Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Headache Relief: When to Use Painkillers Safely
Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...[Read More] Understanding Headache Relief: When to Use Painkillers Safely
Understanding Numbness and Sweating: When to Seek Neurological Help
Numbness in the hands and feet with cold sweats? Hello, doctor. I would like to inquire about a situation that occurred today while I was commuting by train. I stood for about 40 minutes and suddenly felt numbness in my hands and feet, accompanied by cold sweats. I also experienc...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that you suddenly felt numbness in your hands and feet, experienced cold sweats, and seemed to have a brief loss of consciousness. By the time you regained awareness, you had already been offered a seat. Your symptoms may suggest mild heat syncope, w...[Read More] Understanding Numbness and Sweating: When to Seek Neurological Help
Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Tinnitus + headache I have been experiencing unilateral tinnitus (in my right ear) for over two months. In early April, I developed temporomandibular joint (TMJ) dysfunction, and since May, I have had tinnitus. I visited an otolaryngologist (ENT) and underwent hearing tests and a...
Dr. Chen Weida Reply:
Hello, Moon! Common symptoms of temporomandibular joint (TMJ) disorders include: 1. Clicking or popping sounds when opening or closing the mouth 2. Pain when opening the mouth 3. Facial pain while chewing 4. Limited mouth opening 5. Jaw deviation when opening the mouth 6. Inabili...[Read More] Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Snow blindness related? Regarding question 210275, there are no severe head trauma symptoms, but occasional headaches do occur, particularly during my menstrual period, and these migraines tend to be unilateral. I do experience sensitivity to light, but I have not had nausea or v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "during my menstrual period, I occasionally experience migraines that are indeed more one-sided, and while I do not have nausea or vomiting, I am sensitive to light. Since the beginning of last year, I have noticed floaters and have reduced my...[Read More] Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Snow blindness condition After consulting with an ophthalmologist, the doctor indicated that the situation I described sounds like "visual snow," which is characterized by the sensation of seeing static or snow-like visual disturbances. I underwent a dilated eye examina...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "visual snow syndrome." The primary cause of visual snow syndrome is a neurological disorder in the visual processing areas of the cerebral cortex. It commonly occurs after a concussion or mild traumatic brain injury. I would like to know if ...[Read More] Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi Reply:
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding Muscle Tremors: When to See a Neurologist
Muscle tremors issue? Hello, Doctor. About two to three weeks ago, I started experiencing involuntary muscle tremors throughout my body, along with a smooth urinary flow but no sensation of needing to urinate. In the past week, I've also developed intermittent sharp pain all...
Dr. Cai Zongzhang Reply:
Hello, Xiao Lin: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination to confirm the underlying cause.[Read More] Understanding Muscle Tremors: When to See a Neurologist
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...
Dr. Jiang Junyi Reply:
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...
Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Dizziness, occasional migraines, and mild diplopia? I would like to ask the doctor about persistent dizziness and double vision for two weeks, along with occasional migraines. After consulting different hospitals, I received various opinions. What is the difference between "...
Dr. Jiang Junyi Reply:
Dear Mr. Fan, You mentioned experiencing "two weeks of dizziness and double vision." Vestibular neuritis can cause dizziness, but it typically does not present with double vision. Basilar-type migraine can cause headaches that mimic stroke symptoms due to vascular cons...[Read More] Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Headache, dizziness, ear congestion? Hello, doctor. Six days ago, after taking a shower, I suddenly felt dizzy. Since then, I've had persistent pain in the back of my head, a feeling of dizziness, and my ears feel clogged, making it hard to hear. I have a constant sense of i...
Dr. Jiang Junyi Reply:
Dear Ms. Jia, You mentioned experiencing "sudden dizziness, followed by persistent pain in the back of the head... sudden dizziness, difficulty hearing, and an overall feeling of imbalance." Your symptoms may suggest sudden sensorineural hearing loss, which is an otola...[Read More] Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained
Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...
Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights