Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Persistent Headaches After Car Accident: Next Steps for Recovery
Headache persisting for more than one month after a car accident? After a car accident while wearing a helmet, the patient suffered a head impact and was hospitalized. The resident physician indicated that a brain scan revealed small blood clots, but surgery was not necessary. Ov...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that there has been an injury to the neck muscles due to a head impact, as well as compression of the cervical nerves leading to tingling sensations. It is recommended that you consult a rehabilitation physician to discuss examination and treatmen...[Read More] Persistent Headaches After Car Accident: Next Steps for Recovery
Understanding Forehead Pain: Causes and When to Seek Help
Headache starting from the left forehead? Hello, my headache starts on the left side of my forehead and gradually expands. After lying down and waking up, it begins to hurt after sitting for about half an hour; standing up alleviates the pain, but sitting down or lying flat cause...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a cervical myofascial issue. However, the possibility of increased intracranial pressure cannot be ruled out, as lying down can elevate intracranial pressure, and there can also be an increase in intracranial pressure during defecation....[Read More] Understanding Forehead Pain: Causes and When to Seek Help
Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Feeling disoriented? I feel that my visual perception of the surrounding environment appears chaotic, but it is not actually disordered. I have undergone neck ultrasound, head MRI, and CT scans, all of which showed no abnormalities. My confirmed diagnoses are schizophrenia and al...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are related to your vision. Neck ultrasound, head MRI, and CT scans have not explained the issues with your optic nerve, as well as functional problems such as migraines. If your symptoms improve after taking migraine medication, it may be worth considering t...[Read More] Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Headache and nosebleed? I sometimes experience unexplained headaches and have been having frequent nosebleeds lately. While eating hot pot, I find that my nose starts bleeding uncontrollably. I visited an otolaryngologist, but the doctor said everything is normal and there are no...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit the ENT department at the hospital to determine the location of the nosebleed, which may help identify possible causes. You might also want to consider coagulation disorders. As for the headache, common causes include tension-type headaches or mi...[Read More] Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Genetic predisposition to migraine and its association with the risk of stroke? Hello, doctor. I have had a predisposition to migraines since I was a child, experiencing them intermittently around the age of six or seven. In addition to unilateral headaches, I also experienced sy...
Dr. Cai Zongzhang Reply:
Clinical cases have confirmed that severe migraine attacks can trigger strokes; however, rare instances suggest that neurologists should monitor these patients. Proper management of migraines can help prevent strokes.[Read More] Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Medication Concerns: Neurology and Psychiatry Guidance
Medication issues The doctor prescribed me two days' worth of Berilene, to be taken one tablet three times a day. I plan to take three tablets from 4 PM to 10 PM. Is this acceptable? I also need to take psychiatric medication. If I wake up tomorrow morning still experiencing...
Dr. Jiang Junyi Reply:
Hello: Acetaminophen tablets. Product name: Depyretin Tab 500 mg (Veterans). Chinese name: Depyretin Tablet 500 mg. The active ingredient is the same as that in Tylenol. It is primarily used for fever reduction and pain relief, and is also used to treat headaches, muscle aches, a...[Read More] Medication Concerns: Neurology and Psychiatry Guidance
Head Pain When Bending Down: Causes and Solutions
Headache when bending down? I have been experiencing persistent swelling and pain in the left side of my nasopharynx extending to the eye socket for the past couple of days. The symptoms become more pronounced when I bend down or lower my head, and I feel significant pressure thr...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cluster headache. This type of headache is concentrated around one eye or the temporal region, most commonly occurring behind one eye socket, and is accompanied by ipsilateral conjunctival injection, rhinorrhea, tearing, forehead and facial swelli...[Read More] Head Pain When Bending Down: Causes and Solutions
Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
I have been troubled by joint issues for approximately 26 years, and all examinations have yielded no results? Hello, I have been experiencing issues with my joints since the fourth grade, and I am now 36 years old, with these problems still persisting. I have undergone prelimina...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a problem with widespread pain. Conditions that can manifest as widespread pain include inflammatory or degenerative arthritis, thyroid disorders, vitamin D deficiency, systemic lupus erythematosus, polymyositis, liver disease, kidney disease, le...[Read More] Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
The Connection Between Migraine and ADHD: Exploring Neurological Links
The relationship between migraine predisposition and ADHD? Hello, Doctor. Let me briefly introduce my situation. I have been experiencing migraines since I was a child, around six or seven years old. I typically have unilateral headaches, mostly on the left side, accompanied by p...
Dr. Cai Zongzhang Reply:
Most migraines have trigger factors, but there are too many possible causes to confirm with a single test. It is recommended to keep a headache diary to record events before and after the headache occurs, as well as daily activities, which can increase the chances of identifying ...[Read More] The Connection Between Migraine and ADHD: Exploring Neurological Links
Post-Concussion Symptoms: What to Expect After a Year
Can there be residual effects a year after a concussion? The incident occurred at the end of November 2019 when my eldest daughter, who was seven years old at the time, fell on the school playground. She hit the back of her head on the sharp edge of the steps of the platform, res...
