intermittent Dizziness: Causes and Concerns
Intermittent dizziness? Hello, I have been experiencing intermittent dizziness recently. Two days ago, I felt dizzy when I turned my head, and the dizziness intensified (with a slight feeling of instability). I thought it might be due to a lack of exercise since starting college,...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position. Actions such as tilting your head back, lying down, getting up, turning over, or suddenly turning your head can trigger ...[Read More] Understanding Intermittent Dizziness: Causes and Concerns
Understanding Headaches: Risks and When to Seek Medical Attention
I would like to inquire about issues related to headaches? Hello Doctor, my wife often experiences headaches when she is overly fatigued or sleep-deprived, and she frequently needs to take pain relievers to fall asleep. I would like to ask: 1. Are there any potential risks associ...
Dr. Jiang Junyi Reply:
Hello: Regarding the symptoms of headaches, if there are neurological abnormalities such as unilateral limb numbness or weakness, or if there is a thunderclap headache, it is essential to visit a neurology clinic for examination. The more common causes of headaches in women are t...[Read More] Understanding Headaches: Risks and When to Seek Medical Attention
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Should You See a Doctor After a Head Injury from a Fall?
Head struck the ground? Today at 2 PM, while playing with my child at home, I was sliding around in a wheeled chair. I hit a threshold in the kitchen because I couldn't stabilize my speed, and I fell backward, hitting the ground. At that moment, I experienced dizziness and d...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, and no use of anticoagulants or obvious local hematomas, head trauma is mostly mild. However, it is important to monitor for neurological symptoms within a week. If any of the following co...[Read More] Should You See a Doctor After a Head Injury from a Fall?