Understanding Temple Pain: Causes, Symptoms, and Concerns
Temporalis pain Hello, doctor. I have been experiencing headaches for the past year, and I also have symptoms of anxiety. Occasionally, I get headaches in the afternoon, with pain on both sides of my temples, forehead, eye sockets, and the back of my neck. Could this be a serious...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome, as the decrease in carbon dioxide levels in the blood leads to an increase in pH, causing systemic reactions and symptoms. Common manifestations include vasoconstriction and decreased calcium levels in the blood. The red...[Read More] Understanding Temple Pain: Causes, Symptoms, and Concerns
Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Tension headache Doctor, I occasionally experience headaches that usually start in the afternoon and persist. The pain is located in my temples, forehead, eye sockets, and the back of my neck. It worsens with exertion, but I don't have any other symptoms. This has been going...
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, resembling the feeling of wearing the Monkey King's golden headband. Since it is cause...[Read More] Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Understanding Persistent Headaches and Dizziness: A Neurology Perspective
Headache, head pressure, dizziness? Hello doctor, I have been experiencing dizziness and headaches for the past one to two months. Two months ago, I had an unknown cause of severe head pressure and pain that made it impossible for me to work properly for several days. It improved...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine. This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as se...[Read More] Understanding Persistent Headaches and Dizziness: A Neurology Perspective
Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Persistent headache Hello Doctor, On a certain day in May, I suddenly experienced a severe headache accompanied by nausea and the urge to vomit. At that time, I was undergoing treatment in the obstetrics and gynecology department for recurrent candidiasis, and I had taken multi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a vascular headache. Consider the following criteria: (a) recurrent migraine attacks that significantly affect the patient's quality of life or daily activities, with triggers ruled out, and appropriate use of acute treatment medications and ...[Read More] Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Understanding Pain at the Back of the Head: Causes and Concerns
Pain in the posterior part of the head? 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Could this be a sign of a brain hemorrhage? 2. Besides imaging studies, are there any other characteristics or methods to detect arterioven...
Dr. Jiang Junyi Reply:
Hello: 1. Doctor, I have been experiencing pain in the back of my head along with dry heaving and nausea. Is this a precursor to a brain hemorrhage? A: These symptoms are more indicative of a vascular headache; typically, a brain hemorrhage would present with focal neurological s...[Read More] Understanding Pain at the Back of the Head: Causes and Concerns
Understanding Persistent Head Pain: Is It Related to Your Cold?
Intermittent headaches? Hello Dr. Jiang, last Sunday I experienced a sore throat, and the next day I started having occasional sharp pains on the scalp above my left ear, happening every few minutes. I have experienced this occasionally in the past, but it usually lasts no more t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should indeed first consider the possibility of poor local circulation caused by a cold, which can lead to tension-type headaches. Tension-type headaches are, in fact, a form of myofascial pain. The fascia refers to the connective tissue that envelops the sur...[Read More] Understanding Persistent Head Pain: Is It Related to Your Cold?
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Post-Concussion Symptoms and Chronic Headaches
Head trauma Hello Doctor, three weeks ago I bumped my head on a medical far-infrared device. I experienced dizziness and headaches for about 7 days, which then subsided. I haven't had any headaches for the past two weeks, but today the headache has returned, along with dizzi...
Dr. Jiang Junyi Reply:
Hello: Two months ago, I underwent a CT scan due to cervical spine issues, and I really prefer not to use a CT scan for confirmation. Are there any other methods available? A: You may consider arranging a brain MRI at your own expense. Generally, if there is no loss of consciousn...[Read More] Understanding Post-Concussion Symptoms and Chronic Headaches
Understanding Burning Sensations in the Back of the Head: Causes and Solutions
The back of the head feels like it's burning? 1. The sensation of heat in the back of the head, resembling a burning feeling, could be caused by various factors such as tension headaches, migraines, or even anxiety. It is advisable to manage stress, ensure proper hydration, ...
Dr. Jiang Junyi Reply:
Hello: Regarding the issues you mentioned, 1. The sensation of heat in the back of the head feels somewhat like burning; what could be the possible causes? How can it be improved? (It started around the afternoon of October 9th) A: It may be necessary to consider cervical myofasc...[Read More] Understanding Burning Sensations in the Back of the Head: Causes and Solutions
Managing Neurological Symptoms for Software Engineers: Tips for Relief
Wellness Consultation Hello, doctor. I started working in September as a software engineer, which requires me to sit in front of the computer for long periods. Since last year, I have intermittently experienced various neurological symptoms, including tinnitus, vestibular neuriti...
Dr. Jiang Junyi Reply:
Hello: Regarding the repair of muscle nerves, in addition to nutritional supplements, adequate rest and avoiding injuries are essential. In terms of food, it is recommended to consume substances that help eliminate free radicals, such as sufficient amounts of vitamins E and C, be...[Read More] Managing Neurological Symptoms for Software Engineers: Tips for Relief
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Sleep-Related Headaches: Causes and Solutions
Sleep-related headache Hello doctor, my father is 55 years old and recently he has been waking up with headaches after sleeping for a certain period, especially around 7-8 AM when it is most likely to occur. A few days ago, he experienced headaches from the night until the mornin...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Sleep-Related Headaches: Causes and Solutions
Head Injury from Medical Infrared Device: Recovery Tips and Risks
Hit on the top of the head? Hello Doctor: Yesterday, I was hit on the top of my head by a medical-grade low-temperature far-infrared device. When I went from sitting to standing, my head hit the device. At the moment, I only felt some pain, but today it still hurts. I do not have...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding and a visit to the emergency ...[Read More] Head Injury from Medical Infrared Device: Recovery Tips and Risks
Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Numbness issues Hello Dr. Jiang: Recently, I have been experiencing a slight tingling sensation in the back side of my armpit, which occasionally spreads to other areas of my back. It is not painful and does not last long. I would like to know if this indicates any issues. Previo...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of nerve root compression in the back or symptoms of nerve inflammation. There is a low correlation with medication. Long-term use of proton pump inhibitors in the elderly population has been associated with a higher incidence of cognitive...[Read More] Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Understanding Nighttime Headaches: Causes and Solutions
Sleep-related headache Hello, doctor. I would like to ask about my father. Since September, he has been experiencing sudden headaches while sleeping, but he feels fine during the day. The headaches only occur at night while he is asleep. My father is a smoker and underwent cardia...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the primary reason for the headache at night is likely due to respiratory issues during sleep, leading to carbon dioxide accumulation, which in turn increases cerebral blood flow and intracranial pressure. Given that your father has risk factors ...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Tinnitus and Dizziness: Insights from Neurology
Tinnitus, dizziness? Hello Dr. Jiang, the following questions are for a patient (I actually have similar symptoms myself): 1. Tinnitus, dizziness, and a sensation of noise in the head have been intermittent for 30 years (I am 56 years old this year). 2. Recently, after 8 months ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the management of cardiovascular disease primarily involves controlling the three highs (hypertension, hyperlipidemia, and hyperglycemia), which you seem to have achieved. However, you did not mention any sleep issues, so it may be worth consider...[Read More] Understanding Tinnitus and Dizziness: Insights from Neurology
Understanding Sympathetic Nervous System Overactivity and Its Effects
Thank you, Dr. Jiang? Thank you for your suggestions. I will seek medical attention regarding the overactivation of the sympathetic nervous system when I have the time. Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea while ly...
Dr. Jiang Junyi Reply:
Hello: Recently, I have been experiencing frequent dizziness, a sensation of the ceiling spinning, and nausea when lying in bed. Sometimes, a certain position causes the spinning to persist. Could this be related to the sympathetic nervous system? A: It may be worth considering v...[Read More] Understanding Sympathetic Nervous System Overactivity and Its Effects
Managing Fast Heartbeat and Medication Concerns in Neurology
Rapid heartbeat and medication issues? Hello, doctor. Currently, I am experiencing dizziness, occasional headaches, and a rapid heartbeat, along with early symptoms of tremors that have become more pronounced recently. I am concerned about potential health issues and sought medic...
Dr. Jiang Junyi Reply:
Hello, based on your description, tachycardia is considered a response to sympathetic nervous system activation. Stress and tension can both lead to an increased heart rate. Propranolol works by reducing sympathetic nervous system activity. Our autonomic nervous system is regulat...[Read More] Managing Fast Heartbeat and Medication Concerns in Neurology
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello, doctor. In the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there are sharp pains, mostly starting in the afternoon or eve...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes are tension-type headache or migraine. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, p...[Read More] Understanding Tension Headaches: When to Seek Medical Attention