Understanding the Effects of Occipital Impact: What to Expect After a Fall
Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Dry Heaving: Is It a Sign of Brain Tumor?
The issue of dry heaving? Hello, doctor. I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit. I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea. Is that correct?
Dr. Hong Weibin Reply:
Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions. These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others. The most common causes are gastrointe...[Read More] Understanding Dry Heaving: Is It a Sign of Brain Tumor?
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased intracrania...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms tend to worsen with changes in weather and can be alleviated with stretching activities, of...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches for a while, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased...
Dr. Jiang Junyi Reply:
Based on your description, the more common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal-temporal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online and it seems to be a symptom of increased intracranial...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Yesterday, while sitting down, I hit the back of my head against a wooden podium. Occasionally, I experience pain in my left ear, which has become more frequent today. Additionally, I now have pain in my right ear and a feeling of drowsiness.
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and the patient should seek emergency care: (1...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...
Dr. Cai Zongzhang Reply:
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Understanding the Link Between Ischemic Stroke and Car Accidents
Ischemic stroke Before the car accident, my mother had stable blood pressure. After the accident, her blood pressure has been consistently high, around 200. She is now hospitalized for treatment of an ischemic stroke. I would like to understand whether the ischemic stroke is rela...
Dr. Hong Weibin Reply:
Hello: Clarifying the causal relationship is not easy because common risk factors for stroke include age, chronic hypertension, diabetes, hyperlipidemia, and smoking. If there was a hemorrhagic stroke immediately after the car accident, it could lead to vascular spasm and result ...[Read More] Understanding the Link Between Ischemic Stroke and Car Accidents
Understanding Dizziness and Headaches: Causes and Specialist Guidance
Dizziness and lightheadedness? Hello Doctor, I have been suffering from dizziness and headaches lately, primarily in the lower back area of my head, centered in the middle of the brain and below the ears. This is accompanied by difficulty focusing my eyes on a single point, follo...
Dr. Jiang Junyi Reply:
Hello: It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning...[Read More] Understanding Dizziness and Headaches: Causes and Specialist Guidance
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Understanding Headaches: When to Seek Medical Attention
Headache issues? Hello, doctor. I have a headache issue that usually starts in the afternoon, and sometimes I wake up with a mild headache. The pain is located in the back of my head and my temples, and it gets worse when I strain during bowel movements. I read online that this c...
Dr. Hong Weibin Reply:
Hello: There are many causes of headaches. If your headache worsens during straining to have a bowel movement, it is advisable to seek assistance from a neurologist.[Read More] Understanding Headaches: When to Seek Medical Attention
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Dizziness, headache, and vision changes? Hello Doctor, I have a problem with anemia. Since last week, I have been experiencing frequent dizziness and nausea, and I have difficulty walking and standing steadily. About three days ago, I visited a doctor who prescribed me Iron suppl...
Dr. Jiang Junyi Reply:
Hello, Have you had a blood test? Do you have iron deficiency anemia? The iron supplement you mentioned, "Yixuekang," contains Ferrous Fumarate 50mg, Vitamin B2 1mg, Vitamin B12 2mcg, Vitamin B1 1mg, Niacinamide 3mg, and Folic Acid 2mg. Generally speaking, if your ane...[Read More] Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips