Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin Reply:
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi Reply:
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Sudden headache with numbness, curling, and weakness in the limbs? I experienced a sharp pain at the top of my head that made me vomit, followed by numbness in my limbs (including my abdomen) that progressively worsened. My hands felt cold and curled up, and I had a sensation of ...
Dr. Jiang Junyi Reply:
Dear Miss Long, The symptoms you mentioned may need to be considered in two parts. The first symptom, "sharp pain at the top of the head leading to vomiting," should raise concerns about headache related to cerebrovascular diseases, such as thunderclap headache. This t...[Read More] Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi Reply:
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Understanding Autonomic Nervous System Disorders in Teens
Autonomic nervous system dysfunction? Hello, doctor… I apologize for the interruption. I am currently a senior in high school, and since the beginning of the semester, I have not been getting enough sleep due to my studies (around three to five hours). Since mid-September, I have...
Dr. Jiang Junyi Reply:
Dear Ms. Lan Yu, Your symptoms may suggest the phenomenon of sympathetic nervous system hyperactivation. Anxiety can exacerbate these symptoms. Additionally, anemia or fluid deficiency may lead to insufficient cerebral circulation. Symptoms can be improved by replenishing fluids...[Read More] Understanding Autonomic Nervous System Disorders in Teens
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi Reply:
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Understanding Pain Above the Temples: Causes and Solutions
Pain above the temple? Hello Dr. Jiang, I have been experiencing pain above my temples for the past two weeks. It hurts when I press on that area, and when the pain intensifies, my eyebrows also start to hurt, but pressing on the temples alleviates the eyebrow pain. I previously ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since this is caused by muscle fatigue, it typ...[Read More] Understanding Pain Above the Temples: Causes and Solutions
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi Reply:
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Understanding Post-Exercise Headaches: Causes and Remedies
Post-exercise headache Hello, doctor. Last Wednesday, after a four-month break, I played basketball for almost four hours. Afterward, I went home, had hot pot, and drank some beverages. The next day, I woke up with a headache that lasted all day (I took Tylenol). It's been f...
Dr. Jiang Junyi Reply:
Hello Mr. Kai, You mentioned, "It's been five days, and although my head doesn't hurt as much, I still feel a throbbing pain at the top of my head." Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manif...[Read More] Understanding Post-Exercise Headaches: Causes and Remedies
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions