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, I have sharp pains, mostly starting in the afternoon or evening...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Tension Headaches: When to Seek Medical Attention
Understanding Tension Headaches: When to Seek Medical Advice
Head pressure and headache? Hello Doctor, in the past few months, I have 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 is a sharp pain that occurs, mostly starting in the afternoo...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the...[Read More] Understanding Tension Headaches: When to Seek Medical Advice
Head Injury After Car Accident: Pain Management and Care Tips
A friend was in a car accident? Hello, the friend of mine had a car accident yesterday and hit their forehead, resulting in bruising and a small abrasion. Other injuries include abrasions on various parts of the body. After resting at home for a day, they still experience headach...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergen...[Read More] Head Injury After Car Accident: Pain Management and Care Tips
Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may al...[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Headache or Eye Strain? Understanding Your Symptoms and Next Steps
I'm not sure if it's a headache or an eye problem? Hello Doctor, I would like to ask about my issue. Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress. Last Friday evening, I visited an ophthalmologist who said ...
Dr. Jiang Junyi Reply:
Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include a tightening pain in the forehead and temples...[Read More] Headache or Eye Strain? Understanding Your Symptoms and Next Steps
Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options
Right-sided neck nerve pain? Hello Doctor: I often experience sharp pain on the right side of my neck. The pain lasts for a short period of less than ten days, or for a longer duration of up to a month. When the pain occurs, I am unable to sleep, have no appetite, and feel nauseo...
Dr. Jiang Junyi Reply:
Hello, In addition to cervical headache, you may want to consider the possibility of vascular headaches. Regarding cervical headaches, I recommend the following: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any postu...[Read More] Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Persistent Dizziness: Understanding Causes and Seeking Solutions
Persistent dizziness, extremely distressing? Hello, I started experiencing dizziness on the morning of June 9th. Initially, I thought it was due to standing up too quickly, but the dizziness persisted throughout the day, regardless of whether I was standing, sitting, or lying dow...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness. I'm not sure which antihypertensive medication you are taking, but it may help alleviate your discomfort. If it is a beta-blocker, you might need to consider issues related to autonomic nervous ...[Read More] Persistent Dizziness: Understanding Causes and Seeking Solutions
Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Chronic headache Hello Doctor, I would like to ask the following question: For the past two to three months, I have been experiencing frequent headaches (about 1-2 times a month on average). It usually starts with a feeling of pressure at the top of my head, which then extends to...
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 Chronic Headaches: Symptoms, Causes, and Treatment Options
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Effective Recovery Strategies After a Head Injury from a Baseball Bat
Head struck by a baseball bat? Hello, doctor! A friend of mine, Peng, accidentally got hit in the head with a baseball bat nearly a year ago. The hospital has been administering glucose and mostly prescribing B12 and painkillers, but he says he hasn't improved. He still expe...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, the following situations should raise concerns for delayed bleeding, and you should seek emergency care: (1) Deterioratio...[Read More] Effective Recovery Strategies After a Head Injury from a Baseball Bat
Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Suspected spontaneous intracranial hypotension headache causing hearing issues? Hello Doctor, thank you for your response. Background information: 1. Normal weight, no hypertension. I have never had headaches in my life. 2. In 2016, I was hit from behind by a motorcycle. There wa...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed raise a high suspicion of intracranial hypotension headache. The treatment for this condition primarily involves identifying the location of the cerebrospinal fluid leak and applying a blood patch to "seal the hole." Considering your relative...[Read More] Understanding Spontaneous Intracranial Hypotension and Hearing Issues
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Migraine with visual symptoms Hello Doctor: Recently, I have been experiencing zigzag-shaped flashes in my left eye every few days (without headaches), and whenever I lie down, I notice a slight flashing sensation, similar to a light bulb repeatedly turning on and off, or like te...
Dr. Jiang Junyi Reply:
Hello: 1. What medications are typically prescribed to alleviate migraine with visual symptoms? A: If the visual symptoms occur within half an hour before the headache, it is referred to as migraine with aura. Medications such as ergotamine (e.g., Cafergot) or triptans (e.g., ...[Read More] Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help