Chronic Headaches: Understanding Causes and Seeking Relief
Chronic headache Hello Dr. Jiang: I have been experiencing long-term headaches (entire head) along with severe pain in my shoulders and neck. The pain is continuous and does not stop; it lasts all day, every day. The worst pain occurs in the afternoon after my lunch break. I have...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headaches or migraines. If the symptoms or intensity of the headache change, intracranial tumors should be considered. However, focusing on tension-type headaches: (1) They are often bilateral, located in the occi...[Read More] Chronic Headaches: Understanding Causes and Seeking Relief
Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Riding a motorcycle in the rain can be dangerous, leading to accidents and head injuries? Hello, Doctor. I had a motorcycle accident on December 21, 2019, where I fell while wearing a helmet and hit my head. At that time, I felt a pressure and pain in the right side of my head, a...
Dr. Hong Weibin Reply:
Hello: The observation period for head trauma is generally about 7 to 14 days. A small number of patients with head injuries may experience delayed intracranial hemorrhage or axonal injury to the brain. During the observation period, the main concern is the potential for such ble...[Read More] Head Injury After Motorcycle Fall: Do I Need a Follow-Up?
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Managing Post-Concussion Symptoms: A Guide for Patients
Post-concussion syndrome Hello Doctor, about three years ago, I accidentally fell while playing basketball and hit the back of my right head. At that time, I did not lose consciousness and had no external injuries, but the next day I suddenly felt unsteady while walking and began...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of the right-sided neck pain radiating to the right eye socket is commonly due to cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles in the back of the neck, resulting in neck and shoulder dis...[Read More] Managing Post-Concussion Symptoms: A Guide for Patients
Understanding Neck and Head Pain: When to Seek Further Medical Help
Head and neck issues? Hello doctor, a few days ago I suddenly experienced sharp pain in my neck along with stiffness, which was accompanied by headaches. However, after trying stretching and applying heat at night, the headache subsided, but my neck remains very stiff. Sometimes,...
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 muscles in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate th...[Read More] Understanding Neck and Head Pain: When to Seek Further Medical Help
Understanding Scalp Tingling: Is It Related to Blood Circulation?
Scalp tingling? Frequent overuse of the brain can lead to a tingling sensation in the scalp, which feels tight as if wearing a hat. After taking a break, the scalp begins to twitch, and there is an increasing sense of relief, with less tension. I would like to know if this issue ...
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 Scalp Tingling: Is It Related to Blood Circulation?
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." 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 sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Understanding Head Trauma: Symptoms and Risks of Brain Injury
Head trauma Doctor, may I ask: I bumped the right side of my head against a wall five days ago. I only have slight headaches and neck and shoulder pain, with no other discomfort. Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or in...
Dr. Hong Weibin Reply:
Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. Wishing you a speedy recovery.[Read More] Understanding Head Trauma: Symptoms and Risks of Brain Injury
Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Cerebrospinal fluid leak Four years ago, I experienced headaches when standing, which would alleviate when lying down. I was hospitalized for examination, and the doctor suggested that I might have a cerebrospinal fluid (CSF) leak, although the cause was unclear. A lumbar punctur...
Dr. Jiang Junyi Reply:
Hello: For headaches caused by cerebrospinal fluid leaks, if the symptoms persist, it may be necessary to consider "spontaneous intracranial hypotension" (SIH) as the cause of the headache. Treatment options include hydration and the intake of coffee or tea. Additionall...[Read More] Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Numbness and tingling in the left side of the limbs? Hello doctor, sometimes I feel numbness in my left hand and left foot, and my right eye feels swollen. I'm not sure if these two symptoms are related. What could be the issue? Is it possible that there is something growing...
Dr. Jiang Junyi Reply:
Hello: Based on your description, a brain computed tomography (CT) scan is generally performed to rule out significant lesions such as intracranial hemorrhage or obvious brain tumors. If clinical symptoms such as vomiting, headaches, seizures, or neurological deficits are present...[Read More] Understanding Left-Sided Numbness and Eye Pressure: Possible Neurological Issues
Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Head trauma Hello Doctor: On October 11, I hit the right side of my head against a wall. It was very painful at the moment, but after a few minutes and until the next day, there was no pain. Starting on October 13, I began to experience pain on the right side of my head extending...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...[Read More] Understanding Head Trauma: Symptoms and Risks of Intracranial Bleeding
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Insomnia and Headaches: A Neurological Perspective
Insomnia and headache? I often wake up in the middle of the night, or it takes me a long time to fall asleep, or once I do fall asleep, I sleep for a long time. This has been happening gradually since high school, and I am currently a freshman in college. Whenever I am under a lo...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to...[Read More] Understanding Insomnia and Headaches: A Neurological Perspective
Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees, but it did not return to normal. I ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius, accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did...
Dr. Jiang Junyi Reply:
Hello, I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, parti...[Read More] Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained High Fever and Headache: Possible Neurological Concerns
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Concerns
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Right-Sided Top Head Pain: Is It Migraines?
Pain on the right side of the scalp? Hello, doctor. I have been unable to find much information online about pain at the top of my head, so I am reaching out to inquire. Recently, I have noticed that whenever I experience a headache, it is always on the right side of the top of m...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) It is often bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, wi...[Read More] Understanding Right-Sided Top Head Pain: Is It Migraines?