Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As mentioned in the title, there is a sensation similar to pressure building up, but it is not very painful. The episodes occur briefly and then reappear after a few seconds. For the past...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "during the neurology clinic appointment, the doctor inquired and performed some physical examinations (reflexes, vision, pupil size, etc.) and then stated that the likelihood of brain lesions is low, and it seems more like a headache cause...[Read More] Understanding Unexplained Headaches: When to Seek Further Medical Evaluation
Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Understanding Headaches: Potential Causes and When to Seek Help
Headache issues Hello Doctor: I would like to consult you about a friend who has depression and has been experiencing severe headaches recently. Sometimes, they need to take a considerable amount of painkillers in a day to manage the pain. Recently, they went out to eat at an all...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic to investigate potential causes.[Read More] Understanding Headaches: Potential Causes and When to Seek Help
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Headaches Triggered by Head Movement: What You Need to Know
Headache occurs only when shaking the head? Doctor, I sometimes notice that I only experience headaches when I shake my head vigorously, but when I don't shake my head, I feel normal. This happens about three to four times a month. What could be the issue with my head?
Dr. Jiang Junyi Reply:
Hello Mr. Lone Ranger: You mentioned that "only when shaking your head vigorously do you feel headache, but otherwise it feels normal." I would like to know where your headache is located. If it is in the posterior neck or temporal region, it may be worth considering ab...[Read More] Headaches Triggered by Head Movement: What You Need to Know
Understanding Headaches and Body Numbness: When to Seek Medical Help
Headache and body numbness? I have never encountered this situation before, so I am documenting it to consult a physician: On the first day, my heart was racing all day, and I felt restless. On the second day, in the middle of the night, my heart rate increased to the point that ...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "I do not experience major headaches in daily life, but occasionally feel dizzy and nauseous, sometimes lack appetite, and my hands and feet feel weak. When walking, I often feel like my legs lack strength..." Your symptoms seem to be ...[Read More] Understanding Headaches and Body Numbness: When to Seek Medical Help
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals for medical advice, but the answers I received were inconclusive. My X-rays showed no issues, and my heart and lungs were in good condit...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" due to your atypical symptoms. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. However, the "olfactory hallucinations ...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Right ear pain? Doctor: I wake up at night with numbness in my left hand, which feels like an electric shock type of numbness, or just numbness. I also feel a sense of emptiness and swelling at the top of my head. I woke up at 1:20 AM, with blood pressure readings of 94/58/73 on ...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Does autonomic nervous system dysfunction cause hand numbness that is not due to pressure points?" If it is due to hyperventilation leading to decreased carbon dioxide levels in the blood, resulting in an increased pH, this condition is m...[Read More] Understanding Pulsatile Tinnitus and Nerve Issues: A Patient's Journey
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi Reply:
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Weakness in the calves? Hello doctor, I experienced a sudden increase in blood pressure today, and I'm not sure why. Sometimes my hands feel weak, and I have a tingling sensation in the thumb area of my palm. I also feel weakness in my calves, and at times my legs feel weak,...
Dr. Hong Weibin Reply:
Hello: Based on your description, it seems difficult to pinpoint a specific neurological disorder. If daily activities, including walking, exercising, and self-care, are not problematic, it may be due to psychosocial stress or environmental factors. It would be advisable to conti...[Read More] Understanding Weakness and Numbness in Limbs: Possible Causes and Concerns
Sneezing-Induced Headache: Causes and When to Seek Medical Help
Sneezing headache? Hello, I would like to ask about my mother. A few days ago, she sneezed and then started experiencing sharp pain in her head. After a day or two, she said the pain has worsened compared to the previous days. I suggested she see a doctor, but she refuses to go. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that after your mother sneezed, she started experiencing sharp pain in her head. I'm wondering if there are any localized tender points that can be pressed. If there are, it might indicate an issue with the cervical muscle fascia. However, if the headach...[Read More] Sneezing-Induced Headache: Causes and When to Seek Medical Help
Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Rhythmic twitching of various body parts during sleep? Hello, doctor. I am a 28-year-old female, 160 cm tall and weighing 43 kg. I am a "sleep-onset" type. My partner has informed me that while I am asleep, my body exhibits rhythmic shaking or twitching, which feels lik...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing Periodic Limb Movement Disorder (PLMD). I recommend seeking assistance from a neurologist or a sleep specialist, or visiting a hospital with a sleep center. Depending on the situation, blood tests and a po...[Read More] Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options