Dr. Cai Zongzhang Reply:
Concussion symptoms should not last for a year; it is recommended to consult a pediatric neurologist and an otolaryngologist for evaluation.[Read More] Post-Concussion Symptoms: What to Expect After a Year
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I am the person who asked question #166040. It seems that the answer to someone else's question was mistakenly applied to mine, so I am asking again. Thank you! I have a history of migraines, experiencing them about 2-3 times a m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms occurring at midnight may suggest a variant of migraine. Alternatively, it could be due to slow breathing during sleep, leading to increased cerebral blood flow and elevated intracranial pressure, which can cause headaches. It is recommended that you visit a ...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Persistent Headaches: Understanding Symptoms and Seeking Solutions
Persistent headache for six months? One night, I experienced severe headaches and pain around my eye sockets. I was only able to sleep after taking a sleeping pill. The next day, the pain subsided, but I developed shoulder pain. This lasted for a day and then went away. Subsequen...
Dr. Jiang Junyi Reply:
Hello: You may need to consider issues related to cervical fascia. Degenerative changes in the cervical spine can lead to neck pain and stiffness, as well as pain that radiates to the shoulders, arms, and hands due to compression of nearby nerve roots, causing discomfort. Medic...[Read More] Persistent Headaches: Understanding Symptoms and Seeking Solutions
Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
The chin tuck exercise caused a migraine accompanied by swelling and pain in the eyes? Hello, doctor. Due to prolonged computer use, I have developed what is commonly referred to as "turtle neck." To help relax my neck, I perform chin tucks, but every time I do, my righ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms still suggest the possibility of muscle tension in the C3-C4 region of the cervical spine. It may be that some muscles are not fully relaxing. I recommend consulting a physical therapist to learn proper relaxation techniques. Also, pay attention to your postu...[Read More] Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I have a history of migraines, occurring about 2-3 times a month, usually while I am awake. However, in the past month, I have been experiencing headaches frequently during the night, waking up suddenly from sleep due to pain. On a pa...
Dr. Jiang Junyi Reply:
Hello: The commonly referred to "wet ears" is actually oily earwax. It is not recommended to use cotton swabs for cleaning, as they often push the earwax further in, leading to impaction. The external auditory canal has its own self-cleaning mechanism, so it is advisabl...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Aura Migraines: Do You Need Lifelong Medication?
Prodromal migraine Hello Doctor: I would like to ask you about the aura flashes I started experiencing in 2018 before my migraines. I underwent medication treatment for a period of time, and since my headaches have become more manageable this year, I have not continued taking med...
Dr. Jiang Junyi Reply:
Hello: The aura symptoms you mentioned are a type of temporary focal neurological phenomenon that typically occur before or during a migraine attack. They gradually develop over a period of time and usually last no longer than 60 minutes. If there is no significant impact on dail...[Read More] Understanding Aura Migraines: Do You Need Lifelong Medication?
Understanding Sudden Sharp Pain in the Back of the Head
Pain in the back of the head? Two days ago, I suddenly experienced a sharp, lightning-like pain in the area near the back of my head, specifically on the right side. The pain occurs as a brief episode and is not consistent in timing; it can happen at any time throughout the day. ...
Dr. Jiang Junyi Reply:
Hello: 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 it is caused by muscle fatigue, it typically sta...[Read More] Understanding Sudden Sharp Pain in the Back of the Head
Understanding Headaches and Mood Changes: When to Seek Neurology Help
Headache and mood swings? Hello, doctor. Previously, I had a vague pain in the right occipital region, but I thought it was a migraine and didn't pay much attention. However, I recently noticed that this situation has become increasingly severe. I didn't notice when the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems less likely to be a migraine. Migraine is a type of vascular headache caused by neurological factors, and it typically does not present with localized pain points. The more common cause of right-sided neck pain is cervical myofascial pai...[Read More] Understanding Headaches and Mood Changes: When to Seek Neurology Help
Understanding Post-Concussion Symptoms: When to See a Neurologist
Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist
Understanding Post-Traumatic Head Pain: Is It Normal After Injury?
Head trauma It has been a month since the car accident on December 14th. The head injury has had the stitches removed and is mostly healed. An MRI has confirmed that there are no fractures in the skull, but the area around the wound still feels numb and painful, and I experience ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms of headache may need to consider cervical spine disorders, and the likelihood of intracranial hemorrhage is lower. When encountering external factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive fo...[Read More] Understanding Post-Traumatic Head Pain: Is It Normal After Injury?