Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Mild pain in the head and forehead? Hello, doctor. I have been experiencing some pain in my head for about a week now. The pain is located from my forehead to my temples and feels tight and dull. It’s not severe enough to affect my daily life, and it doesn’t worsen with coughing ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien: You mentioned that "the location is approximately from the forehead to the temples." Your symptoms may suggest tension-type headache. This is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the for...[Read More] Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Dementia issues Hello Dr. Wu, At the beginning of this year, my father was involved in a motorcycle accident where he sustained a head injury and was unconscious. A CT scan of the brain was performed in the emergency department, which showed no abnormalities. However, one month...
Dr. Wu Mukhan Reply:
Hello, according to current research, chronic pain or head trauma can indeed lead to long-term cognitive decline (dementia) as a consequence. However, it is challenging to establish a direct causal relationship between dementia and these factors in medical terms, especially since...[Read More] Understanding Rapid Dementia After Head Injury: Pain's Role Explained
Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Naegleria fowleri meningoencephalitis Hello doctor, today on August 18th, I saw online that Naegleria fowleri might be present in soil. I live in a rural area, and today, while riding my bike past a field, I saw a truck carrying a farming machine with soil on its wheels. At that ...
Dr. Peng Shiwei Reply:
Hello, if you are experiencing headaches, dizziness, difficulty in consciousness, persistent fever, vomiting, or any other symptoms, please seek medical attention at a hospital. Thank you.[Read More] Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Is there a diagnosis of autoimmune encephalitis? Hello Doctor, my sister was diagnosed with schizophrenia last September. She has been taking medication at Hospital A for nearly a year, during which she gradually developed mild involuntary hand tremors and head tilting backward. ...
Dr. Peng Shiwei Reply:
Hello, the question you asked is very complex. I am unable to answer it online. I recommend that you take your sister to see a doctor for a consultation in person. Thank you.[Read More] Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Understanding Persistent Head Sensations: Causes and Solutions
It feels like my brain is shaking? Hello Doctor, recently I have been feeling like my head is swaying almost all day long. It feels as if someone is tightly wrapping my head with a string and pulling it back and forth, side to side. It’s very tense, and I constantly feel like my ...
Dr. Cai Zongzhang Reply:
Hello HSN: The symptoms mentioned above are suspected to be caused by vestibular nerve dysfunction leading to balance disorders. It is recommended to continue follow-up treatment at the neurology outpatient clinic. An MRI scan should only be considered if there is no improvement ...[Read More] Understanding Persistent Head Sensations: Causes and Solutions
Post-Exercise Headaches: When to Seek Medical Advice
Headache after exercise? Hello Doctor, sometimes I experience pain in the back of my head, but it only occurs when I shake my head vigorously or engage in intense movements. Pressing on the area does not cause pain. When my head is still, the pain is minimal. It occasionally hurt...
Dr. Cai Zongzhang Reply:
Hello Allen: It is recommended to visit a neurologist to determine the cause of the above symptoms.[Read More] Post-Exercise Headaches: When to Seek Medical Advice
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei Reply:
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Understanding Occasional Numbness and Dizziness: When to Seek Help
Occasional sensation of tingling in the head? Hello, doctor. Last year, I experienced a severe episode of dizziness where everything felt like it was spinning, along with loss of muscle control in my limbs, vomiting, and incontinence. After vomiting, I rested for about 1 to 2 hou...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like an issue related to inner ear imbalance. If you experience this condition again, it is recommended that you consult an otolaryngologist.[Read More] Understanding Occasional Numbness and Dizziness: When to Seek Help
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness When Turning Head: Possible Causes and Solutions
Dizziness when turning the head? This morning, when I got up and turned my head, I felt very dizzy and had a sense of delay. When I stood up, I felt unsteady, and when I lay down, I experienced nausea. I would like to know what condition this might be. (I have a vertebral arch fr...
Dr. Peng Shiwei Reply:
Hello, your symptoms may be caused by inner ear imbalance leading to dizziness. If the symptoms persist, it is recommended to consult an otolaryngologist. Thank you.[Read More] Dizziness When Turning Head: Possible Causes and Solutions
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Can Head Injuries Lead to Mental Illness? Understanding the Risks
Can a head injury lead to mental illness? When my brother was in the second year of junior high school, we were playing basketball, and in a moment of anger, I pushed him while he was in the air. This caused him to fall face-first onto the ground. At that moment, he had facial br...
Dr. Jiang Junyi Reply:
Hello Mr. Stephen: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematomas, head trauma is mostly mild. You mentioned that "a few months later, your brother developed a high fever and experienced symptoms of epilepsy," ...[Read More] Can Head Injuries Lead to Mental Illness? Understanding the Risks
Head Pain When Swallowing: Understanding Neurological Symptoms
Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms