Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Concussion inquiries? Hello Doctor: I was involved in a motorcycle accident four weeks ago as a passenger, wearing a full-face helmet. I have no memory of the accident and when I opened my eyes again, I was already in the hospital. I was unconscious when I was brought to the hosp...
Dr. Jiang Junyi Reply:
Hello: Because you have sustained a severe head injury, common symptoms include the following: – Vomiting two times or more – Age over 65 or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes after the in...[Read More] Understanding Post-Concussion Symptoms: What to Do After a Head Injury
Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...
Dr. Hong Weibin Reply:
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
May I ask the doctor? I have been experiencing migraines recently that have lasted for three weeks. I feel a pressure in the back of my head on one side, and sometimes I have sudden sharp pains in the temples, back of the head, or the top of my head. I do not feel nauseous, and I...
Dr. Jiang Junyi Reply:
Hello: The migraine you mentioned may differ from the medical definition of migraine. Migraine is a type of vascular headache characterized by symptoms such as nausea, vomiting, photophobia, and phonophobia during an attack. It is often accompanied by severe unilateral throbbing ...[Read More] Understanding Prolonged Headaches: Could It Be a Tumor or Tension?
Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
I have a question to ask the doctor? Hello doctor, I have been experiencing frequent numbness in my head, dizziness, and neck stiffness. I also feel some tightness between my eyebrows. I had blood tests and urinalysis done recently, and the results were normal. Do I need to under...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to discomfort caused by tightness in the cervical fascia, as the cervical fascia connects to the forehead and the temporal region (temples) of the skull, allowing the head to rotate at various angles. I recommend the following: 1. Change p...[Read More] Should I Get a Brain Scan for My Frequent Headaches and Dizziness?
Understanding Dizziness and Imbalance: Possible Neurological Causes
Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing frequent headaches and dizziness lately. However, the dizziness is not like the room spinning; it feels more like a sudden moment of disorientation, accompanied by a sensation of my heart skipping a beat. ...
Dr. Jiang Junyi Reply:
Hello: If dizziness is related to head position, it may be necessary to consider benign paroxysmal positional vertigo (BPPV), which is usually caused by inner ear imbalance. However, since you mentioned symptoms of visual and sensory tilt, it may be important to consider issues r...[Read More] Understanding Dizziness and Imbalance: Possible Neurological Causes
Understanding Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
Feeling Unsteady: When to See a Doctor for Neurological Symptoms
Feeling of body swaying? Hello, doctor. I have been feeling unsteady for the past two or three days, with an increased heart rate. When I sit down, the sensation of swaying is very noticeable. I checked with the meteorological bureau, and there have been no earthquakes in the pas...
Dr. Jiang Junyi Reply:
Hello: The sensation of shaking you are experiencing may be related to proprioception. I am not sure if you have any headaches; some vascular headaches can be accompanied by pain that pulses with your heartbeat, and severe pain often leads to nausea and vomiting, as well as sensi...[Read More] Feeling Unsteady: When to See a Doctor for Neurological Symptoms
Understanding the Causes of Persistent Headaches After a Concussion
Please have the doctor examine me to determine the cause of my headache? Hello doctor, during a physical education class in elementary school, I was hit on the lower left side of the back of my head by a soccer ball from a classmate. I was examined by a doctor at that time and di...
Dr. Jiang Junyi Reply:
Hello: In addition to the issues related to cervical myofascial pain, it may be necessary to consider the possibility of migraine as a contributing factor. Migraines are often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, one s...[Read More] Understanding the Causes of Persistent Headaches After a Concussion
Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Dull headache with a feeling of heaviness? I have occasionally experienced a sensation of heaviness in my head and tension-type headaches for about ten years, occurring roughly every one to two months. Last Thursday, I had a headache, which usually improves after a night's s...
Dr. Jiang Junyi Reply:
Hello: Common symptoms of tension-type headaches are usually bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, with a sensation of pressure or tightness, and it is non-pulsating and stiff. T...[Read More] Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Occipital headache and nasal congestion? Recently, I have been experiencing a sensation of soreness in my nose when I look down, and sometimes I have pain in the back of my head. When I tilt my head to one side, I feel like something is flowing inside my brain. What could these s...
Dr. Jiang Junyi Reply:
Hello, you mentioned experiencing a sensation of nasal discomfort, which may be related to the patency of the nasolacrimal duct. The phrase "a runny nose and tears" refers to this condition. The pain in the back of your head could be attributed to cervical myofascial pa...[Read More] Understanding Symptoms: Neck Pain, Nasal Discomfort, and Headaches
Understanding Tension and Pain After Self-Inflicted Head Trauma
After hitting both temples, there is tightness in the temples and neck-shoulder area? Hello Dr. Jiang: I recently had an argument with my family and, due to emotional instability, I struck the sides of my head with my fists several times with considerable force. At the moment, I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are very similar to myofascial pain syndrome in the shoulder and neck region. This is because the fascia connects at the temples and the temporal lobes of the brain, and clinically, it often presents as pain at the affected area, di...[Read More] Understanding Tension and Pain After Self-Inflicted Head Trauma
Understanding Top of Head Pain During Strenuous Activities
Pain on the top of the head during exertion? Hello Dr. Jiang: I usually have a habit of weight training, but recently I've experienced a slight pain (not sure if it's a throbbing sensation) on the left side of my head when I reach muscle fatigue during workouts. I also ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Symptoms may worsen upon waking in the morning or with cha...[Read More] Understanding Top of Head Pain During Strenuous Activities
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
High Eye Pressure and Headaches: Understanding Neurological Symptoms
Elevated intraocular pressure sensation + headache? Since last week, I have suddenly been experiencing frequent dizziness and headaches. When I close my eyes while sleeping, I feel a slight swelling in my eyes, and there are also some bloodshot areas. Over the past few days, the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of forehead swelling is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, bu...[Read More] High Eye Pressure and Headaches: Understanding Neurological Symptoms
Understanding Your Symptoms: Migraines and Shoulder Pain Explained
Migraine/Shoulder Pain Hello doctor, this week I have experienced transient headaches occurring at three different pain points on one side of my head, which sometimes shift to the other side. The pain is always transient and progressive, and I do not need to take painkillers. Occ...
Dr. Jiang Junyi Reply:
Hello, based on your description, due to the presence of localized pain points, myofascial pain syndrome in the neck should be considered first. This condition may present with pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weat...[Read More] Understanding Your Symptoms: Migraines and Shoulder Pain Explained
Should You Get Further Tests for Suspected Concussion After an Accident?
Is further examination needed for a suspected concussion? Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries. At the time, I was fully conscious and did not experience any nausea or vomiting. The hospit...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor. Your symptoms are more indicative of cervical myofascial inflammation. The high-risk period for delayed b...[Read More] Should You Get Further Tests for Suspected Concussion After an Accident?
Understanding Headaches Triggered by Head Movement: When to Seek Help
Headache caused by shaking the head? Hello doctor, in the past week, I have frequently experienced pain in the back of my head due to head shaking, which is also accompanied by neck stiffness. Additionally, I have had low-grade fevers at night. However, during times without head ...
Dr. Jiang Junyi Reply:
Hello: A common cause of tension-type headaches is the common cold. During a cold, the body produces a large amount of lactic acid and inflammatory substances, leading to muscle soreness and discomfort. Usually, adequate hydration and rest can improve the condition. However, if t...[Read More] Understanding Headaches Triggered by Head Movement: When to Seek Help
Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Symptoms after a gravitational impact? Hello, doctor. I would like to inquire about an incident that happened several years ago when I was hit on the top of my head by a corner of a life jacket made of foam after falling from a height. I underwent some examinations at that time, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or the presence of significant local hematomas typically indicates mild symptoms. Additionally, since your symptoms have persisted for over two years, the c...[Read More] Post-Impact Symptoms: Understanding Long-Term Neurological Effects
Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective
Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective